Below are summaries of important EMS clinical information presented at the 2014 Gathering of Eagles in Dallas on Friday, February 28, 2014.
(Presentations will be made available for download atwww.gatheringofeagles.us following the conference.)
Safety in Numbers: 2014 Ways to Manage Pain, Care for Kids, Promote Safety and Dispatch Better
Child-Like Behaviors: 10 Myths of EMS Pediatric Care
Presented by Christopher B. Colwell, MD (Denver)
- Myth #1: Pain management is bad. (Truth: It must be started in the field. It is safe.)
- Myth #2: Children don’t get C-spine injuries.
- Myth #3: Immobilization works. (Truth: Backboards hurt and have limited benefit.)
- Myth #4: Mechanism alone warrants trauma activation and lights and sirens.
- Myth #5: Abuse is important to talk about but other things are more common
- Myth #6: Apparent life threatening events are not serious if they look good.
- Myth #7: As long as my asthmatic or allergic reaction patient is looking alright, I am safe.
- Myth #8: Epinephrine should be feared
- Myth #9: Kids don’t have blood pressures. (Truth: They do; your job is to find them.)
- Myth #10: Children are not little adults.
Care Ease Through the Nares: Nasal Fentanyl for Kids
Presented by Peter P. Taillac, MD (NASEMSO)
1. Morphine or fentanyl are recommended for kids.
2. Use a pain scale to assess pain.
3. Great article on peds and pain in Prehospital Emergency Care 2014.
4. 1 mcg/kg (round to the nearest 5 mcg).
5. If they have continued pain, redose at 1/2 dose.
New Data on a Simpler Pediatric Dosing Method
Presented by pediatric specialist Peter M. Antevy, MD (Davie, Fla.)
- Read “Thinking Fast and Slow” to understand stress and pediatric resuscitation. It describes brain systems in two distinctly different ways (System 1 & System 2).
- The PREPARE-EMS Study (coming out soon) will show that only 35% of pediatric cardiac arrest patients in the prehospital arena receive epinephrine.
- Read about Dr. Antevy’s new calculation system in “Handtevy Method Helps Providers Rapidly Calculate Pediatric Drug Dosages” which appeared in the August 2013 issue of JEMS (“First-Hand Approach”).