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August 16, 2015

Right Ventricular Infarction

Clinical Significance

Right ventricular infarction complicates up to 40% of inferior STEMIs. Isolated RV infarction is extremely uncommon.

Patients with RV infarction are very preload sensitive (due to poor RV contractility) and can develop severe hypotension in response to nitrates or other preload-reducing agents.

Hypotension in right ventricular infarction is treated with fluid loading, and nitrates are contraindicated.

How to spot right ventricular infarction

In patients presenting with inferior STEMI, right ventricular infarction is suggested by the presence of:

ST elevation in V1 - the only standard ECG lead that looks directly at the right ventricle.

ST elevation in lead III > lead II - because lead III is more "rightward facing" than lead II and hence more sensitive to the injury current produced by the right ventricle.

Other useful tips for spotting right ventricular MI (as described by Amal Mattu and William Brady in ECGs for the Emergency Physician):

If the magnitude of ST elevation in VI exceeds the magnitude of ST elevation in V2

If the ST segment in VI is isoelectric and the ST segment in V2 is markedly depressed.

NB. The combination of ST elevation in V1 and ST depression in V2 is highly specific for right ventricular MI.

Right ventricular infarction is confirmed by the presence of ST elevation in the right-sided leads (V3R-V6R).

Right- sided leads

There are several different approaches to recording a right-sided ECG:

A complete set of right-sided leads is obtained by placing leads V1-6 in a mirror image position on the right side of the ches.

It may be simpler to leave V1 and V2 in their usual positions and just transfer leads V3-6 to the right side of the chest.

The most useful lead is V4R, which is obtained by placing the V4 electrode in the 5th right intercostal space in the midclavicular line. ST elevation in V4R has a sensitivity of 88%, specificity of 78% and diagnostic accuracy of 83% in the diagnosis of RV MI.

NB. ST elevation in the rigt-sided leads is a transient phenomenon, lasting less that 10 hours in 50% of patients with RV infarctions.

This information copied from: http://lifeinthefastlane.com/ecg-library/right-ventricular-infarction/ on August 3, 2015


April 29, 2015

I copied and pasted this word for word from the Wall Street Journal today.

This article was written by Laura Landro

You can email your comments to her at: laura.landro@wsj.com

Many Hospital ERs Aren’t Ready to Treat Children Hospitals aim to be prepared; many lack equipment and pediatric training for doctors and nurses Dr. Joseph Faccio examines 14-month old Jailynn Rodriguez at Our Lady of Lourdes hospital in Camden, N.J. Her mother, Jessica Soto, brought her in for symptoms of fever and congestion. ENLARGE Dr. Joseph Faccio examines 14-month old Jailynn Rodriguez at Our Lady of Lourdes hospital in Camden, N.J. Her mother, Jessica Soto, brought her in for symptoms of fever and congestion. PHOTO: JOEL SCHWARTZ

By LAURA LANDRO April 27, 2015 3:09 p.m. ET 7 COMMENTS When a child has a medical emergency, the first instinct is to rush to the nearest hospital ER. But, many emergency rooms are ill-equipped to treat infants and children and they are staffed with doctors and nurses who may not be trained in the specifics of pediatric care.

Of 30 million children 18 years old and under who end up in emergency rooms each year, close to 90% are treated in general community hospitals, which often have no pediatric unit. The ER staff often lack necessary emergency equipment, such as needles, catheters, breathing tubes and instruments designed and sized for different-aged children’s unique anatomy. They also may lack a plan to deal with children in a mass casualty incident or natural disaster.

Hospitals are now making more strides in improving emergency care for infants after years of taking baby steps to bring quality up to par. According to a national assessment of more than 4,000 U.S. hospitals’ readiness for a pediatric emergency, published earlier this month in JAMA Pediatrics, the median readiness score was 69 on a scale of 100, up from 55 in 2003.

The evaluation was based on the hospitals’ compliance with revised guidelines issued in 2009 by the American College of Emergency Physicians, the American Academy of Pediatrics and the Emergency Nurses Association. Close to 83% of hospital ER units responded to the Web-based survey.

However, the authors cautioned that the review likely overestimated hospitals’ readiness because there was no way to verify what hospitals reported about their status. And an editorial accompanying the study said progress on improving emergency care for children “has been slow at best.”

