Author Archives: Tom Bouthillet

A visit to Johns Hopkins #EMSToday2015

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Tuesday, February 24, 2015 We arrived a day early into Baltimore and decided it would be a good idea to visit what is arguably the nation’s best hospital. Johns Hopkins Hospital’s core values include Excellence & Discovery, Leadership & Integrity, Diversity & Inclusion, and Respect & Collegiality and you sense when you’re walking around that […]

The Calm Before the Storm! #EMSToday2015

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In case you haven’t heard the good folks at PennWell and JEMS have selected yours truly as the Official Blogger of EMS Today 2015. The #EMSToday2015 hashtag is already buzzing! My wife Kelly @barefootNurse24 and I @tbouthillet flew into Baltimore yesterday and it was fun to follow our international colleagues gearing up for the JEMS Games! Here we have Hayden […]

The first iPad mini goes to . . . #EMSToday2015

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Well, apparently at least one of you registered for EMS Today 2015 using promo code EMS12LEAD during checkout. How do I know this? Because I was recently notified by our friends at PennWell that the first drawing for an iPad Mini is complete! The winner is . . . Steven Caho! Congratulations, Steven! If you’re reading this […]

Register for #EMSToday2015 win an iPad mini!

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Here’s a blog post so promotional that it may crash Facebook’s throttling algorithm! In case you weren’t aware, the EMS Today conference is back in Baltimore and is scheduled to take place  February 25-28, 2015. In my last blog post I wrote about some of the reasons I love Baltimore and why I believe it’s the […]

Mark your calendars: EMS Today is back in Baltimore!

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Those of you who miss the Pratt Street Ale House, Slider’s Bar and Grill, Pickles Pub, “Natty Boh”, Maryland crabcakes, the Inner Harbor, and Fell’s Point will be glad to know that EMS Today is back in Baltimore Feb 25-28, 2015! I like the Smithsonian as much as the next guy (all right, probably more […]

100 yof CC: Rib pain and intermittent spasms

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Here’s an interesting set of ECGs sent to us by Frank Intessimoni of Atlanticare EMS. You can follow Frank on Twitter: @njmedic3228. EMS is called to a local nursing home for a 100 year old female patient who had been complaining of rib pain and intermittent spasms for 3 days. Vital signs were assessed. RR: […]

Pediatric Pit Crew CPR

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A reader asks, “Does your Pit Crew CPR process work for pediatrics?” The answer is yes (with some minor modifications). Some things to keep in mind: Pediatric cardiac arrest is more likely to be respiratory or asphyxial so there is less emphasis on “patient’s side to first shock” as the arrest rhythm is more likely […]

The most awesome STEMI test on the internet!

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Sr. Editor Christopher Watford created an online STEMI test based on McCabe JM, et al. Physician Accuracy in Interpreting Potential ST-Segment Elevation Myocardial Infarction Electrocardiograms. J Am Heart Assoc. 2013; 2:e000268. The exam was in beta testing for a while (see this thread at EMTLife.com) but it’s ready for prime time! It was featured at the AmboFOAM blog by Robert […]

Adult Pit Crew CPR – The Explicit Details

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Here is a description of Hilton Head Island Fire Rescue’s Pit Crew CPR process in bullet point form. It may help to think of it as a 4-phase process. Phase 1: Patient’s side to first shock Confirm pulselessness and announce “at patient, code blue” Start CPR – continuous chest compressions at the appropriate rate, depth, and recoil Power […]

Why do we send so many people to a cardiac arrest?

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I did a fair amount of traveling and teaching in 2013 and I’ve been struck by the number of people who have been amazed by the number of rescuers my fire department sends to a sudden cardiac arrest (1 ambulance, 2 engines, and a battalion chief). I think there are several reasons for this. In the […]

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