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  1. Book: eACLS

    Rahm, Stephen J

    advanced cardiovasuclar life support course manual

    2015  

    Institution American College of Emergency Physicians
    Author's details Stephen J. Rahm
    MeSH term(s) Advanced Cardiac Life Support
    Language English
    Size xi, 86 p. :, ill.
    Edition 3rd ed.
    Publisher Jones & Bartlett Learning
    Publishing place Burlington, MA
    Document type Book
    Note Includes index. ; Rev. ed. of: eACLS study guide. 2nd ed. 2007.
    ISBN 9781449641856 ; 1449641857
    Database Catalogue of the US National Library of Medicine (NLM)

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  2. Article ; Online: Comparison Between a Color-only Method and a Food and Drug Administration-approved Validation Method for a Pediatric Color-coded Syringe Using Midazolam: A Randomized Crossover Trial.

    Howard, Caitlin M / Jeffers, Kristine L / Arana, Allyson A / Montez, Diana / Rahm, Stephen J

    Pediatric emergency care

    2020  Volume 38, Issue 1, Page(s) 17–21

    Abstract: Objective: The objective of this study was to assess the use of a color-only method syringe for accuracy and timeliness when administrating midazolam. This method was compared with a U.S. Food and Drug Administration (FDA)-approved validation method.: ...

    Abstract Objective: The objective of this study was to assess the use of a color-only method syringe for accuracy and timeliness when administrating midazolam. This method was compared with a U.S. Food and Drug Administration (FDA)-approved validation method.
    Methods: A prospective, randomized, crossover trial was conducted to compare the dosing accuracy and timeliness of the color-only syringe method versus the validation method. Twenty-five participants prepared pediatric midazolam doses according to their preferred method, a FDA-approved validation method, and a color-only method. Primary endpoints included dosing accuracy and time to medication administration.
    Results: The preferred 3-kg calculations had a median margin of error of 5.6% and a median time to completion of 55.6 seconds. The color-only method took less time to complete than the validation method (median time: 29.5 seconds vs 58.2 seconds). There was no statistically significant difference in errors between the color-only method and the validation method. None of the participants reported a mistake using the color-only method, whereas 25% (5/20) reported a mistake using the validation method. Only 20% (4/20) of participants believed that the validation method found or eliminated any mistakes. There were 8 medication errors identified when participants used the method of choice, 4 with the validation method, and 1 with the color-only method.
    Conclusions: There was no significant difference in dosing errors between the FDA-approved validation method and the color-only method. Use of a color-only method did reduced time to medication administration when compared with a preferred method and an FDA-approved validation method.
    MeSH term(s) Child ; Cross-Over Studies ; Humans ; Midazolam ; Prospective Studies ; Syringes ; United States ; United States Food and Drug Administration
    Chemical Substances Midazolam (R60L0SM5BC)
    Language English
    Publishing date 2020-07-23
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000002156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Cardiac case study. 50-year-old male with chest pressure.

    Rahm, Stephen J

    Emergency medical services

    2005  Volume 34, Issue 9, Page(s) 50–56

    Abstract: This case study represented a patient with a relatively uncomplicated myocardial infarction that, after prompt prehospital care and transport, was successfully halted in the emergency department with fibrinolytic therapy. This patient was provided ... ...

    Abstract This case study represented a patient with a relatively uncomplicated myocardial infarction that, after prompt prehospital care and transport, was successfully halted in the emergency department with fibrinolytic therapy. This patient was provided excellent care in the prehospital setting because the paramedic and his EMT-B partner worked together effectively as a team. Although ECG monitoring, IV therapy and medication administration are beyond the usual scope of practice of an EMTB, many EMS systems are training their EMT-Bs to assist with these important procedures and interventions. This involves preparing IV equipment and supplies, applying the cardiac monitor, and recognizing and handling the various paramedic medications. This enhanced role of the EMT-B allows the paramedic to perform a more focused and careful patient assessment. A cohesive working relationship between BLS and ALS personnel is absolutely crucial to the outcome of the patient. Although each level of prehospital provider possesses a different knowledge of pathophysiology and patient management, it is the combined contributions and efforts of each provider that will afford patients the high quality of care they deserve.
    MeSH term(s) Chest Pain/diagnosis ; Chest Pain/physiopathology ; Education, Continuing ; Emergency Medical Services/methods ; Humans ; Male ; Middle Aged ; United States
    Language English
    Publishing date 2005-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 424455-2
    ISSN 0094-6575
    ISSN 0094-6575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prehospital Battlefield Casualty Intervention Decision Cognitive Study.

