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Lunchtime EMS Journal Club

The UNM EMS Academy, the UNM EMS Medical Direction Consortium, and the UNM Department of Emergency Medicine are excited to host a monthly lunchtime EMS Journal Club, available to all EMS workers across New Mexico. Bring your lunch, link to our website, and join EMS experts for an hour of live, engaging discussion about controversies and developments in EMS practice.

Each month’s session is led by an experienced EMS faculty member from the University of New Mexico, and is co-hosted by an experienced EMS provider from one of New Mexico’s EMS services. The format is lively and engaging.

There is no charge for attending journal club. Join us each month to learn about developments in the field of EMS, and to share your thoughts. Participants will receive CE free of charge, courtesy of the UNM EMS Academy.

Logistics:

EMS journal club will be held on the second week of each month. We will alternate Wednesday at noon, and Friday at noon, to allow for maximum flexibility.

You will need a computer with internet access, and either a computer headset or a telephone to head audio, and speak.

Please register ahead of time. We will email out the articles to be discussed one week in advance to registered participants.

CE certificates will be emailed from the EMS Academy to participants requesting CE.

To register, click the links below and enter your contact details. Then, at noon, click the link send to you by email to log in to the webinar meeting.

Please be sure that your email address is correct, so that we can send you the journal articles and CE certificates.

Join Our Next Session: Friday, July 8, Noon- 1pm

Special Guest Host: Dr. Bryan Bledsoe

Special Topic: Oxygen- Double Edged Sword?

In July, the EMS Academy welcomes Dr. Bryan Bledsoe, Professor of Emergency Medicine at the University of Nevada School of Medicine, as our EMS Journal Club host.

Many of you will know Dr. Bledsoe from national conferences. He has published more than 400 EMS articles, and is the principal author of the Brady paramedic textbook.

Dr. Bledsoe will lead the discussion as we debate the use of oxygen in EMS.

Join the UNM EMS Academy and the UNM Department of Emergency Medicine this Friday, July 8, Noon- 1pm. To register for this free online session click here

Bring your lunch, link to our website, and join EMS experts for an hour of live, online, engaging discussion about controversies and developments in EMS practice. Participants will earn free EMS CE courtesy of the UNM EMS Academy.

For years, almost every ill EMS patient has received supplemental oxygen, with the assumption that it might help, and couldn't hurt. But, what if there is a group of patients who do worse with oxygen? Join us as we discuss this evolving issue.

Article 1

Bodetoft S, Carlsson M, Arheden H, Ekelund U. Effects of oxygen inhalation on cardiac output, coronary blood flow and oxygen delivery in healthy individuals, assessed with MRI. Eur J Emerg Med. 2010 May 12.

Oxygen is a cornerstone in the treatment of critically ill patients, and many guidelines prescribe 10-15 l of O2/min even to those who are initially normoxic. Studies using indirect or invasive methods suggest, however, that supplemental O2 may have negative cardiovascular effects. The aim of this study was to test the hypothesis, using noninvasive cardiac magnetic resonance imaging, that inhaled supplemental O2 decreases cardiac output (CO) and coronary blood flow in healthy individuals.

Could it be that oxygen administration may have unappreciated side effects? What can we learn from this study, where healthy patient's physiologic parameters were measured as they received oxygen by mask? Should we be doing things differently?

Article 2

Kilgannon JH, Jones AE, Shapiro NI, Angelos MG, Milcarek B, Hunter K, Parrillo JE, Trzeciak S. Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality. JAMA. 2010 Jun 2;303(21):2165-71.

Investigators tested the hypothesis that postresuscitation hyperoxia is associated with increased mortality. In this large cohort trial which looked at 6326 patients with non-traumatic cardiac arrest, hyperoxia following resuscitation was associated with higher in-hospital mortality than patients with normoxia or hypoxia.

Why is this? Are we hurting patients by over-oxygenating them? Join us and decide for yourself.

To register for this free session, Friday, July 8, at noon, click here Registrants will receive articles by email before the session.

At noon, please log on by clicking the link you will receive when you register.

See you then!

Other upcoming sessions:

Friday, August 5, Noon-1

Friday, September 2, Noon-1

Friday, October 7, Noon-1

Upcoming Dates:

To join us, review the topics below, and click on the link to register.

Friday, July 8, Noon- 1

 

Friday, August 5, Noon- 1

 

Friday, September 2, Noon-1

 

Friday, October 7, Noon-1