All posts in “EMS Literature”

STEMCELL_6A

Does Magnesium Lead to Better Outcomes in Stroke?

Follow us

ALCO EMS

Alameda County EMS is a high performance EMS system located in the Bay Area of Northern California.There are over 140,000 9-1-1 call each year in the system.
ALCO EMS
Follow us

Latest posts by ALCO EMS (see all)

 

Previous studies have shown that magnesium sulfate can act as a possible neuroprotective agent in stroke [1]. Magnesium seemed to be potentially beneficial if given in the first 3 hours, but lacked benefit when given after 7 hours [1]. “Prehospital Use of Magnesium Sulfate as Neuroprotection in Acute Stroke” is a study released in the New England Journal of Medicine this year that attempted to look at both the efficacy of magnesium sulfate as a neuroprotective agent as well as the feasibility of early administration of potential neuroprotective agents in the prehospital setting. The study found no difference in neurologic outcomes or mortality in stroke patients who received magnesium vs. those who received placebo. The study did demonstrate that it was possible to deliver magnesium within 2 hours of symptom onset in the prehospital setting [2]. Continue Reading…

Flat line alert on heart monitor

Benefit of Epinephrine in Cardiac Arrest

Follow us

ALCO EMS

Alameda County EMS is a high performance EMS system located in the Bay Area of Northern California.There are over 140,000 9-1-1 call each year in the system.
ALCO EMS
Follow us

Latest posts by ALCO EMS (see all)

Epinephrine_1-10000A recent study in the Journal of American College of Cardiology [1] has shown worse neurologic outcomes for patients receiving epinephrine during cardiac arrest. The study, “Is Epinephrine During Cardiac Arrest Associated With Worse Outcomes in Resuscitated Patients,” looked at resuscitated patients who received epinephrine and those who did not during cardiac arrest.  Good neurologic outcome was defined as a Cerebral Performance Category (CPC) score of one or two.
Continue Reading…

8471fbb21a433adda3d727480ee7f2

Spinal Motion Restriction Publication

Karl Sporer, M.D.

EMS Medical Director at Alameda County EMS
Dr. Karl Sporer is an emergency physician with over 20 years experience at San Francisco General Hospital.Previously he served as the medical director for San Mateo County and more recently San Francisco Fire Department.He received the California ACEPEMS Achievement Award in 2005 and was recently selected as the EMS Medical Director of the year by California EMSA.
Karl Sporer, M.D.

Latest posts by Karl Sporer, M.D. (see all)

Continue Reading…

slurry-saline-thumb

Prehospital Therapeutic Hypothermia

Karl Sporer, M.D.

EMS Medical Director at Alameda County EMS
Dr. Karl Sporer is an emergency physician with over 20 years experience at San Francisco General Hospital.Previously he served as the medical director for San Mateo County and more recently San Francisco Fire Department.He received the California ACEPEMS Achievement Award in 2005 and was recently selected as the EMS Medical Director of the year by California EMSA.
Karl Sporer, M.D.

Latest posts by Karl Sporer, M.D. (see all)

Effect of Prehospital Induction of Mild Hypothermia on Survival and Neurological Status Among Adults With Cardiac Arrest: A Randomized Clinical Trial

Continue Reading…

LUCAS Study

Mechanical CPR vs. Manual

Karl Sporer, M.D.

EMS Medical Director at Alameda County EMS
Dr. Karl Sporer is an emergency physician with over 20 years experience at San Francisco General Hospital.Previously he served as the medical director for San Mateo County and more recently San Francisco Fire Department.He received the California ACEPEMS Achievement Award in 2005 and was recently selected as the EMS Medical Director of the year by California EMSA.
Karl Sporer, M.D.

Latest posts by Karl Sporer, M.D. (see all)

Mechanical Chest Compressions and SimultaneousDefibrillation vs Conventional Cardiopulmonary Resuscitation in Out-of Hospital Cardiac Arrest: The LINC Randomized Trial.

Continue Reading…

mpds_thumb

Recent Publication in Prehospital Emergency Care

Karl Sporer, M.D.

EMS Medical Director at Alameda County EMS
Dr. Karl Sporer is an emergency physician with over 20 years experience at San Francisco General Hospital.Previously he served as the medical director for San Mateo County and more recently San Francisco Fire Department.He received the California ACEPEMS Achievement Award in 2005 and was recently selected as the EMS Medical Director of the year by California EMSA.
Karl Sporer, M.D.

Latest posts by Karl Sporer, M.D. (see all)

Our system uses the Medical Priority Medical Dispatch System to appropriately dispatch our medical calls. This is an international computerized, scripted system that categorizes 911 calls into distinct categories. The right combination of resources can then be sent to that call.

Continue Reading…

bapjc

A Night at The Bay Area Paramedic Journal Club

Follow us

ALCO EMS

Alameda County EMS is a high performance EMS system located in the Bay Area of Northern California.There are over 140,000 9-1-1 call each year in the system.
ALCO EMS
Follow us

Latest posts by ALCO EMS (see all)

It’s a daunting scenario for a newly minted EMT to walk into a room full of EMS directors, ED docs, flight nurses and paramedics who are gathered to exchange ideas and lessons learned. It is also an incredibly valuable one. On July 25th, just one month after completing the National Registry test, I attended the Bay Area Paramedic Journal Club dinner at Francisco’s in Oakland. The dining room was filled with EMS professionals from a diverse set of backgrounds representing many different agencies. The audience included the Alameda and Contra Costa County EMS directors as well as Oakland Fire and Paramedics Plus EMS Medical directors.

Continue Reading…