Origins of EMTALA The Emergency Medical Treatment and Labor Act (EMTALA) was enacted by the U.S. Congress in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). EMTALA was established in response to growing concerns about “patient dumping,” a practice where hospitals denied emergency medical treatment or transferred patients without insurance or adequate…

The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. Its primary goal was to improve the portability and continuity of health insurance coverage for individuals changing or losing their jobs.  Over time, HIPAA evolved to address the need for standards in protecting sensitive patient health information, particularly as…

In addition to the foundational ethical principles that guide EMS providers in delivering patient care, there are several other key ethical concepts that are equally important in the practice of prehospital medicine.  These concepts focus on ensuring fairness, respect, honesty, integrity, and advocacy in all interactions with patients.  EMS providers frequently encounter diverse populations and…

Ethics play a crucial role in the field of Emergency Medical Services (EMS), where decisions must often be made quickly and under pressure.  As prehospital care responders, EMS providers are frequently faced with challenging situations that require a strong understanding of ethical principles to ensure that patient care is delivered effectively and compassionately.  Ethics in…

The 9 P’s of Rapid Sequence Intubation (RSI) is a systematic approach that EMS providers use to ensure the safe and effective management of airway control in critically ill or injured patients.  Here’s what EMS providers need to know about each step: 1. Plan Strategic Planning: Assess the need for intubation based on the patient’s…

The article linked by Terry Riddle, FP-C, emphasizes a structured approach to training in advanced airway management for medical professionals. The “7 Es” framework includes the following key components: Education – Focusing on foundational knowledge. Evaluation – Regular assessment of skills. Experience – Gaining practical, hands-on experience. Environment – Understanding the importance of a conducive learning and working environment.…

The iGel supraglottic airway device is an essential tool for EMS providers when managing a patient’s airway, especially in situations where endotracheal intubation may be difficult or not immediately feasible. Here’s some thing EMS providers need to know about the iGel: 1. Indications and Contraindications Indications: Emergency airway management in unconscious patients with absent or…

EMS providers should understand the key differences between Delayed Sequence Intubation (DSI) and Rapid Sequence Intubation (RSI) to determine the most appropriate approach for managing a patient’s airway in critical situations. Here are some things to know: 1. PURPOSE AND INDICATIONS Rapid Sequence Intubation (RSI): Purpose: RSI is designed to secure the airway quickly and…