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The administration of Naloxone for patients in cardiac arrest in the out-of-hospital setting has rarely been advised in the United States. Despite this, many EMS agencies allow for its administration and include the opioid antagonist in their cardiac arrest protocols. This contrast leaves the frontline EMT and paramedic with little direction on whether the drug provides a benefit to the patient suffering out-of-hospital cardiac arrest. Join us this month for the Prehospital Care Research Forum's journal club as we revive the topic and review a recent publication that compares out-of-hospital cardiac arrest patients who received Naloxone with those who did not.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2822449?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamanetworkopen&utm_content=wklyforyou&utm_term=082124&adv=
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We have all seen the news articles that ChatGPT and other AI models can pass the MCAT and LSAT. As educators, we worry about computers passing tests, not students. However, is there an opportunity for AI to help us in the classroom, not by taking the test but by writing the explanations for the correct answers? Join us this month for Journal Club, where we will discuss exactly that and review the article: Can ChatGPT generate practice question explanations for medical students, a new faculty teaching tool?
https://www.tandfonline.com/doi/full/10.1080/0142159X.2024.2363486
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Falls are the leading cause of injury for older Americans; in fact, one out of every four persons aged 65 and older has reported a fall in the past year. Falls are also the leading cause of EMS activations annually, accounting for over 3 million annual ED visits. EMS has a front-row seat in this epidemic, but little has been done to evaluate its role in a cure. In this month's journal club, we review a recent publication that describes the community benefits of an EMS-recognized and evaluated fall prevention program.
Article: "Integrating Fall Prevention Strategies into EMS Services to Reduce Falls and Associated Healthcare Costs for Older Adults"
https://pubmed.ncbi.nlm.nih.gov/38533419/
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AI is already helping to reduce the remedial and redundant tasks in our classroom, but can it design our case studies and simulations, too? Even better, can it increase the diversity of our patient scenarios while removing our preconceived notions and implicit biases? Join us for this month's education journal club as we review research that asked ChatGPT to do precisely that!
https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.15977
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There is no shortage of advancements in out-of-hospital cardiac arrest. In fact, every time EMS providers renew their CPR or ACLS, changes are made that have been demonstrated to improve the patient's chances of a meaningful recovery. Listen to our discussion on the next potential advancement in out-of-hospital cardiac arrest: intramuscular epinephrine!
Article: Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest
https://www.resuscitationjournal.com/article/S0300-9572(24)00159-X/fulltext
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Can one email from a professor improve students' exam scores? This isn't a story about an accidental email sent with the answer key attached. It is a story about a professor who, using a growth mindset, encourages students to keep pushing forward in their biology class. Join us for this month's education journal club as we explore the impact of faculty mindset on student performance, specifically on first-generation college students, following this experience.
https://www.lifescied.org/doi/full/10.1187/cbe.23-07-0131
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Workforce shortages continue to pervade EMS. Despite the pandemic recovery and increased efforts at bringing more people into the field and keeping them there, fewer people are choosing to climb into the back of an ambulance. Little work, however, has been put into describing the experience of being an EMT or paramedic, specifically those who are underrepresented in the EMS workforce. Join the Prehospital Care Research Forum clinical journal club this month to explore the latest research on just that,
The Female Emergency Medical Services Experience: A Mixed Methods Study.
https://www.tandfonline.com/doi/full/10.1080/10903127.2024.2306248
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Can you educate healthcare students on delivering life-and-death news to patients, and if so, can you standardize it and evaluate student improvement and performance? Can virtual simulation truly bring the realism necessary to deliver this serious news? Join us for this month's Education Journal Club as we unpack the details of this multi-institutional effort, exploring how virtual simulation is being leveraged to create a scalable, competency-based curriculum.
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EMS providers respond to patients suffering from shortness of breath every day and have a vast array of treatment options in the prehospital setting. However, limited analysis describes the nation's EMS treatment of patients suffering from shortness of breath. Join us this month for the PCRF Journal Club to discuss this recent publication describing nationwide trends in the treatment of patients with bronchospasm.
Article: Emergency Medical Services Management of Bronchospasm in the United States: A Cross-Sectional Analysis and Nationwide Quality Assessment
https://www.tandfonline.com/doi/abs/10.1080/10903127.2023.2220021
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Cadaver dissection is one of the highest-rated days of paramedic school for those programs lucky enough to have access to a cadaver lab. However, a fun experience does not always equate to student learning. Join us for this month's educational journal club as we review "A Know-Brainer: The Power of Cadaver-Based Instruction to Teach Clinical Neuroanatomy" and ask whether cadaver dissections help improve learning.