“It would be hard to take care of the unexpected event like several dozen kids in a bus crash if you aren’t prepared to take care of an emergency of one,” says Steven Krug, head of pediatric emergency medicine at Ann & Robert H. Lurie Children’s Hospital of Chicago and professor of pediatrics at Northwestern University’s Feinberg School of Medicine. While a handful of states require all hospitals to be prepared for pediatric emergencies or have voluntary programs that publicly certify their readiness levels, Dr. Krug advises parents to ask their family doctor which hospital ER in their area is better prepared for children.

Dr. Jenice Forde-Baker examines Jailynn Rodriguez at Our Lady of Lourdes Medical Center, where the ER has taken steps to make sure it is prepared for children. It sees about 30 a day. ENLARGE Dr. Jenice Forde-Baker examines Jailynn Rodriguez at Our Lady of Lourdes Medical Center, where the ER has taken steps to make sure it is prepared for children. It sees about 30 a day. PHOTO: JOEL SCHWARTZJOEL SCHWARTZJOEL SCHWARTZ A decade ago the problem was even worse. In a 2006 report, the Institute of Medicine reported that many ER staffers didn’t know how to properly stabilize seriously injured or ill children, and only 6% of hospitals had all the necessary equipment to deal with a pediatric emergency.

In the new assessment, only about half of the participating ERs met two key criteria—a doctor and nurse with expertise to coordinate emergency care of children, including staff training, and a formal disaster plan that addresses the needs of children. And while a majority of ERs have most of the recommended emergency equipment, half don’t have all of it. More than 15% are missing critical tools such as special forceps to remove objects obstructing a child’s airways.

A majority of hospitals reported barriers to being better prepared, including high costs for pediatric emergency care training.

“We have to make sure that every child, regardless of where they live, has access to the best standard of emergency care,” says emergency physician Katherine Remick, a co-author of the report and trauma liaison at Dell Children’s Medical Center of Central Texas in Austin. “There is quite a lot of room for improvement.”

New Jersey requires hospitals to provide pediatric emergency care along the national guidelines.

“Parents are going to stop at the closest building with a big red emergency sign” says Alfred Sacchetti, chairman of the state’s Emergency Medical Services for Children Advisory Council and chairman of the emergency department at Our Lady of Lourdes Medical Center in Camden, N.J. “That may not be the one that’s going to fix the lacerated spleen, but they should be able to manage an airway, get an IV in and get the child expeditiously to the place with the expertise.”

Dr. Sacchetti’s hospital closed its pediatrics unit eight years ago, but he has overseen efforts to ensure the staff remains prepared for emergencies and has equipment on hand for the approximately 30 children it sees daily.

Last month, 19-month old Kmanni Johnson, whose parents live nearby, rushed her to Our Lady of Lourdes because she was struggling to breathe. They knew the hospital had no pediatric unit. A block away from the hospital, she stopped breathing altogether, and her mother, Cecelia Burns recalls running, panicky and screaming into the ER entrance with Kmanni in her arms. “All the nurses and doctors stopped what they were doing and ran over to help my daughter,” she says.

Kmanni still had a pulse on arrival and emergency physician Adele Lam resuscitated and stabilized her using pediatric equipment on hand including an infant-sized tubes, catheters, and IV pumps. “It made me so much more at ease to see how everyone was working as a team,” Ms. Burns says, and staffers also took time to comfort her and Kmanni’s father, Kassime Johnson. With a diagnosis of pneumonia and collapsed lungs, doctors decided to transfer Kmanni to Children’s Regional Hospital, part of Cooper University Health Care, also in Camden. Dr. Lam rode along in the ambulance to keep the breathing tube in place, replacing it at one point when the child spit it out. Kmanni spent just over a week in the hospital and is doing well now. Ms. Burns brought flowers to the Our Lady of Lourdes emergency room to thank the staff, and says “I will never be able to express how grateful I am.”

The National Pediatric Readiness Project, a partnership between the federal Emergency Medical Services for Children program and medical societies including the American Academy of Pediatrics, is providing data that helps ERs compare their own readiness to others in their state and nationwide. It also offers free help to ERs to meet the readiness standards and develop protocols for stabilizing critically injured children and transferring them to higher level facilities.

