All posts in “Academia”

STEMCELL_6A

Does Magnesium Lead to Better Outcomes in Stroke?

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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.
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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

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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.
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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.
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SMR Update

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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.
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Spine Injury assessment and Spinal Motion Restriction (SMR) update and message from the Alameda County EMS Agency.

There has been an additional 28% decrease from the date of publication through 2014.

There has been an additional 28% decrease in the use of rigid backboards from the date of publication through 2014.

We have seen a tremendous reduction in the use of the hard backboard in Alameda County. As published in our Prehospital Emergency Care (PEC) peer reviewed journal, within four months of implementing our new spine injury assessment guidelines, we reduced the use of hard backboard immobilizations by 58%.  We want that trend to continue.

It all starts with a proper assessment. In emergency medicine it is important to figure out what is wrong with a patient. It is equally important to figure out what is NOT wrong with the patient and not subject them to unnecessary and potentially harmful treatments, including spine immobilization. It is clear that traditional spine immobilization causes more harm than good in subset of trauma patients. There has never been any study, or research that shows any benefit of spine immobilization. Continue Reading…

ANBcommcenter

Tailoring EMS Systems Based on EMD Data

Karl Sporer, M.D.

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.

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Most EMS systems utilize some form of Emergency Medical Dispatch (EMD). EMD is used to categorize 9-1-1 calls into groups, helping to assign the appropriate medical response to the call. Continue Reading…

Health

Alameda County Health Coach Program

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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.
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Alameda County Health Coach Program at Highland Hospital

With the support of the Robert Wood Johnson Foundation’s Workforce Development Program, young adults with a passion for health education will work with patients at Alameda Health System-Highland Hospital. This innovative program is the first to provide health coaching directly from the Emergency Department. Continue Reading…

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Spinal Motion Restriction Publication

Karl Sporer, M.D.

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.

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LUCAS Study

Mechanical CPR vs. Manual

Karl Sporer, M.D.

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.

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

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mpds_thumb

Recent Publication in Prehospital Emergency Care

Karl Sporer, M.D.

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.

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