The “Eagles” Coalition is comprised of most of the jurisdictional EMS Medical Directors for the nation’s largest U.S. cities. In response to the COVID-19 pandemic, the Eagles have been conducting weekly meetings in order to share information and protocols and best practices with the EMS community.
Topics discussed: Jon Jui, MD reviews various types of COVID-19 testing, city and state uptick updates, mask-wearing benefits
Topics discussed: Vaccines for EMS, workers comp for long-haulers, gloves shortage, virus airborne, EMS education
Topics discussed: ketamine position statements from ACEP NAEMSP, FEMA hurricane, Philly uptick in violence, antigen testing, Osterholm on flu season and COVID-19 vaccine
Topics discussed: Ketamine and monitoring, COVID-19 "long haulers," CoQ10 as treatment, Henry Wang Editor-in-Chief of JACEP Open, unknown COVID-19 immunity, antigen testing
Topics discussed: ACEP releasing statement on ketamine, ESO data of 12,000 ketamine administrations, reduced EMS call volume forever?, antiviral Ivermectin for COVID?
Topics discussed: FDA producing combo test for flu and coronavirus, Ketamine dosing and safety, school reopenings debate, COVID-related strokes, increase in NYC gun violence
Topics discussed: peds multi system inflammation syndrome paper, implications of reopening schools, Disney and NBA in FL, ESO stroke and ACS data
Topics discussed: ACEP 2020 now virtual, EMS to expect permanent decrease in call volume?, TXA for TBI patients shows promise
Topics discussed: Texas surge, Florida 15% positive rate, higher trauma numbers in Atlanta, COVID causing hypokalemia means avoid amiodarone, Milwaukee DNC event
Topics include: Arizona numbers "through the roof," crisis standards of care, hospital diversions, increased penetrating trauma in some cities, poor ventilation in firehouses, N95s for all calls now in some…
Topics discussed: colchicine for inflammation in COVID, IAFC/IAFF worry about defunding the police, safe access to medical scenes, definition of first wave vs second wave, COVID19 long haulers
Topics discussed: Boston EMS hired ID doc & 2 NPs from public school system for testing help; exp dates for DuoDotes will not be extended; Moderna and Pfizer vaccine going to phase 2…
Topics discussed: Eagles awards, Osterholm on COVID acting like flu: numbers down now, spike in the fall? asymptomatic transmission, medication shortages, stock up on PPE, Disney and parks reopening
Topics discussed: Rioting, looting and curfew reports from NYC including violence against EMS, also SF, Philly, Seattle, Ft. Worth, St. Paul, just in time training, injuries from bullets and flash…
Topics discussed: ACEP offering crisis training and buddy system, Minneapolis riots, COVID testing report from Asia, 30% infection rate in migrant workers in West, SDFR testing all members
Topics discussed: EKG review with Amal Mattu, causes of hypercoagulation, reopening of cities and measuring improvement, PPE successes, tropical storm season, Ryan White Act and mandatory reporting
Topics discussed: CDC revises guidelines, airway guidance and ETI vs. SGA from Farcy, Sayre and McEvoy, penetrating trauma calls increased in Kan. City, EMS education challenges
Topics discussed: Amal Mattu on cardiac effects, IGG/IGM testing, Moderna vaccine promises, drug shortages, "hot/cold" hospitals for triage of COVID/non-COVID
Topics discussed: EMS Week begins 5/17, Fla. Dept. of EM: 82% of deaths in the state aged 65 and over, UK update, NHTSA and IAFC tallying EMS LODDs, updates on Kawasaki-like disease, reopenings, …
Topics discussed: Michael Osterholm on continued uncertainty with testing and immunity, NYC seeing lower call volumes, Amal Mattu on STEMI/ACS as first sign in some patients, poorly-made gloves being shipped
Topics discussed: Kawasaki-like illness in kids, review of Good Sam app for telehealth, higher mortality in MVCs due to high speeds on empty highways, potential for more house fires from home cooking and arson…
Topics discussed: collateral damage from patients afraid to go to the hospital, UK update, outbreaks at meatpacking plants, EMS's role with vaccine, reopening dangers, proning patients in ambulance
Topics discussed: update from Singapore by Marcus Ong, MD, Remdesivir trial results analysis, autoimmune disease and COVID19, Kawasaki-like illness in kids with COVID19, honoring lives of Lorna Breen and Don…
Topics discussed: increase in OHCA throughout US, nursing home interventions and assistance, antibodies in MERS & SARS, update from FDNY, PPE is still a problem, EMS agencies struggling financially
Topics discussed: Update from Washington, D.C., remdesivir trial results, anosmia as symptom, saliva testing vs. nasal swab, ACEP update, COVID19 in pregnancy-from the mother to womb, nursing home incidence
Topics discussed: Dr. Amal Mattu and PCI recommendations for COVID19 patients with STEMI, pulmonary concepts, Phoenix medical director update, increase in OHCA in some cities, update from Italy
Topics discussed: international responses from Australia, New Zealand, UK and France; antibody testing and initiatives, serum harvesting, Eagles survey results, evolving strategies for hypercoagulable states,…
Topics discussed: Mental and physical health of EMS providers, serum harvesting, COVID and HAPE, hemoglobinopathy argument, filter use in COVID19 patients
Topics discussed: antibody testing, accuracy and immunity, Dr. Michael Osterholm of CIDRAP, Eagles survey results, reports from EMS medical directors in US cities & Germany, permissive hypoxemia,…
Topics discussed: Symptomatology of COVID19 patients, permissive hypoxemia, ARDS/Pneumonia vs. hemoglobinopathies, unproven meds for prophylaxis, face masks, interrupted EMS education
Topics discussed: roundtable of Eagles best practices and suggestions, silent hypoxemia, myocarditis, STEMI mimics, PCI vs. cath lab, changes in resuscitation protocols, CMS remuneration, nursing home issues
Topics discussed: false negative PCRs, ACEP and ACC updates, PCI vs. lytics, cardiac arrest patient management, military partnerships, ketamine, telemedicine
Topics discussed: Dr. Michael Osterholm of CIDRAP, clinical presentations in early stages, dyspnea, lethargy and fever prodromes, COVID-19 in pediatric patients
Topics discussed: clinical course of the disease, Remdesivir, FDNY response tactics, ESO's Dr. Brent Myers PPE use data from ePCRs, testing for COVID with Florida EMS physicians
Topics discussed: in-depth report from Seattle/King County and Dr. Michael Sayre, testing of first responders, return to work protocols, Boston EMS update, immunity studies from China
Topics discussed: report from Seattle, lessons learned so far, updates from Germany, workers' comp issues, cruise ship offloading
Topics discussed: Seattle update, quarantine vs. isolation, Kirkland FD and nursing home response, decontamination practices, Dr. Michael Osterholm of CIDRAP, shedding of virus and PCR tests