By: Roy Desoto, Call The Cops EMS Beat Reporter
The World-Famous Resuscitations R Us Academy (formerly known as Cousin Murray’s Card Mill) has completed its analysis of the 2014 AHA guidelines changes and has given an exclusive sneak-peak to Call The Cops.
Academy medical director Dr. Leonard McCoy, in conjunction with resuscitation fellowship coordinator Dr. Nick Riviera, noted the references to intranasal and intramuscular Narcan administration for layperson CPR. “We believe this has the potential to be a game-changer for pharmaceutical manufacturers, EMS bag suppliers, and card course purveyors,” said McCoy.
It should be noted that Dr. Riviera is in the process of developing a peer-reviewed, evidence-based, best-practice consensus guideline for a layperson Narcan administration course that will be submitted for scientific review and should be ready for release with the cutting-edge 2018 AHA Guidelines.
Some medications such as Vasopressin have been removed, and sometimes/dosages have been rounded to more easily followed guidelines. “With The Joint Commission encouraging all credentialed hospital staff to have an ACLS card, we’ve found that we can’t make ACLS rocket science. Heck, with the growth of boutique hospitals including such alternative providers as naturopaths and ayurvedic physicians promoting Indian medicine, we’re not even sure that ACLS should reflect medicine,” said Dr. Rivera.
The biggest two certainties for EMS and emergency medicine practitioners are ACLS and CPR transition courses and new provider/instructor cards. Those are not yet available per Sol Fishbein, CEO of Resuscitations R Us, but are expected to be available immediately prior to the release of the 2018 Guidelines.
All providers must complete a transition course and receive a new card prior to being allowed to renew their CPR and ACLS credentials, according to Guido “The Fish” Carlotta, who serves as the EMS community liaison from the AHA. When asked for comment, AHA’s press spokesman Mohammed Saeed al-Sahhaf said, “There are no infidel invaders in Baghdad.”