    Schweizer, Marc A / Wampler, David / Lu, Kevin / Oh, Andrew S / Rahm, Stephen J / Studer, Nicholas M / Cunningham, Cord W

    Military medicine

    2020  Volume 185, Issue Suppl 1, Page(s) 274–278

    Abstract: Introduction: Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway maneuvers fail. This is a descriptive ... ...

    Abstract Introduction: Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway maneuvers fail. This is a descriptive analysis of the decision-making process of prehospital emergency providers to perform certain airway interventions.
    Methods: We conducted a scenario-based survey using two sequential video clips of an explosive injury event. The answers were used to conduct descriptive analyses and multivariable logistic regression models to estimate the association between the choice of intervention and training factors.
    Results: There were 254 respondents in the survey, 176 (69%) of them were civilians and 78 (31%) were military personnel. Military providers were more likely to complete TCCC certification (odds ratio [OR]: 13.1; confidence interval [CI]: 6.4-26.6; P-value < 0.001). The SC was the most frequently chosen intervention after each clip (29.92% and 22.10%, respectively). TCCC-certified providers were more likely to choose SC after viewing the two clips (OR: 1.9; CI: 1.2-3.2; P-value: 0.009), even after controlling for relevant factors (OR: 2.3; CI: 1.1-4.8; P-value: 0.033).
    Conclusions: Military providers had a greater propensity to be certified in TCCC, which was found to increase their likelihood to choose the SC in early prehospital emergency airway management.
    MeSH term(s) Airway Management/methods ; Airway Management/standards ; Airway Management/statistics & numerical data ; Cricoid Cartilage/physiopathology ; Cricoid Cartilage/surgery ; Emergency Medical Services/methods ; Emergency Medical Services/statistics & numerical data ; Humans ; Logistic Models ; Military Personnel/education ; Military Personnel/statistics & numerical data ; Odds Ratio ; Surveys and Questionnaires ; Warfare/statistics & numerical data ; Wounds and Injuries/physiopathology ; Wounds and Injuries/therapy
    Language English
    Publishing date 2020-03-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usz226
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Health care provider CPR

    Gulli, Benjamin / Nemer, Jacqueline A / Noble, Jeanne A / Rahm, Stephen J

    2017  

    Abstract: Health Care Provider CPR, Fifth Edition is ideal for use within courses designed to certify health care providers in CPR and AED. More than a stand-alone text, this student manual is the center of an integrated teaching and learning system that offers ... ...

    Author's details [edited by] Benjamin Gulli, Jacqueline A. Nemer, Jeanne A. Noble, Stephen J. Rahm
    Abstract "Health Care Provider CPR, Fifth Edition is ideal for use within courses designed to certify health care providers in CPR and AED. More than a stand-alone text, this student manual is the center of an integrated teaching and learning system that offers many resources to better support instructors and prepare students"--Provided by publisher.
    MeSH term(s) Cardiopulmonary Resuscitation/methods
    Language English
    Size 100 pages :, illustrations
    Edition Fifth edition.
    Document type Book
    Note Includes index.
    ISBN 9781284105698 ; 1284105695
    Database Catalogue of the US National Library of Medicine (NLM)

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  6. Article: Newborn resuscitation.

    Rahm, Stephen J

    Emergency medical services

    2002  Volume 31, Issue 7, Page(s) 61–65

    Abstract: Assessment and management of the newborn is a very rapid sequence of events. Unlike adult resuscitation, where the goal is to "restore" the breathing and perfusion that they once had, the goal of resuscitating a newborn is to "initiate" effective ... ...

    Abstract Assessment and management of the newborn is a very rapid sequence of events. Unlike adult resuscitation, where the goal is to "restore" the breathing and perfusion that they once had, the goal of resuscitating a newborn is to "initiate" effective breathing and perfusion. It is of paramount importance for prehospital care providers to be prepared to handle these critical cases in an expedient manner. The vast majority of newborns breathe spontaneously at delivery or very shortly thereafter, with little intervention required by EMS; however, EMS providers should always be mentally and physically prepared to assist a struggling newborn.
    MeSH term(s) American Heart Association ; Cardiopulmonary Resuscitation/methods ; Cardiopulmonary Resuscitation/standards ; Emergency Medical Technicians ; Emergency Treatment/methods ; Emergency Treatment/standards ; Global Health ; Humans ; Infant, Newborn ; Intensive Care, Neonatal/methods ; Intensive Care, Neonatal/standards ; Pediatrics/standards ; Practice Guidelines as Topic ; Resuscitation/methods ; Resuscitation/standards
    Language English
    Publishing date 2002-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 424455-2
    ISSN 0094-6575
    ISSN 0094-6575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Validation of a Simulation-Based Resuscitation Curriculum for Maternal Cardiac Arrest.

