1/n I've heard a few times over the years that many paramedics think that their patient care records (PCRs) are primarily for internal audit purposes and aren't read by other clinicians.
So - A thread on EMS PCRs...
The question at #ACPIC20 in research why are we focussing on the big-ticket items, such as resuscitation, that only influence less than 1% of our patients? Should we not be more worried regarding the big-impact items, that is relevant to most of our patients.
Every so often I see people reassured when actively bleeding patients have a systolic BP of 100. To get a ballpark multiply their MAP by 80 and then divide that by 2000 (a squeezed shut systemic vascular resistance in stupid units - dynes.sec/cm5)
No difference in survival with good neurologic outcomes between iGel vs endotracheal tube in cardiac arrest...BUT would argue that iGel is simpler, less cognitive load, ergonomically makes more sense, and allows for focus on HIGH QUALITY CPR
#ACEP19#FOAMed#FOAMcc
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