The impact of using time critical intervention-based dispatch thresholds on lowering lights and siren use to EMS 911 incidents.

Objectives: Emergency Medical Services (EMS) has historically utilized lights and sirens (L&S) to respond to 911 incidents. L&S are used in 86% of scene responses nationally; however, time critical interventions (TCIs) occur in less than 7% of these incidents. Responses with L&S are associated with increased risk of crashes and injuries.

Implementation of a Clinical Bundle to Reduce Out-of-Hospital Peri-intubation Hypoxia.

Study Objective: Peri-intubation hypoxia is an important adverse event of out-of-hospital rapid sequence intubation. The aim of this project is to determine whether a clinical bundle encompassing positioning, apneic oxygenation, delayed sequence intubation, and goal-directed preoxygenation is associated with decreased peri-intubation hypoxia compared with standard out-of-hospital rapid sequence intubation.

Methods: We conducted a retrospective, before-after study using data from a suburban emergency medical services (EMS) system in central Texas.

EMS Intubation Improves with King Vision Video Laryngoscopy.

Introduction: Intubation success by paramedics has historically been variable. The lack of first-pass success (FPS) has been associated with increased adverse events. Various video laryngoscope (VL) devices have been investigated to improve success among paramedics.