Respiratory issues are common in children. Choking remains a leading cause of childhood injury and death. About 1 percent of newborns experience respiratory distress, and respiratory issues are the leading cause of death among premature infants. Drowning and aspiration are relatively common. An injured or sick child is always a crisis, and caregivers may be panicking as you tend to their beloved little one. The following tips can help you masterfully treat children in a way that saves their lives, protects their dignity, and reassures their caregivers. 

Airway management may seem like the exclusive domain of emergency medicine physicians and anesthesiologists. But protecting the airway can be lifesaving in a variety of medical contexts. Airway problems can be unpredictable, manifesting quickly and demanding a prompt response. The dentist treating a routine cavity may suddenly find that the patient is having an anaphylactic reaction to latex. Or a pediatrician assessing a child for asthma may have to intervene to stop an intense attack. 

Between 1955 and 2017, 218 people died under general anesthesia for dental treatment, including multiple children. In several cases, aspiration was a contributing factor or even the cause of death. This is a small mortality rate compared to the millions of dental procedures performed annually, and new approaches have lowered that rate substantially. However, no death is an acceptable outcome in dentistry, and aspiration is almost always a preventable tragedy, or at least a treatable one. A few simple strategies can mitigate the risk and ensure safe patient outcomes.

More than 17,000 people suffer spinal cord injuries each year, and an estimated 249,000-363,000 Americans are living with spinal cord injuries. A few generations ago, a spinal cord injury was often a death sentence, and almost always meant a much shorter life. Thanks to better medical care and greater awareness, most spinal cord injury sufferers survive, and many go on to live long and healthy lives. Despite these improvements, respiratory issues are common in SCI survivors. Pneumonia is a leading cause of death in this group, often due to complications of respiratory infections and poorly managed airway obstructions. First responders and other providers must be prepared to rapidly respond to airway issues in SCI patients, whether treating the immediate aftermath of a spinal cord injury or providing care to long-term SCI survivors. 

Extreme heat is the leading cause of natural disaster-related deaths and injuries in the United States. Between 1999-2010, more than 8,000 Americans died of heat-related injuries, and thousands more visited emergency rooms. As summer temperatures soar to record highs, first responders must be prepared to respond to heat stroke and similar symptoms.

Power outages are among the most common emergencies, affecting nearly 40 million people each year. For most people, a power outage is a minor inconvenience that means limited access to screens and perhaps a few hours spent playing board games. For some, power outages are more dangerous, and can mean no access to heat or air conditioning in dangerous temperatures. And for an unlucky few, a power outage can present a life-threatening emergency. Clearing the airway during a power outage is a critical and life-saving skill that all EMS professionals must master.

As many as 5 percent of Americans have experienced anaphylaxis. Many more may be at risk. An epidemic of allergies means that more and more EMS agencies are routinely dealing with anaphylaxis. Appropriate management can be life-saving, and has already reduced anaphylaxis mortality to less than 1 percent. Brush up on your anaphylaxis management skills with these tips.

The EMS industry seems to have different trends constantly—new technologies and improved techniques bombard you on what seems like a daily basis. In 2019, these trends appear to have a deeper focus on the EMS system as a whole and the ultimate goal of improving the system and focusing on the patient. Let’s look at a few EMS trends to watch in 2019 and how they can impact you and your practice.

Emergency personnel and first responders are surrounded by a vast assortment of equipment every day. From cardiac monitors to suction units to airway supplies to IV medications—you name it, you have access to it on your rig or in your department.