Episode #8 – Jim Broselow, M.D. and the Artemis Pediatric Initiative – EMS 12-Lead podcast

EMS 12-Lead podcast – Episode #8 – Jim Broselow, M.D. 

In this episode of the EMS 12-Lead podcast we're joined by Jim Broselow, M.D., inventor of the Broselow Tape for pediatric resuscitation. We discuss the Broselow Tape as well as eBroselow.com, the Artemis Pediatric System and the SafeDose app.

If you've been in EMS for any length of time you're probably familiar with this.

But you need to become familiar with this! 

Check out Artemis and SafeDose at eBroselow.com

SafeDose for Apple iOS, Android.

Follow Jim Broselow, M.D. on Twitter.

Follow eBroselow on Facebook.

4 Comments

  • J. Hines says:

    Great podcast! Interesting to hear that Dr. Broselow sees so many problems with the tape as it’s currently in use. Not sure how realistic it would be to resuscitate a child using an app, especially if I had to use a barcode scanner. When the s**t is hitting the fan I’ve found that I can’t use an app. Has that been formally studied? Thanks again for this information!! JH

  • Peter Lazar says:

    There actually has been a formal study.  Harvard's Boston Children's Hospital found that using the app with barcode scanner was very slightly better than a paper system.  And this was with nurses who were just then introduced to the app but had been using the paper-based system for years.  We expect the numbers to get even better as the app improves and people get used to it.

    The eBroselow SafeDose app has a vastly simpler and quicker user interface than competing apps, so folks should try it before assuming the experience will be similar to other apps. SafeDose gives you the mL volume to inject.  So, especially with children, it is quicker and safer for acute care when used along with the Broselow Tape or the cheaper, generic, PediaTape.

    [Editor's note: Peter is a representative of eBroselow]

  • It is not really that I see so many problems with the Tape as it is being used. It is just that the Tape has limited real estate while the numberof drugs and indications rise exponentially. There just isn't enough room to put all the relevant medication doses, conversions to mLs, dilutions, adverse effects,etc along with equipment in a single box. This is especially relevant at the hospital level.

  • Cyrus Swanson says:

    Very helpful info, thanks. Mr. Lazar, could you please let us know the specific article you reference in your post above? I'd like to take a look at that study from Boston Children's using the app vs the paper system.
    Thank you

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Comments
Sean V
Rate Related VS. Primary ST-T Changes:
Also forgot to mention decrease the FiO2, 3LPM is getting us a SpO2 of 98%, titrate down so we staying at or above 94%. No need to hyperoxygenate & create all those fun free radicals. I would also include using an EtCO2 nasal cannula, lets get another measure of our cardiac output.
2014-09-20 02:32:20
Sean V
Rate Related VS. Primary ST-T Changes:
Atrial Fibrillation w/ Rapid Ventricular Response. There appears to be possible Delta Waves, the most prominent being in aVL, also leads I, II, and V6. In the EMS 12-Lead there appears to be a fusion beat, 3rd in V2, slurred R-wave appears quite consistent with a Delta wave. I would consider WPW as the primary…
2014-09-20 02:28:16
Brian
Rate Related VS. Primary ST-T Changes:
Afib. There is widespread depression in most leads and aVR has some elevation...but I am skeptical about this ecg. If a quick fluid challenge of 500-1000cc did not slow down the HR I would give him some diltiazem (5mg increments is our protocol or 0.25mg/kg) and slow the rate down a bit and see if…
2014-09-19 21:02:48
Michael Schiavone
Rate Related VS. Primary ST-T Changes:
Isolated ST elevation in AVR with ST depression in several leads. Rapid, irregular rate suggests AFIB with RVR. I would provide entry note with this exact description and leave it to hospital whether or not to activate cath lab. My EMS treatment: IV access, 324 mg. ASA, NTG, Cardizem .25 mg/kg over 2 minutes, consider…
2014-09-19 20:30:35
Dayne
Rate Related VS. Primary ST-T Changes:
AF with RVR @167, LVH and prolonged QT. ST depression to I,II and V3-6 and reciprocal elevation to aVR equal to or >1mm highly suggestive of LMCA or 3-vessel disease. High specificity for proximal occlusion. Aspirin, GTN, IV access, Spo2 >95%, Transport to nearest PCI/Cath Lab facility ASAP
2014-09-19 10:52:36

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