Subject(s)
Ambulances/standards , Emergency Medical Technicians/standards , Infection Control/methods , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Infectious Disease Transmission, Professional-to-Patient/prevention & control , Decontamination , Equipment Contamination , Humans , Practice Guidelines as Topic , SterilizationSubject(s)
Advanced Cardiac Life Support/methods , Electric Countershock/methods , Heart Arrest/therapy , Advanced Cardiac Life Support/education , Arrhythmias, Cardiac/physiopathology , Arrhythmias, Cardiac/therapy , Clinical Competence , Defibrillators , Electric Countershock/instrumentation , Heart Arrest/physiopathology , HumansABSTRACT
Prehospital providers who are trained to access and utilize existing CVADs, including Groshong, Hickman, Broviac, PICC lines and implanted ports, will be able to establish rapid i.v.s. The CVADs, which should be used in critical scenarios like shock, cardiac arrest and critical medical conditions, will allow EMS to administer medications and fluids to patients in whom i.v. access may otherwise be impossible. Providers should review with their medical directors the feasibility and practical application of using these devices, ensuring they have the correct training and equipment to use these potentially lifesaving devices.
Subject(s)
Catheterization, Central Venous/instrumentation , Catheters, Indwelling/standards , Emergency Medical Services/standards , Aged, 80 and over , Catheterization, Central Venous/methods , Catheters, Indwelling/classification , Communication , Drug Therapy , Emergency Medical Services/methods , Female , Humans , Medical History Taking , Parenteral Nutrition, Total , Professional-Patient RelationsABSTRACT
Airway management is as easy as your ABCs: Assess the airway for adequacy, blockages and sixth-sense concerns; use basic skills to position, utilize adjuncts and suction the airway; and control the airway with endotracheal intubation, alternative airways, or, when all else fails, invasive and surgical airways. It is the responsibility of every provider, regardless of certification level, to manage a patient's airway in the most effective way possible. When it's done in an organized manner, quickly, properly and effectively, considering all options of care, both patient and provider will be able to take a deep breath of relief.