One area of concern when treating children: one-third of hospitals don’t follow recommendations to record weight in kilograms rather than pounds. Medication doses are based on weight in kilograms, and mix-ups are a leading cause of medication errors, says Marianne Gausche-Hill, who led the readiness study and is chief of the division of pediatric emergency medicine at Harbor-UCLA Medical Center in Los Angeles.

One kilogram is equal to 2.2 lbs., so if a 30-lb child with a broken leg is mistakenly given morphine for pain based on a weight of 30 kilograms, “that is basically a double dose, which could make you stop breathing,” Dr. Hill says.

Arizona has a voluntary program that designates hospitals by three levels of pediatric readiness which they can advertise publicly, says Dale Woolridge, a co-founder of the system and professor of emergency medicine and pediatrics at the University of Arizona in Tucson. By the end of this year 50% of hospitals in the state will be certified, Dr. Woolridge says, and the program has helped rural hospitals improve and helped large hospitals “cement their commitment to rural areas.”

Write to Laura Landro at laura.landro@wsj.com ___________________________________________________________

April 29, 2015

I get asked this question all the time. So here it is.

What is the difference between Asystole/PEA and Ventricular Fibrillation/Pulseless Ventricular Tachycardia?

All four of them have no pulse and are considered dead, so why are the treatments for them so different?

This is true, all four of these rhythms have no pulse, and the big deal is that asystole and pulseless electrical activity (PEA) don't have enough electricity while Ventricular Fibrillation and Pulseless Ventricular Tachycardia have too much.

In pulseless electrical activity, the pacemakers of the heart are firing, just like they are supposed to, however they are not putting out enough electricity to make the heart muscle contract. This would be like opening a brand new package of double "D" batteries. I know they work, and they are brand new, but I can't expect them to start the engine of my car. It's just not enough electricity.

Ventricular Fibrillation and Pulseless Ventricular Tachycardia are almost the same. They are very very close. Pulseless Ventricular Tachycardia is more of a course type of vibration. It's got more movement than Ventricular Fibrillation, but not enough movement to allow the heart to contract so you still have no pulse. Ventricular Fibrillation is more of a very fine vibration. Imagine them both as a seizure. If you ask someone to do something for you while they are having a seizure, they are going to be pretty useless. What's happening is that every possible pacemaker in the heart is firing all at the same time and the heart just can't keep up. Everything is screaming contract, contract contract a billion times per minute and all the heart can manage to do is just vibrate, almost like it's getting electrocuted.

So there it is. That's the big difference. Two of them don't have enough electricity and the other two have too much. ___________________________________________________________

April 21, 2015

Strike Alert in Northern California

Nurse Bridge has received notice for a 5-day strike starting April 30th in Northern California. Travel day for the strike is as early as April 26th and all nurses will return home on May 5th. A CA license is required, and all specialties and shifts are needed for the strike! Make up to $5900 with Transportation and housing provided at no expense. Guaranteed 60 hours.

Please contact your Career Consultant to get on the list, or, if you don't have a Career Consultant assigned to you, call 866.792.0005.

In order to secure your spot, we ask that you log in to our Nurse Portal to complete your paperwork. Whether you’ve already begun that process and just need to log in to make sure everything is complete, or you need to register for the first time and get started, here are some helpful Nurse Portal instructions:

1. Visit nursebridge.com/portal

2. Enter your first name, last name, and email address.

3. If you are new to the Nurse Bridge Portal, you will be asked to create and confirm a password. You will then be sent a confirmation email with a link to log in to your account.

4. If you already have an account at the Nurse Bridge Portal, please enter your password. If you don’t recall it, please use the “forgot password” function to reset it.

5. Once you are logged in to the Nurse Bridge Portal at nursebridge.com/portal, fill out all paperwork to completion — taking extra care to complete all Skills Checklists in full.

6. Please also be sure to complete authorization for a background check by clicking here.

Completing your paperwork at this time will help ensure that you get the job you want! Please contact your Career Consultant or another member of our staff at 866.792.0005 with any questions.


Nurse Bridge


April 20, 2015

Med/Surg Tele RNs need in Boston! $2500 Completion Bonus!

I'm looking for several qualified Med-Surg/Tele (telemetry) RNs to fill multiple 16 week contract positions in one of Boston’s top hospitals!

