Case Study - Ketamine

Mentality - On the Line

Discuss how to manage patients that are, "riding the line" when it comes to traditional decision points for treatment plans. Trigger points such as blood pressure less than 90, or O2 less than 92, GCS less than 8 but the patient is exactly at that number... How do we decide to treat aggressively or passively. Is there a different way to view these numbers to decide our treatment plans?

Pediatric - Needle Jet Insufflation

Discuss the indications and procedures for needle jet insufflation. Consider why there may be so many conflicting messages on methods for this low frequency procedure, with such high failure rates.

Code Management - Setting the Scene

Instead of discussing the medicine behind a cardiac arrest, breakdown how the first few minutes can make or break the management of a cardiac arrest. Discuss the initial few minutes, from setting down the kits, having enough room to work, the mentality about "owning the pause" and verbalizing with your partner. Get an idea about what makes a good setup.

EMT - Sick Not Sick

We take a step back, and look at the EMT side of things. Remember what basic concept of triage is from the door, keeping in mind that "over triage" is okay. And consider what the long term impacts of the stressful environment for these time sensitive decision making can have on the mental health of our BLS members, and how that may even make it harder to be successful to make accurate determinations.

Case Study - Ketamine

A deeper look at the case of Elijah McClain. What lessons should be learned and how can this tragic case be avoided?