    Shields, Andrea D / Vidosh, Jacqueline / Thomson, Brook A / Minard, Charles / Annis-Brayne, Kristen / Kavanagh, Laurie / Roth, Cheryl K / Lutgendorf, Monica A / Rahm, Stephen J / Becker, Les R / Mosesso, Vincent N / Schaeffer, Brian / Gresens, Andrea / Epley, Sondie / Wagner, Richard / Streitz, Matthew J / Bhalala, Utpal S / Melvin, Lissa M / Deering, Shad /
    Nielsen, Peter E

    Obstetrics and gynecology

    2023  Volume 142, Issue 5, Page(s) 1189–1198

    Abstract: Objective: To assess the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest (Obstetric Life Support).!## ...

    Abstract Objective: To assess the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest (Obstetric Life Support).
    Methods: A formative assessment of the Obstetric Life Support curriculum was performed with a prehospital cohort comprising emergency medical services professionals and a hospital-based cohort comprising health care professionals who work primarily in hospital or urgent care settings and respond to maternal medical emergencies. The training consisted of self-guided precourse work and an instructor-led simulation course using a customized low-fidelity simulator. Baseline and postcourse assessments included multiple-choice cognitive test, self-efficacy questionnaire, and graded Megacode assessment of the team leader. Megacode scores and pass rates were analyzed descriptively. Pre- and post-self-confidence assessments were compared with an exact binomial test, and cognitive scores were compared with generalized linear mixed models.
    Results: The training was offered to 88 participants between December 2019 and November 2021. Eighty-five participants consented to participation; 77 participants completed the training over eight sessions. At baseline, fewer than half of participants were able to achieve a passing score on the cognitive assessment as determined by the expert panel. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course (95% CI 10.9-15.1, P <.001). Megacode scores averaged 90.7±6.4%. The Megacode pass rate was 96.1%. There were significant improvements in participant self-efficacy, and the majority of participants (92.6%) agreed or strongly agreed that the course met its educational objectives.
    Conclusion: After completing a simulation-based blended learning program focused on managing maternal cardiac arrest using a customized low-fidelity simulator, most participants achieved a defensible passing Megacode score and significantly improved their knowledge, skills, and self-efficacy.
    MeSH term(s) Pregnancy ; Female ; Humans ; Emergencies ; Curriculum ; Resuscitation ; Heart Arrest/therapy ; Simulation Training ; Clinical Competence
    Language English
    Publishing date 2023-09-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005349
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book: Health care provider CPR

    Gulli, Benjamin / Piazza, Gina M / Rahm, Stephen J

    2012  

    Institution Emergency Care and Safety Institute.
    American College of Emergency Physicians.
    American Academy of Orthopaedic Surgeons
    Author's details Benjamin Gulli, Gina Piazza, Stephen J. Rahm [editors]
    MeSH term(s) Cardiopulmonary Resuscitation/methods
    Language English
    Size vi, 90 p. :, ill. (some col.) ;, 26 cm.
    Edition 4th ed.
    Publisher Jones and Bartlett
    Publishing place Sudbury, MA
    Document type Book
    Note Includes index. ; "Emergency Care and Safety Institute, AAOS, American College of Emergency Physicians." ; "Meets the most current CPR and ECC guidelines"--Cover.
    ISBN 9781449609504 ; 1449609503 ; 9781449678272 ; 1449678270
    Database Catalogue of the US National Library of Medicine (NLM)

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  9. Book: EMT-intermediate review manual for national certification

    Rahm, Stephen J

    2004  

    Title variant Review manual for national certification
    Institution American Academy of Orthopaedic Surgeons
    Author's details AAOs ; Stephen J. Rahm
    MeSH term(s) Emergency Medical Services/methods ; Emergency Medical Technicians/standards ; Emergency Treatment/methods
    Language English
    Size v, 153 p. :, ill. ;, 27 cm.
    Publisher Jones and Bartlett Publishers
    Publishing place Boston
    Document type Book
    ISBN 9780763718305 ; 0763718300
    Database Catalogue of the US National Library of Medicine (NLM)

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  10. Book: EMT-basic review manual for national certification

    Rahm, Stephen J

    2004  

    Title variant Review manual for national certification
    Institution American Academy of Orthopaedic Surgeons
    Author's details AAOS ; Stephen J. Rahm
    MeSH term(s) Emergency Medical Services/methods ; Emergency Medical Technicians/standards ; Emergency Treatment/methods
    Language English
    Size v, 128 p. :, ill.
    Publisher Jones and Bartlett Publishers
    Publishing place Sudbury, Mass
    Document type Book
    ISBN 9780763718299 ; 0763718297
    Database Catalogue of the US National Library of Medicine (NLM)

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