$2500 Completion Bonus and competitive pay

Managers interviewing within 48 hours!

Upcoming start dates of 5/6, 5/20, 6/10, and 6/24.


· Level 1 Trauma Center · Teaching Hospital


· $2500 Completion Bonus · Competitive pay · Medical, Dental, Vision, and Life Insurance · 401K


· Minimum 1 year previous med-surg/tele experience · Massachusetts RN License · BLS

If this position does not interest you at the moment, please feel free to pass my information along to other qualified nurses that may be a good fit! Please keep in mind we have a referral bonus program where you can earn $500-$2500 for a candidate that you refer that gets hired and meets the requirements! We offer excellent pay, a benefits package, and flexible scheduling

Briana Azier Recruiter/Account Manager MSG Staffing, Inc. Briana.a@msgstaffing.com Local 508-799-7674 xt 152 Direct 855-715-7152 888-MSG-RNRN (674-7676) ext. 152. http://www.MsgStaffing.com Headquarters: Union Place, 51 Union Street, Suite 105, Worcester Ma 01608 _________________________________________________________

April 10, 2015


The scariest thing I ever learned about kids. Kids ( under the age of puberty) can't stretch their cardiac muscle fibers like adult do, to increase their cardiac output. As an adult, we can increase our cardiac output by stretching our cardiac muscle fibers which allows our heart to hold more blood and in turn, pump more blood with every heart beat. Kids can't do this. Their cardiac muscle fibers are short and stiff so if they want to increase their cardiac output they have to increase their heart rate. The thing is, is that they are so good at it that they can maintain normal vital signs after loosing almost 25% of their total volume. It isn't until after 25% of their total volume is gone, that you see a change in their vital signs. Super scary right! So you can have a child with normal vital signs, turn your head to sneeze, and the child has coded. That's because they compensate by increasing their heart rate to maintain vital signs, but they can't do it for long. When they get tired, they just stop. Completely stop. So if you are lucky enough to see a low blood pressure in a child, that is most likely all the notice that you are going to get before the child codes. Sometimes 2 minutes, sometimes 5 minutes if you're lucky. Children are so different from adults it's almost like they are little aliens. Adults have glycogen stores should our blood sugar get low. Kids don't so if their blood sugar drops their only source of energy is to burn their own tissue. If they are sick, they burn what little sugar they have twice as fast.


April 9, 2015

Do you know the difference in Cardioversion and Defibrillation? One is simply synchronized and one is not. That's the difference.

When do you defibrillate and when do you cardiovert?

If your patient has a pulse, you must cardiovert. This is a synchronized shock. You want to synchronized the shock to prevent the shock from landing on the T wave of the heartbeat. If his happens it will throw the patient into Vfib. So if they have a pulse, you must synchronize. When you synchronize the shock, the machine will produce some type of mark above each heartbeat. Whether it be a dot, or a line that marks the R wave. When you hit the shock button, the machine will take care of the synchronizing part. There is no human way possible to try to time pushing the shock button to land on a particular heartbeat or marking. So just charge, make sure no one is touching the patient and that you have given adequate pain medication, and push the shock button.

If they have a pulse, you must synchronize. Besides, you can't synchronize dead. LOL ! ________________________________________________________

