EMS Words of Wisdom - Educate Yourself

Your knowledge and ability to act on your education is your most useful tool.

If you need motivation and inspiration, then look within yourself.

Your knowledge and skills give you the power to save lives.

EMS Education -Teaching and Testing the New BLS Exams

This is essential information for anyone in the group who has yet to take the NREMT exam, as well as for those training EMRs and EMTs who will be taking it.

In this recorded webinar, Dan Limmer discusses how the recent changes to the National Registry’s BLS exam will impact current students and what EMT educators can do to ensure their students are prepared.

He covers key areas such as assessment, differential diagnosis, and critical thinking skills necessary for success on the updated exam.

Download the educator resources from Limmer Education here: https://bit.ly/BLS-Exam-Resources

EMS Training Opportunity - Advanced Stroke Life Support (ASLS)

Provider: Colorado Cardiac CPR

Date/Time: Wed April 16, 2025 / 9:00 AM to 11:00 AM

Location: Northwest Denver / Wheat Ridge

Address: 3798 Marshall Street, Suite 2, Wheat Ridge CO, 80033

Class Price: $149.00

Description: The American Heart Association's (AHA) ASLS course builds on the foundation of lifesaving skills; aiming to educate prehospital and in hospital healthcare providers to optimize the identification, evaluation and treatment of patients with acute stroke, and identify the five main stroke syndromes and relate them to pathophysiology and clinical signs. 

The course objective is to explain the importance of an organized approach to treating patients with stroke for improved patient outcomes, and describe the management goals also.

ASLS requires an Online Course prior to a 2-3 hour skill session. The skills session includes discussion, practical application and a skills test.

ASLS is appropriate for healthcare professionals in both prehospital and in-hospital settings involved in the management of acute stroke patients. 

This advanced course is ideal for:

• Stroke Coordinators
• Nursing Students and Nurses
• Advanced Practice Registered Nurses
• Paramedics and Emergency Medical Personnel
• Physicians
• Physician Assistants
• Residents and Fellows
• Medical Students
• Respiratory Therapists

Enrollment Link: https://3cpr.enrollware.com/enroll?id=11198953

Notes: For more information contact 3CPR at 720-639-2623 or Info@3Cpr.Org

Space is limited so register today.

EMS Basic Life Support - Debunking Common Myths About CPR

Proper education and awareness about the lifesaving practice of CPR are essential. Unfortunately, several widely held misconceptions discourage many people from becoming CPR-certified.

While the following information is not intended to replace the instruction provided in certification courses, it is valuable knowledge that can help dispel myths and encourage more individuals to pursue CPR training.

Myth #1: Only Professionals Can Safely and Effectively Perform CPR

Truth #1: According to the American Heart Association, CPR initiated immediately by a bystander can triple a victim’s chances of survival. Anyone can learn and perform CPR after basic training, making widespread education and certification crucial in improving survival rates.

Myth #2: You Can Learn CPR by Watching an Online Video

Truth #2: While online videos can provide useful information, they should be produced, sponsored, and taught by reputable organizations. More importantly, CPR training includes a critical hands-on component - effective chest compressions - that cannot be mastered through video instruction alone. Proper technique requires in-person training and practice.

Myth #3: You Can Get in Trouble or Injure Someone If You Perform CPR Incorrectly

Truth #3: Good Samaritan laws protect individuals who perform CPR in good faith and without willful misconduct or negligence. The risk of legal consequences is minimal, and the potential harm of not performing CPR far outweighs the risk of performing it incorrectly. Immediate intervention can make the difference between life and death.

Myth #4: You Must Perform Mouth-to-Mouth Breathing When Performing CPR

Truth #4: The idea of providing mouth-to-mouth resuscitation to a stranger may be uncomfortable for some, but hands-only CPR is highly effective. When chest compressions are performed at the correct rate and depth, they help circulate oxygenated blood until emergency responders arrive.

Myth #5: CPR Should Be Performed Only After Calling 911

Truth #5: CPR should begin immediately when a person is unresponsive and not breathing normally. Ideally, one person should call 911 while another starts CPR. Delaying CPR can significantly reduce a victim’s chance of survival. Additionally, victims who exhibit irregular, noisy breathing or gasping may still benefit from immediate chest compressions.

The Importance of CPR Certification

Beyond addressing these common myths, formal CPR training provides in-depth knowledge and hands-on practice to ensure confidence and competence in a real emergency. Becoming CPR-certified is not only an invaluable skill but also a profound act of service to your loved ones, those under your care, and your community.

Recommended CPR Training Providers: 

Bethesda, Wales, UK: Active First Aid

Littleton, Colorado, USA: Colorado Cardiac CPR

International: Crossing Latitudes 

EMS Training Opportunity - Prehospital Trauma Life Support (PHTLS)

 

Colorado Cardiac CPR are offering a PHTLS at the start of March (3 & 4). This is a great opportunity for emergency medical responders, EMTs, Paramedics, Nurses, Physician Assistants and Doctors.

Description: The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care. PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma.

PHTLS is the global gold standard in prehospital trauma education and is taught in over 80 countries. 

Content: The aim of PHTLS courses is to improve the quality of trauma care and decrease patient mortality. 

The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. 

The course covers the following topics:

• Physiology of life and death
• Scene Assessment
• Patient Assessment
• Hemorrhage Control
• Airway, Breathing, Ventilation & Oxygenation
• Circulation & Shock
• Special Populations

The course emphasizes application of trauma education through case studies, skills practice, and patient simulations.

Date: March 3 & 4, 2025 9:00 AM to 5:00 PM

Cost: $315.00

Discount: 3CPR

Location: Littleton (Broadway & Davies), Colorado

Outcome: Upon successful course completion you will be issued an NAEMT PHTLS provider card and receive 16-hours of CAPCE credits.

