A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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Understanding the Neonatal Patients for EMS - Part 1
45:27
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Dr. Ariel Olicker, the medical director for Neonatal Critical Care Transport, joins the team for some practical conversation about understanding and being more comfortable with neonatal patients. Since traditional EMS doesn't encounter these patients regularly, the goal is to simplify understanding this patient category.…
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 4
1:01:26
1:01:26
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This month, we were live from the Chagrin Valley Fire Department. We discussed air medical care with Kyle Schnarrs, Flight Nurse, and Nathan Brazytis, Flight Paramedic, from the UH AirMed critical care transport system. We talk how to become a flight paramedic/nurse, day-in-the-life, as well as just how much goes on in preparation for flight, plus …
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 3
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In Part 3 of our discussion with crew members of UH AirMed, They wind up the recorded sessions discussion catching up on loose ends of the discussion, cricothyrotomy, laryngoscopy, the various drugs the helicopter carries and the use of blood on the aircraft.بقلم University Hospitals of Cleveland EMSi
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 2
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UH MedAir's Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic continue to talk about the airmedical transport system. First, they address the medical brief that can be helpfu to the communications specialists and the flight crew, distinctions between VFR flying and IFR flying for the crew, patients needing LVAD transportation as wel…
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 1
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This month, we welcome Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic from the UH AirMed critical care transport system. In the first of a 4-part series, they discuss how to become a flight paramedic/nurse as well as answer many questions about air medical transport including a day-in-the-life-of!…
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Field Termination and DOA for EMS, Part 4 - The Live Show
1:14:12
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This month we discuss field termination and DOA situations with Dr. Donald Spaner. We will dive into what the medical control physician is looking to hear from the field provider's report, the importance of the care of the family members on scene, and DNRs. Recorded at the Madison Township Fire Department.…
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Field Termination and DOA for EMS, Part 3
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In this 3rd part of our discussion of field termination of care and DOA situations, the crew and Dr. Spaner talk about the Do Not Resuscitation situations. DNR does NOT mean do NOTHING! Anything that gives the patient comfort can be utilized on a patient under a DNR order.بقلم University Hospitals of Cleveland EMSi
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Field Termination and DOA for EMS, Part 2
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The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.…
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Field Termination and DOA for EMS, Part 1
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The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.بقلم University Hospitals of Cleveland EMSi
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Extra Monday Episode - UH EMS Airway Series, Part 2
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As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demon…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 4 - Live
1:03:22
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The podcast is on the road at Kent Fire Department. Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!بقلم University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 3
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As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 2
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This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?بقلم University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 19 - SANE - A Discussion of Sexual Assault Cases Part 1
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This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…
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Prehospital Paradigm Podcast, Episode 18 - Psychiatric Emergencies - Live
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This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.بقلم University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 3
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When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…
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Review of Psychiatrics Emergencies - Part 2
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The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.بقلم University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 1
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This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.بقلم University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 16 - Part 4, STEMI Live
1:07:23
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We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!بقلم University Hospitals of Cleveland EMSi
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When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …
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Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…
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Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…
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Extra Monday Episode - UH EMS Airway Series, Part 1
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All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…
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Prehospital Paradigm Podcast, Episode 15 - Post ROSC Live
58:27
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Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…
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CPR and ROSC Episode, Part 3 - Rapid Fire Questions for ROSC
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It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!بقلم University Hospitals of Cleveland EMSi
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CPR and ROSC Episode, Part 2 A Mixed Bag Discussion
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The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.بقلم University Hospitals of Cleveland EMSi
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CPR and ROSC Episode, Part 1 - Stay and Play
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Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.بقلم University Hospitals of Cleveland EMSi
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The End of Year Grab Bag Episode - Part 3
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Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!بقلم University Hospitals of Cleveland EMSi
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The End of Year Grab Bag Episode - Part 2
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Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.بقلم University Hospitals of Cleveland EMSi
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The End of Year Grab Bag Episode - Part 1
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To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.بقلم University Hospitals of Cleveland EMSi
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Shock - Part 4, The Live Episode Pulls it All Together
1:03:06
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Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.بقلم University Hospitals of Cleveland EMSi
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Shock - Part 3, Anaphylactic Shock and Cardiogenic Shock
