Benjamin Lawner

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BACKGROUND The management of acute traumatic pain is a crucial component of prehospital care and yet the assessment and administration of analgesia is highly variable, frequently suboptimal, and often determined by consensus-based regional protocols. OBJECTIVE To develop an evidence-based guideline (EBG) for the clinical management of acute traumatic pain(More)
The emergency medical services (EMS) system is a component of a larger health care safety net and a key component of an integrated emergency health care system. EMS systems, and their patients, are significantly impacted by emergency department (ED) crowding. While protocols designed to limit ambulance diversion may be effective at limiting time on divert(More)
INTRODUCTION The American Heart Association recommends that post-arrest patients with evidence of ST elevation myocardial infarction (STEMI) on electrocardiogram (ECG) be emergently taken to the catheterization lab for percutaneous coronary intervention (PCI). However, recommendations regarding the utility of emergent PCI for patients without ST elevation(More)
Diagnosis of ST-segment elevation myocardial infarction has long been considered time sensitive. Several other electrocardiogram abnormalities, sometimes referred to as "STEMI-equivalents", should also alert the clinician to conditions similarly requiring aggressive intervention. The de Winter/ST/T complex, ST-segment elevation in lead aVR, Wellens'(More)
BACKGROUND Increasing numbers of operators are learning to use ultrasound to guide peripheral intravenous (i.v.) catheter insertion in patients with difficult access. Unfortunately, failed cutaneous punctures are common. Some veins seen on ultrasound may be better choices than others. OBJECTIVES To estimate the effects of vein width and depth on the(More)
BACKGROUND Decisions about the transportation of trauma patients by helicopter are often not well informed by research assessing the risks, benefits, and costs of such transport. OBJECTIVE The objective of this evidence-based guideline (EBG) is to recommend a strategy for the selection of prehospital trauma patients who would benefit most from aeromedical(More)
Airway management has been emphasized as crucial to effective resuscitation of patients in cardiac arrest. However, recent research has shown that coronary and cerebral perfusion should be prioritized rather than airway management. Endotracheal intubation has been deemphasized. This article reviews the current state of the literature regarding airway(More)