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New ITD Benefits Breathing Patients Medics with Ohio’s Lucas County EMS have used the ResQPOD impedance threshold device (ITD) since 2005, and have been pretty happy about it. Between the ITD and recent refinements in CPR, the service’s ROSC rate more than tripled. So when the makers of the ResQPOD came out with the ResQGARD—an ITD designed for spontaneously breathing patients—and asked them to trial it, department leaders leaped at the chance. “We’ve seen a significant benefit from the ResQPOD,” says Brent Parquette, the service’s training and quality assurance manager. “So when they came out with another ITD, we jumped right in, knowing what kind of results that kind of device can have.” Both devices are manufactured by Advanced Circulatory Systems and distributed exclusively by Bound Tree Medical. But while the ResQPOD is intended for apneic patients and works during the chest wall recoil phase of CPR, the ResQGARD works during inspiration, partially impeding gases from entering the lungs until a threshold of -7 cm H2O is reached. “It essentially allows the patient to suck their own blood pressure back up,” says Parquette. “By placing impedance on the inspiratory side, it creates more of a vacuum in the chest, and improves forward blood flow.” Lucas County initially got 50 to trial. In roughly a year, they’ve amassed data on 23 cases. Early results were presented at the NAEMSP conference in January. In those cases, there was a rise in systolic blood pressure of roughly 30% when the ResQGARD was used, even in patients not getting other therapies. “It’s easy to understand and quick to apply,” Parquette says, “and if medics think about it soon enough, it can augment blood pressure very quickly, even prior to getting an IV established. That was one of the things we wanted to see, and it seems like it’s working very well.” For more information, visit www.boundtree.com. NIMS Field Guide Keeps Responders Simulator Adds Reality to Training Ahead of the Game EMS and other medical students of today have a distinct Of all the field guides published by Informed Publishing, advantage over those who trained a few years ago, thanks to new the NIMS Incident Command System Field Guide is the one he technology like the Simulaids finds most valuable, says paramedic Rick Russotti, a career SMART STAT patient simulator. battalion chief in western Monroe County, NY. “In short, this The most fascinating feature of guide answers the most important questions: who’s in charge this simulator is the eyes, says and how do I structure my incident?” he says. “It’s concise, it’s Margaret Meccariello, associate user-friendly, and I’ve used it in numerous multiple-patient professor of nursing at St. situations.” Although a digital version is available, Russotti Joseph’s College of Nursing in admits he’s a bit behind the times and still prefers the paper Syracuse, NY. “I haven’t found copy. another simulator at this price Most people understand the concept of being in command point where the eyes dilate and and know the objectives of the operatio
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