1. Top 10 Journal Articles Marilyn McLeod, MD, FACEP March 13, 2011

2. Journal Article # 1  Prehospital Emergency Care. Physician Medical Oversight in Emergency Services  Measured direct contact with physician medical director  1/3 of EMS professionals reported little to no contact with OMD

3. Journal Article # 2  Prehospital Emergency Care January/March 2009  Paramedic Endotracheal Intubation Experience Improves Patient Survival  Are we measuring the number of skills performed… Should we

4. Journal Article # 3  Prehospital Emergency Care Jan/March 2009  Impact of new CPR/ACLS on outcome from OHCA  Los Angeles Fire Department  Significant improvement of ROSC  Decrease in futile dangerous transports

5. Journal Article # 4  How effective is manuel CPR in a moving ambulance  Prehospital Emergency Care  Not effective!!

6. Journal Article # 5  Prehospital Emergency Care Jan/Mar 2009  Information Loss in Handover of Trauma Patients  30 percent of info loss during handoff

7. Journal Article # 6  Annuals of Emergency Medicine Volume 56 September 2010  Methicillin Resistant Staphlococcus Aureus in Ambulance  You are a breeding ground….

8. Journal Article # 7  Annuals of Emergency Medicine September 2010  A Feasibility Study to Determine if Inexpensive Commercial Coolers Maintains NS temperatures at 4 degrees C  Yes!!! Even Amherst can afford them at Wal-Mart

9. Journal # 8 Annuals of Emergency Medicine September 2010 Annuals of Emergency Medicine September 2010 Humeral Intraosseous Access Success Rate in Adult Out-of-Hospital Arrest High Degree of success

10. Journal Article # 9  EMS Out-of-Hospital Time and Its Association with Mortality in Trauma Patients Presenting to Level 1 Trauma Center  Increased scene time affected penetrating trauma survival but not blunt trauma survival

11. Journal Article # 10  Zofran is safe and effective in the out of hospital treatment of nausea and vomiting  Annals of Emergency Medicine September 2009  YES!!!

12. Protocol Changes  No calling for CPAP  No lasix, morphine for CHF  Nitro IV, ACE inhibitor, benzos  Hypothermia for ROSC  New ACLS guidelines  RSI for advanced level paramedics

13. New Sepsis Protocol  IV Fluids