Out of Hospital Emergency Medicine with Dr. Fiona Gallahue

Our guest for Episode 6 is Dr. Fiona Gallahue, an Associate Professor of Emergency Medicine and Program Director of the UW Emergency Medicine Residency Program.  We sit down with Dr. Gallahue and discuss the basics of out of hospital emergency care.  Dr. Gallahue gives us some tips on how to handle the dreaded in-flight medical emergency, what to do if you are ever involved in an a cardiac arrest outside the hospital and some of the basic principles behind out of hospital triage.  Enjoy!

 

Resources & More Learning

In-Flight Medical Emergencies

Martin-Gill C, Doyle TJ, Yealy DM. In-Flight Medical Emergencies. JAMA 2018;320(24):2580–90.

Nable JV, Tupe CL, Gehle BD, Brady WJ. In-Flight Medical Emergencies during Commercial Travel. New England Journal of Medicine 2015;373(10):939–45.

Cardiopulmonary Resuscitation & Naloxone

Brady WJ, Mattu A, Slovis CM. Lay Responder Care for an Adult with Out-of-Hospital Cardiac Arrest. New England Journal of Medicine 2019;381(23):2242–51.

Castren M. The Future of Out-Of-Hospital Cardiac Arrest [Internet]. SMACC Sydney. 2018 [cited 2020 Mar 16];Available from: https://smacc.net.au/2018/08/the-future-of-out-of-hospital-cardiac-arrest/

Chang I, Lee SC, Shin SD, et al. Effects of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological recovery in paediatric patients with out-of-hospital cardiac arrest based on the pre-hospital emergency medical service response time interval. Resuscitation 2018;130:49–56.

Clark AK, Wilder CM, Winstanley EL. A Systematic Review of Community Opioid Overdose Prevention and Naloxone Distribution Programs. Journal of Addiction Medicine 2014;8(3):153–63.

Fischer P, Krueger JI, Greitemeyer T, et al. The bystander-effect: A meta-analytic review on bystander intervention in dangerous and non-dangerous emergencies. Psychological Bulletin 2011;137(4):517–37.

Scott G, Barron T, Gardett I, et al. Can a Software-Based Metronome Tool Enhance Compression Rate in a Realistic 911 Call Scenario Without Adversely Impacting Compression Depth for Dispatcher-Assisted CPR? Prehospital and Disaster Medicine 2018;33(4):399–405.

Trauma & Triage

Christian MD. Triage. Critical Care Clinics 2019;35(4):575–89.

Harmsen AMK, Giannakopoulos GF, Moerbeek PR, Jansma EP, Bonjer HJ, Bloemers FW. The influence of prehospital time on trauma patients outcome: A systematic review. Injury 2015;46(4):602–9.