For more information and to register, access this link:

https://3cpr.enrollware.com/enroll?id=10735378

EMS Geriatric Emergencies - GEMS Diamond Assessment System

The GEMS Diamond Assessment System was developed by the National Association of Emergency Medical Technicians (NAEMT) in collaboration with experts in geriatric care. 

It was created as part of an effort to enhance the education and training of EMS Providers in understanding and managing the unique challenges associated with caring for geriatric patients in prehospital settings. 

This system is integrated into educational programs, such as the Geriatric Education for Emergency Medical Services (GEMS) course, which provides specialized training for emergency medical professionals. 

A Comprehensive Tool for EMS Providers

The GEMS Diamond Assessment System is an essential framework designed to assist EMS providers in navigating the complexities of caring for geriatric patients. 

This tool emphasizes a multifaceted approach that incorporates clinical, environmental, and social elements to ensure comprehensive patient evaluation. 

Here's what EMS providers need to understand about the GEMS system:

G – Geriatric Patient: Geriatric patients often present atypically, meaning that symptoms of serious medical issues may differ from those seen in younger populations. 

For example, conditions like myocardial infarction may present as generalized weakness or confusion rather than the classic chest pain. 

EMS providers should recognize and anticipate normal physiological changes associated with aging, such as decreased skin elasticity, altered pain perception, and slower cognitive responses. 

Importantly, geriatric patients deserve respect and should be approached with patience and empathy, never infantilized.

E – Environmental Assessment: The patient's environment can offer critical clues about their health status and potential risks. 

EMS Providers should take a quick but thorough look at the surroundings to assess whether it’s safe and conducive to the patient’s well-being. 

Indicators to consider include:

- Condition of the Home: Is it clean or cluttered? Is there evidence of neglect, such as dirty living conditions, unventilated spaces, or broken fixtures?

- Safety Hazards: Check for things like trip hazards, excessive clutter, or broken glass.

- Adequacy of Care: If the patient lives with a caregiver or in a nursing home, observe whether the care appears sufficient. 

Signs of elder abuse or neglect, such as the patient being confined to one room or visible signs of poor hygiene, should be taken seriously.

- Signs of Substance Abuse: Empty liquor bottles may indicate alcohol misuse, a common issue in geriatric populations.

- Medication Review: Take note of any outdated medication bottles lying around, as polypharmacy can lead to dangerous drug interactions.

M – Medical Assessment: Geriatric patients often have multiple chronic health issues that can obscure or complicate the assessment of acute symptoms. 

This makes obtaining a detailed and accurate medical history vital, regardless of the patient's chief complaint. 

Conditions such as heart disease, diabetes, and chronic pain syndromes are prevalent and can mask or exacerbate other medical issues. 

EMS providers must exercise vigilance in differentiating between baseline conditions and new or worsening symptoms.

S – Social Assessment: The social well-being of a geriatric patient is an aspect often linked to their overall health. EMS providers should evaluate whether the patient has a support system. 

Key questions include:

Does the patient have friends or family who visit regularly?

Is there evidence of social isolation, which can contribute to or exacerbate depression?

Can the patient manage daily activities such as bathing, dressing, toileting, and eating independently? If not, is there adequate support in place?

Is there regular access to essentials like food and clean water?

A comprehensive social assessment also includes observing the patient's interactions and listening for signs that they may be experiencing loneliness or neglect.

Conclusion

The GEMS Diamond Assessment System serves as a vital guide for EMS providers when managing geriatric patients. 

By focusing on the unique needs and considerations outlined — Geriatric, Environmental, Medical, and Social — providers can deliver a well-rounded, empathetic approach to care. 

In addition to using the GEMS framework, EMS Providers must remain mindful of the importance of thorough injury assessments, effective communication strategies, and maintaining respect for the autonomy and dignity of older adults. 

These practices not only improve the quality of care but also foster trust and cooperation with patients, their families, and caregivers.

As the geriatric population continues to grow, the ability to deliver tailored, patient-centered care becomes increasingly vital. 

By incorporating the GEMS Diamond Assessment System into their practice, EMS providers can confidently navigate the challenges of geriatric emergencies, ensuring safer outcomes and making a meaningful difference in the lives of their patients. 

The GEMS structure exemplifies the intersection of clinical expertise, empathy, and respect that defines high-quality care in emergency medical services.

Further Reading

Alexander, M. & Belle, R. (2017) Advanced EMT: A Clinical Reasoning Approach (2nd Ed). Hoboken, New Jersey: Pearson Education

Bledsoe, B. E., Cherry, R. A. & Porter, R. S (2023) Paramedic Care: Principles and Practice (6th Ed) Boston, Massachusetts: Pearson

Mistovich, J. J. & Karren, K. J. (2014) Prehospital Emergency Care (11th Ed). Hoboken, New Jersey: Pearson Education

NAEMT (2023) Geriatric Education for Emergency Medical Services (3rd Ed). Burlington, Massachusetts: Jones & Bartlett Learning

Peate, I. & Sawyer, S (2024) Fundamentals of Applied Pathophysiology for Paramedics. Hoboken, New Jersey: Wiley Blackwell

Peterson, L. K., Fairbanks, R, J., Hettinger, A. Z., & Shah, M. N. (2009) Emergency Medical Service Attitudes Toward Geriatric Prehospital Care & Continuing Medical Education In Geriatrics. Journal of the American Geriatrics Society 57 (3): 530-5. Accessed November 8, 2024

Shah, M. N., Rajasekaran, K., & Sheahan, W. D., Wimbush T., & Karuza J. (2008) The Effect Of The Geriatrics Education For Emergency Medical Services Training Program In A Rural Community. Journal of the American Geriatrics Society 56 (6):1134-9. Accessed November 8, 2024