April 5, 2015

The doctor gives you an order to externally pace a patient and you FREAK! You've never done this before and you need help, but all of your co-workers are busy! Don't worry, it's actually pretty easy to do. First of all, get an order for some type of sedation. It's been my experience to give 5 mg morphine IV, and 5 mg versed IV. But, you'll need a doctor's order. Pacing can be very painful. Next, simply get your crash cart at bedside, and turn the defibrillator on. Now connect the three leads. Red, white and black. Remember white on the right (mid collar bone area), smoke over fire. Black of the left, and the red goes mid axillary on the left. Next, place the big defibrillator pads on your patient. Now tell your defibrillator to be a pacemeaker. Find the pacemaker mode. Most defibrillators have pre-set settings for heart rate and milivolt amps (mva) of electricity. Typically the heart rate is set at 60 or 70 and the milivolt amps are set at 30. You can change the heart rate and the mvas with the buttons if you want, but you don't have to. Now push the start button. You patient will start feeling the shocks. If the patient's heart rate is 20 and your machine is set at 70, then your patient will be getting tiny shocks 50 times per minute. The machine will keep their heart rate at 70 with a combination of their own heart rate, and the shocks needed per minute to get them up to 70. If their heart rate is 70 or higher, they won't get shocked. If their heart rate drops to 69, they get shocked once. If it drops to 68 they get shocked twice to keep a combined heart rate of 70. Once you push the start button, watch of few heartbeats go by, and if the heart rate doesn't increase, then you will need to increase the milivolt amps. Slowly increase by 5 milivolt amps until each beat is paced, and their heart rate really is 70, not just empty pacemaker spikes without a heartbeat beside them. Once they are 100% paced, see if you can turn the milivolt amps back down by 5, and see if their heart rate stays the same. You want the least amount of milivolt amps to achieve the heart rate. If the heart rate drops, then turn the milivolt amps back up by 5. It really is pretty easy, but you will need to take a look at the defibrillator your hospital or clinic uses, and become familiar with it. Not all of them have the ability to pace. They are also making the big defib pads with the leads built inside them. So be sure to look over your equipment. In the middle of a life threatening situation is not the time to orient yourself to your equipment. Spend some down time doing this. Then when a real emergency happens, you'll be better prepared, less freaked out, and able to better take care of your patient.


April 4, 2015

Second Degree Heart Block Type 1 (Mobitz 1) or Wenckebach

In this rhythm, the P-R interval is normal, with the next heartbeat, the P-R is longer, and even longer, and then the QRS is dropped leaving just a p wave, and then the rhythm starts over. So you have a lengthening P-R, then drop a QRS.

"Longer longer drop, then you have a Wenckebach"


April 3, 2015

First Degree Heart Block

The criteria for a First Degree Heart Block is: A heart rate between 60-100 beats per minute The P-R Interval is GREATER than 0.20 sec QRS width is 0.06-0.10 sec every p wave has a following QRS The distance between each QRS varies.

"If the R is far from the P, then you have a First Degree" __________________________________________________________

April 2, 2015

Sinus Arrhythmia

The criteria for a sinus arrhythmia is: A heart rate between 60-100 beats per minute The P-R Interval is 0.12-0.20 sec QRS width is 0.06-0.10 sec every p wave has a following QRS The distance between each QRS varies. ___________________________________________________________

April 1, 2015

Normal Sinus Rhythm

This is the name of a perfect heart rhythm. The heart rate is 60-100 beats per minute in an adult. The criteria for a rhythm to be called a normal sinus rhythm or NSR is: A heart rate of 60-100 beats per minute The P-R Interval is between 0.12 and 0.20 sec QRS width is 0.06 to 0.10 sec every p wave has a following QRS the distance between each QRS is exactly the same


March 31, 2015

Hoping to save more lives by making CPR performance as straightforward as possible, the American Heart Association announced it will release the new 2015 guidelines for cardiopulmonary resuscitation and the treatment of cardiovascular emergencies on October 15, 2015.

What hasn’t been changed, is that untrained bystanders and CPR-certified lay people will continue to no longer have to check an unconscious person’s pulse before administering chest compressions. Instead the person can “check for lifelessness” using breath, movement and response to stimulation as indicators, says Dr. Roger D. White, professor of anesthesiology at Mayo Medical School in Rochester, Minn.

Research indicates that at least 35 percent of trained and untrained rescuers are wrong about whether or not a victim has a pulse, Dr. Vinay Nadkarni, chairman-elect of the heart association’s Emergency Cardiovascular Care committee says. According to Nadkarni, the United Kingdom and European Resuscitation Councils have already successfully deleted pulse checks by lay people from CPR training.

Pulse Check Not Effective

“Pulse check is not effective. Even health care workers have difficulties. And when bystanders look for a pulse, it’s even less effective. Almost 99 percent of them can’t do it in the first 10-15 seconds,” explains Dr. Paul Pepe, AHA spokesperson and professor and chair of Emergency Medicine at the University of Texas. Southwestern Medical Center in Dallas, Texas Healthcare providers will, however, still be expected to check a victim’s pulse before doing chest compressions, he said.

The guideline changes mean that people who have previously been trained in CPR will need to be re-trained when their current certification expires, and new CPR training materials used in CPR classes will be available for widespread use by October 2015.

