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  1. Article ; Online: Determining a Need for Point-of-Care Ultrasound in Helicopter Emergency Medical Services Transport.

    Lenz, Timothy J / Phelan, Mary Beth / Grawey, Tom

    Air medical journal

    2021  Volume 40, Issue 3, Page(s) 175–178

    Abstract: Objective: Point-of care-ultrasound (PoCUS) is useful in evaluating unstable emergency department patients. The portability of this technology increases its potential use in prehospital settings, including helicopter emergency medical services (HEMS) ... ...

    Abstract Objective: Point-of care-ultrasound (PoCUS) is useful in evaluating unstable emergency department patients. The portability of this technology increases its potential use in prehospital settings, including helicopter emergency medical services (HEMS) programs. Identifying useful applications may support implementing a PoCUS program that develops sonography skills for prehospital providers. The aim of this study was to determine the HEMS patient population that would benefit from prehospital PoCUS for hypotension and how commonly the extended focused assessment with sonography in trauma (E-FAST) for trauma patients or the rapid ultrasound in shock (RUSH) for medical patients could be used by HEMS.
    Methods: A retrospective chart review was performed over a 1-year period of adult patients transported by a midwestern HEMS system. Charts were reviewed for episodes of hypotension.
    Results: The chart review included 216 charts, of which 3 were excluded. Of the 213 cases, 100 were trauma patients, and 113 were medical patients. Of the trauma patients, 51% experienced hypotension, as did 73 of 113 medical patients.
    Conclusion: Fifty percent of HEMS patients may benefit from PoCUS to evaluate for hypotension in flight.
    MeSH term(s) Adult ; Air Ambulances ; Aircraft ; Emergency Medical Services ; Humans ; Point-of-Care Systems ; Retrospective Studies
    Language English
    Publishing date 2021-02-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2072853-0
    ISSN 1532-6497 ; 1067-991X
    ISSN (online) 1532-6497
    ISSN 1067-991X
    DOI 10.1016/j.amj.2021.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: ED EMS time: A COVID-friendly alternative to ambulance ride-alongs.

    Grawey, Tom / Hinze, Janice / Weston, Benjamin

    AEM education and training

    2021  Volume 5, Issue 4, Page(s) e10689

    Abstract: Background: Ambulance ride-alongs are frequently a critical element of educational programs for learners of prehospital emergency care. We describe a novel alternative to the EMS ride-along experience more conducive to COVID-19 restrictions.: Methods!# ...

    Abstract Background: Ambulance ride-alongs are frequently a critical element of educational programs for learners of prehospital emergency care. We describe a novel alternative to the EMS ride-along experience more conducive to COVID-19 restrictions.
    Methods: "ED EMS time" was developed as an alternative training method to provide a field-type experience within the emergency department (ED) setting. Over the course of a 4-h shift, medical students observe and complete standardized reflections on online medical control radio consultations and EMS-to-ED patient handoffs. Medical students also interview EMS clinicians to gain insight into prehospital care and the challenges that occur in the field. Experiences are debriefed with an EMS attending.
    Results: Medical students expressed increased knowledge around the challenges and treatment capabilities of EMS through the ED EMS time experience. They were able to explain what information obtained from the scene was helpful to EMS clinicians. Medical students were able to realize the objectives of ambulance ride time through an ED experience designed around EMS.
    Conclusions: ED EMS time represents a novel approach to teaching medical students the intricacies of prehospital medicine from the confines of the ED while avoiding direct patient contact, preserving PPE, and limiting COVID-19 exposure.
    Language English
    Publishing date 2021-08-01
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10689
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: EMS Curriculum Should Educate Beyond a Technical Scope of Practice: Position Statement and Resource Document.

    Leggio, William J / Grawey, Tom / Stilley, Joshua / Dorsett, Maia

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2021  Volume 25, Issue 5, Page(s) 724–729

    Abstract: Position Statement and Resource document approved by the NAEMSP Board of Directors on April 27, 2021. ...

    Abstract Position Statement and Resource document approved by the NAEMSP Board of Directors on April 27, 2021.
    MeSH term(s) Curriculum ; Emergency Medical Services ; Humans ; Scope of Practice
    Language English
    Publishing date 2021-06-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2021.1925793
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prehospital Airway Management Training and Education: An NAEMSP Position Statement and Resource Document.

    Dorsett, Maia / Panchal, Ashish R / Stephens, Christopher / Farcas, Andra / Leggio, William / Galton, Christopher / Tripp, Rickquel / Grawey, Tom

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2022  Volume 26, Issue sup1, Page(s) 3–13

    Abstract: AbstractAirway management competency extends beyond technical skills to encompass a comprehensive approach to optimize patient outcomes. Initial and continuing education for airway management must therefore extend beyond a narrow focus on psychomotor ... ...

    Abstract AbstractAirway management competency extends beyond technical skills to encompass a comprehensive approach to optimize patient outcomes. Initial and continuing education for airway management must therefore extend beyond a narrow focus on psychomotor skills and task completion to include appreciation of underlying pathophysiology, clinical judgment, and higher-order decision making. NAEMSP recommends:Active engagement in deliberate practice should be the guiding approach for developing and maintaining competence in airway management.EMS learners and clinicians must be educated in an escalating approach to airway management, where basic airway maneuvers form the central focus.Educational activities should extend beyond fundamental knowledge to focus on the development of clinical judgment.Optimization of patient outcomes should be valued over performance of individual airway management skills.Credentialing and continuing education activities in airway management are essential to advance clinicians beyond entry-level competency.Initial and continuing education programs should be responsive to advances in the evidence base and maintain adaptability to re-assess content and expected outcomes on a continual basis.
    MeSH term(s) Airway Management ; Clinical Competence ; Curriculum ; Educational Status ; Emergency Medical Services ; Humans
    Language English
    Publishing date 2022-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2021.1977877
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Creating master adaptive learners during emergency medicine clerkships.

    Carmelli, Guy / Fullmer, Rodney / Goodrich, Margaret / Grawey, Tom / Pearce, Elspeth / Santen, Sally A / Schnapp, Benjamin H

    AEM education and training

    2022  Volume 6, Issue 6, Page(s) e10829

    Language English
    Publishing date 2022-12-20
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10829
    Database MEDical Literature Analysis and Retrieval System OnLINE

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