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An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.…
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Shock - Learn to Anticipate it and Prepare
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Anticipating shock helps to keep you ahead of the curve. Sure, it sounds apparent but, is it truly done? Then we move into one of the rare types of shock, neurogenic and anaphylaxis gets a mention.بقلم University Hospitals of Cleveland EMSi
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Shock - Recognizing and Aggressivel Treatment Of
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Dr. Donald Spaner sits in with us for the month of November to talk all of the levels and types of shock. There's a lot to unpack in this episode! Assessment, prevention and treatment of. Cardiogenic shock Hypovolemic shock Anaphylactic shock Septic shock Neurogenic shock Distributive shockبقلم University Hospitals of Cleveland EMSi
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It's a PPP Extra - Catching up on Pharmacology, Peds, Protocols and Airways
1:09:58
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Dr. Hill, Scott, Ray and Caleb gather together to talk about some random peds, protocol, drug administration and airway notes from the previous episodes. Heparin administration is the opening chat then we move into airway evaluation, using protocols and helpful items like Broselow tapes. We even through in some documentation for refusal tips!…
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Pediatrics Real and Simplified, Live, With Dr. Regina Yaskey
1:00:18
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Dr. Regina Yaskey joins us to discuss pediatric emergencies. Everyone knows that pediatric patients are not small adults. Dr Yaskey talks about the intricacies of assessing and treating pediatric patients. We talk about the pediatric assessment triangle, advanced airways, simple practices that have great impact, common and not-so-common calls, as w…
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Pediatrics Real and Simplified With Regina Yaskey, MD - Part 3
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In part 3 of our pediatric discussion with Dr. Yaskey, we review various pediatric cases from which we can learn. The discussion includes pharmacology for airway issues, child protective services and how pediatric trauma is different from adult trauma.بقلم University Hospitals of Cleveland EMSi
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Pediatrics Real and Simplified With Regina Yaskey, MD - Part 2
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The gang and Dr. Yaskey talk about a multitude of pediatrics skills, treatments and hacks! From anaphylaxis, to cuff or no-cuff on the endo tube to seizures and determining weight and drug dosages.بقلم University Hospitals of Cleveland EMSi
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Pediatrics Real and Simplified With Regina Yaskey, MD - Part 1
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This month we meet Regina Yaskey, MD who has a specialty in pediatric emergency medicine as well as disaster medicine. In part 1, the talk is about the basics... the need for proper equipment and protocols as well as a state of mind.... confidence.بقلم University Hospitals of Cleveland EMSi
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Documentation and Data with Jon Cameron, Part 4 - Live/Interactive
1:07:39
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Jon Cameron, Paramedic / EMS Data Management Specialist joins us for a discussion on documentation and helping to tell the patient's story and report the care you provide. We discuss medical-legal issues, correct recording of treatments and medications, what to write in your narrative, when and how to call medical control, prehospital notifications…
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EMS Documentation with Jon Cameron, Part 3 - Communicating Effectively
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When calling med control, making hospital notifications and at bedside, your communication needs to be effective.. succinct, informative and organized. Good documentation follows. What can be helpful in the future, is to stay at the E.D. and ask questions or, on a later call do follow-up. Remember, we're a team.…
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Documentation with Jon Cameron, Part 2
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Jon Cameron, EMT-P / EMS Data Management Specialist are talking more about documentation. Remember this phrase from all documentation presentation's? It is soooooooooooo true! And, while we all have access to the latest technology... such as automated documentation and data transfer security for you ePCR. What actually gets read at the receiving fa…
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Documentation and Data with Jon Cameron, Part 1
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As we start talking about documentation, let's get the correct mindset. Writing a great chart every time is how you tell your story. Sure, medicolegally, there are implications to charting but think of writing a great chart as how you're passing along your story.. your patient treatment so that those on the rest of the treatment continuum can plan …
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Understanding Sports Medicine Part 4 - The Live Edition
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The panel takes your sports medicine questions live on Facebook and YouTube.بقلم University Hospitals of Cleveland EMSi
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Understanding Sports Medicine, Part 3 - The First Response for Sports Trauma Course
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The First Response for Sports Trauma Course (FRST) is discussed. This is not a course about orthopedic injuries, etc. It is designed to provide first responders with the skills required to recognize, treat and transport athletes who become ill or suffer traumatic injury during sporting events, for conditions including cardiac arrest, heart arrhythm…
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Understanding Sports Medicine Part 2 - Ice or No Ice?
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Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is still with us. We discuss being on the same page with the team trainers and event medical team... especially when talking about hyperthermia in athletes. The decision point is, transport or stay-and-play.... in ICE!بقلم University Hospitals of Cleveland EMSi
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Understanding Sports Medicine, Part 1
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This episode, we are doing a deep dive into the concept of sport medicine, i.e. it is more than orthopedic issues. Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is with us for this 4 part series.بقلم University Hospitals of Cleveland EMSi
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Another PPP EE! Extra Episode - A Steroid, Dextrose and Protocol Update "Mixed Box"
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Just like May, July has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We're going over a few protocol updates, talking steroids and dextrose concentrations. It's a practical review of some drug box items.
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The New-look Resuscitation - Live Recap, Part 4
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This month Dr. Ross Campensa from Aultman Hospital joined us for a discussion on new innovations in resuscitation and a look at what Green City Fire Department is doing with Heads Up CPR. Dr.
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The New-look Resuscitation - Re-thinking Equipment, Part 3
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The crew, still with Dr. Ross Campensa from Aultman Hospital, continues to reimagine CPR and resuscitation methods including re-thinking the equipment preparation and organization. So much of the re-thinking is “basic.”بقلم University Hospitals of Cleveland EMSi
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