Rescue breathing instructions can be too complicated for untrained people to follow, explains White, adding that there is also “a definite aesthetic concern for some people doing mouth-to-mouth.”

A Seattle study, published in the New England Journal of Medicine, found that bystanders at the scene of a collapse advised by emergency services over the telephone to perform chest compressions alone were more effective than those instructed to do chest compressions combined with mouth-to-mouth resuscitation.

Mouth-to-mouth resuscitation guidelines will change in Britain as well, the Independent reported yesterday. “I think this may well be the trend for the future,” Dr Lotte Newman, medical adviser to St. John Ambulance, Britain’s leading first aid organization, told the British newspaper.

Other changes recommended by the AHA include using two thumbs rather than two fingers to perform CPR on infants and the standardization of the ratios of chest compressions to rescue breaths that had been recommended in adults.


March 30, 2015

Drug of the week ADENOSINE

How It Works

Adenosine reduces the normal flow of the electrical impulses through the atrioventricular (AV) node of the heart. Adenosine is used to try to restore a normal heart rate and rhythm when the rhythm is a supraventricular tachycardia.

Administration & Dosage

The first dose should be 6 mg for adults, and 0.10 mg/kg under the age of puberty. Once adenosine is administered, its effectiveness lasts only between five and 10 seconds because it’s rapidly metabolized by cellular uptake. Because of the ability of body to metabolize adenosine, it’s imperative for providers to give adenosine by rapid IV bolus followed by a 10–20 ml rapid flush.

Larger, more proximal IV lines are preferred because small-bore IVs don’t routinely allow rapid transit to the heart. The dosage of adenosine should be reduced to 3 mgs if injected into a central line, and it shouldn’t be used in heart transplant patients.

If the first dose is ineffective providers should double the dose to 12 mg, (0.20 mg/kg under the age of puberty and repeat the bolus and rapidly flush the line.

Treating Wide Complex Tachycardia

We now know that adenosine is safe and can help distinguish supraventricular arrhythmias from those originating in the ventricle for monomorphic wide complex tachycardias that are regular in rate (and by definition, have the same QRS size and shape

Vagal maneuvers and adenosine are the preferred initial therapeutic choices for the termination of stable PSVT. Vagal maneuvers alone (Valsalva maneuver) will terminate up to 25% of PSVTs. For other SVTs, vagal maneuvers and adenosine may transiently slow the ventricular rate and potentially assist rhythm diagnosis but will not usually terminate such arrhythmias.

Adenosine is safe and effective in pregnancy. However, adenosine does have several important drug interactions. Larger doses may be required for patients with a significant blood level of theophylline, caffeine, or theobromine. The initial dose should be reduced to 3 mg in patients taking dipyridamole or carbamazepine, those with transplanted hearts, or if given by central venous access. Side effects with adenosine are common but transient; flushing, dyspnea, and chest discomfort are the most frequently observed. Adenosine should not be given to patients with asthma.

After conversion, monitor the patient for recurrence and treat any recurrence of PSVT with adenosine or a longer-acting AV nodal blocking agent. If adenosine or vagal maneuvers disclose another form of SVT (such as atrial fibrillation or flutter), treatment with a longer-acting AV nodal blocking agent should be considered to afford more lasting control of ventricular rate.

Source of reference: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science Part 8: Adult Advanced Cardiovascular Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and the Journal of Emergency Medical Services ___________________________________________________________

March 29, 2015

JEMS (Journal of Emergency Medical Services announced a job today for a FULL TIME PARAMEDIC IN OKLAHOMA with a $3,500 Sign on bonus and relocation!

Here's what they said:

American Medical Response (AMR) is hiring energetic, ambitious paramedics to work full-time in its EMSA (Oklahoma City and Tulsa) operations. As an EMSA paramedic, you’ll be on the cutting-edge of EMS. EMSA is poised to become the first major metropolitan EMS system to use the new ResQCPR device (read about it here), has Stryker Power-LOAD cots and follows advanced, evidence-based protocols.

We’re hiring now for our April 27, 2015 new hire orientation academy. Paramedic benefits include:

$3,500 sign-on bonus

Relocation bonuses and paid state licensure/reciprocity

Competitive salaries

Experience pay for veteran paramedics

Generous benefits package (including a 401K match)

Paid CEUs

Apply here: http://emsaonline.com/careers.html ___________________________________________________________

March 28, 2015

Zombie Apocalypse Plan for Healthcare Providers

We need your help!