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EMS providers are routinely involved in high-stress situations with limited follow-up or healthy coping mechanisms. These experiences can trigger stress responses and burnout in our first-responder community. Despite the widespread conversation about burnout in EMS, limited literature describes the problem. Join us for this month's PCRF Journal Club to review a study that evaluates burnout in EMS using a validated tool.
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Live from Accreditcon ! If you have seen one paramedic education program, you have seen one paramedic education program. As educators, we have all heard this mantra when describing the diversity in training modalities utilized by paramedic education programs. However, as reported in the annual Resource Assessment Matrix, there is limited nationwide evaluation of what programs are doing well and where they are falling short. Join the Prehospital Care Research Forum panel and authors this month for a live discussion of Medical Directors, Facilities, and Finances: Resource Deficiencies in Accredited Paramedic Programs.
Article: Medical Directors, Facilities, and Finances: Resource Deficiencies in Accredited Paramedic Programs https://www.tandfonline.com/doi/full/10.1080/10903127.2023.2245476?src=recsys
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Law enforcement is often the first responder on scene in out of hospital cardiac arrest. The ability for police to provide high quality CPR and early defibrillation can have a substantial impact on patients lives however has rarely been studied. Join us for this month's PCRF Journal Club to discuss this most recent publication that evaluates the impact of law enforcement on patients suffering from out of hospital cardiac arrest
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Maintaining skills in pediatric prehospital care is critical since pediatric patient encounters can be high acuity/low frequency. Evidence shows that procedural skills competency decays in as little as three months. These researchers used simulations and first-person video to test the effectiveness of procedural skills training for experienced EMS professionals and its impact on skills retention.
Article: Improving Pediatric Procedural Skills for EMS Clinicians: A Longitudinal Simulation-Based Curriculum with Novel, Remote, First-Person-View Video-Based Outcome Measurement.
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Did you get out the door in less than 90 seconds? Whether it brings pride or nightmares, this is the most common quality improvement question asked. However, there are other national quality benchmarks for EMS, such as completing a respiratory assessment for patients who are suffering from difficulty breathing and administering medication for patients presenting with a seizure or asthma. Join this month's PCRF Journal Club to discuss this recent publication that evaluates where EMS stacks up on these and other quality benchmarks.
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Communication, advocacy, and even history-taking are all behaviors engrained in the EMS provider. In fact, we can all think of an educator, preceptor, or partner who helped teach and role-model these skills. Because these behaviors reflect our training, they are also open to bias based on our different lived experiences. Join us this month for the Prehospital Care Research Forum education podcast as we review this scooping review on using simulation to teach behavioral skills related to diversity, equity, and inclusion.
https://pubmed.ncbi.nlm.nih.gov/36194859/
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Survival from out of hospital cardiac arrest continues to be a benchmark for EMS Agencies across the globe. Focuses on chest compression quality and early defibrillation have led to substantial improvements in return of spontaneous circulation and thousands more cardiac arrest survivors being able to leave the hospital. Join this month’s PCRF Journal Club to discuss a paper that evaluates the size of BVM used and its impact on cardiac arrest survival.
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Checklists have become a part of every EMS provider's day. We use them to check in our ambulances, ensure we have all our equipment, and help us prepare for low-frequency skills. However, can a checklist do more than that? Can a checklist help us perform better in the field? Join us for this month's Prehospital Care Research Forum education podcast, where we will review a study that evaluated if using an easy-to-remember checklist can improve cardiac arrest management.
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While most cardiac dysrhythmias fit nicely into a treatment algorithm, atrial fibrillation stands out as lacking clear-cut treatment guidelines. Concerns over patient outcome, risk of potential stroke, and further cardiac damage leave many agencies favoring rapid transport and limited treatment. Additionally, limited data is available to link prehospital treatment to the patient’s hospital discharge status. Join this month's PCRF Journal Club to discuss a landmark paper that evaluates treating atrial fibrillation in the prehospital setting, including a link between prehospital treatment and hospital outcome data.
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Mental health has long been a focus of the overall well-being of the EMS provider. However, should training in stress management start sooner, perhaps during initial education? Can meditation help improve success during paramedic training? To help answer these questions, join this month's Prehospital Care Research Forum education podcast to learn the impacts of adding a course on meditation. Specifically, what benefits were found in reducing depression, anxiety, and stress in initial education paramedic students?
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