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Sean M. Kivlehan, MD, MPH, NREMT-P

Sean M. Kivlehan, MD, MPH, NREMT-P, is the associate director of the International Emergency Medicine Fellowship at Brigham and Women's Hospital and faculty at Harvard Medical School. He was also a New York City paramedic for 10 years. E-mail him at SMKivlehan@bwh.harvard.edu

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Objectives Recognize excited delirium syndrome (ExDS); Describe the pathophysiology of ExDS; Know potential causes of ExDS; Describe the treatment of ExDS.  "Medic 10 and Engine 201,…
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Chest compressions have been the center of attention during cardiac resuscitation for the past few years, and for good reason. In its 2010 guidelines revision, the American Heart Association (AHA)…
Chest compressions have been the center of attention during cardiac resuscitation for the past few years, and for good reason. In its 2010 guidelines revision, the American Heart Association (AHA)…
Objectives Describe the viral life cycle and modes of viral transmission. Identify the epidemiology of chikungunya, dengue fever, MERS-CoV and West Nile virus. Highlight the potential U.S.…
Objectives Identify several preconceived assumptions about trauma patient care and interventions Identify the clinical evidence refuting the avoidance of nasopharyngeal airways in trauma care…
As we discussed last month, besides improving our ability to identify STEMIs in the field, the addition of the 12-lead ECG in the prehospital environment can also lead us to inadvertently misidentify…
EMTs and paramedics are trained to evaluate for and identify patients experiencing acute coronary syndrome (ACS) and ST-elevation myocardial infarction (STEMI), and with good reason: Early…
Michael and Amy are completing their equipment check to start their shift when their alert tones go off. “EMS 22, respond to 2244 South Main, 63-year-old male with chest pain. This is a delta…
Mason and his partner Jen, both paramedics, are dispatched to a local pharmacy for an “unknown medical problem.” They arrive to find a 44-year-old male, Jim, sitting comfortably at a blood pressure…
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