If a zombie apocalypse really happens, what are we supposed to do, and where are we supposed to go? This is all in fun, but at the same time, we want legit, useful information that could really help someone, probably us! This really is just an escape plan, for whatever apocalypse might happen whether it be loss of all electricity, severe weather emergencies or whatever. How can we protect ourselves and our families, and what do we need to survive.

Please see our Zombie Apocalypse Plan and let us know if you have any better ideas, or if we forgot something. I am not a zombie expert!

We are trying to have a little fun with the whole thing, and we don't want to offend anyone. Duct tape, really is a useful thing. It's strong, waterproof, and has a thousand uses.

So please send us your ideas, and if you want your name, and /or business name listed, please let us know.

Email us at admin@savingamericanhearts.com you can also text us at (719) 551-1222

Catherine Brinkley Saving American Hearts www.savingamericanhearts.com __________________________________________________________

March 27, 2015

2015 American Heart Association Preliminary Product Release Schedule

Dear U.S. Traing Networks,

We are excited to share the preliminary release schedule of our new and updated training tools and materials to follow the publishing of the 2015 AHA Guidelines for CPR and ECC on October 15, 2015.

Our mission to save lives by increasing survival rates relies on you, the AHA Training Network, continuing to train students between the release of updated science guidelines and the launch of new educational tools and materials. Healthcare professionals and employees with course completion cards must not let their training lapse – so we must help you seamlessly incorporate new science and training guidelines into your current AHA courses. Therefore, we will immediately provide interim training tools in a variety of ways to meet your learning and geographical needs, including in-person AHA Instructor updates, an online update course and, for healthcare providers, an in-service course.

In 2016, you will see AHA CPR and ECC training materials updated to reflect the changes published in the 2015 AHA Guidelines for CPR and ECC. Preliminary release dates are listed below and are subject to change at any time. Student and Instructor materials will be released simultaneously, and each AHA discipline-specific product line will introduce new printed and electronic course completion cards. Tentatively, we estimate that Instructors will have 90 days from the release of new course materials to begin implementing the new guidelines and issuing new AHA course completion cards. Please know we are committed to providing you crucial information about new tools and technologies that will help you deliver and enhance lifesaving training. We will continue to provide updates to this schedule as we get closer to the 2015 Guidelines release in October 2015.

Again, we thank you for joining us in driving the AHA mission to save lives through CPR and ECC.

Sincerely, John MeinersSig John Meiners Executive Vice President Emergency Cardiovascular Care & Global Strategies

Preliminary Release Dates for 2015-16 AHA Guidelines Tools & Products:


October 15, 2015

ILCOR Consensus on Science

2015 AHA Guidelines for CPR and ECC

AHA/Red Cross Guidelines for First Aid


2015 Guidelines Highlights (PDF and eBook)

2015 Guidelines Highlights Translations (17 languages)

Handbook for ECC for Healthcare Providers (PDF and eBook)

Science In-Service

Instructor Update Conference at ReSS/SS (November 6, 2015)



Basic Life Support (BLS) Blended Learning

BLS Resuscitation Quality Improvement (RQI™) (Module 2)


BLS Classroom

Heartsaver® First Aid CPR AED Blended Learning

Heartsaver® First Aid CPR AED Classroom

Heartsaver® Pediatric First Aid CPR AED Blended Learning

Heartsaver® Automated Training Solution (ATS)

Advanced Cardiovascular Life Support (ACLS) Classroom

HeartCode® ACLS

CPR Anytime® Adult/Child

Infant CPR Anytime®

CPR in Schools Training Kit™


Resuscitation Quality Improvement (RQI™)

Heartsaver® Pediatric First Aid CPR AED

Heartsaver® Bloodborne Pathogens

Family & Friends® CPR


Pediatric Advanced Life Support (PALS) Classroom

HeartCode® PALS

Pediatric Emergency Assessment, Recognition and Stabilization (PEARS®)

http://www.savingamericanhearts.com Catherine Brinkley (719) 551-1222 Saving American Hearts, Inc 6165 Lehman Drive Suite 202 Colorado Springs, Colorado 80918 admin@savingamericanhearts.com