BLS Is BS: Life Support Is a Spectrum of Care

10/31/2019

The once-chasmic distinction of ALS and BLS is now truly blurred. Today's EMS provider, at all levels, must understand resuscitation, airway management, medication management, and may bring many interventions previously only performed in the surgical suite to the point of injury or illness. Airway adjuncts from nasal cannula to endotracheal intubation are just the start, not to mention needle plural decompression, finger thoracostomy or even clamshell thoracotomy. Vascular access (IV, IO, Central Line), electrical therapy, point-of-care testing all cross the lines of once-clearly distinguished provider levels. Who should be performing these live-saving interventions?

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