Guests for this edition of the NAEMT Radio are NAEMT Medical Director, Dr Doug Kupas, who is medical director for Geisinger EMS and co-director of Mobile Integrated Healthcare for Geisinger Health System and Dr. Joey Johnson is an associate professor of orthopedic surgery and director of clinical research at the University of Alabama at Birmingham.
Drs Kupas and Johnson join host Rob Lawrence to discuss Prehospital Antibiotic Administration for Suspected Open Fractures and identify that open fractures cause significant morbidity for orthopedic patients and early antibiotic administration has been shown to decrease infectious sequelae of these fractures. They discuss that prehospital administration of antibiotics has been shown to decrease time to antibiotics while maintaining a strong safety profile and identify that the COT and OTA jointly backed a position statement on the use of prehospital antibiotics in suspected open fractures and conclude that the prehospital administration of antibiotics for open fracture prophylaxis is safe, inexpensive and effective for decreasing the sequalae of open fractures.
Discussion Points
Resources
PCRF abstracts from EMS World.
Prehospital Care Research Forum Abstracts 2023 (tandfonline.com)
Peth A, Gregorio DJ, Studebaker SA, Muniz AD, Camacho CG, Williams B, Kupas DF, Brown LH. Safety and timeliness of emergency medical service administration of antibiotics for traumatic injuries. (PCRF Abstract) Prehosp Emerg Care. 2024;28(S1):S118-S119.
Join the NAEMT
https://www.naemt.org/join/join
About our Guests
Dr. Joey Johnson is an associate professor of orthopedic surgery and director of clinical research at the University of Alabama at Birmingham. He graduated from the University of Georgia prior to attending Emory Medical School. He completed his residency and first orthopedic trauma fellowship at Brown University prior to completing an AO Short Term Fellowship at Leeds General Infirmary in the UK. He is a fellow of the American Academy of Orthopedic Surgery, a board certified orthopedic trauma surgeon and current Future Trauma Leader on the American College of Surgeons Committee on Trauma.
Dr. Douglas Kupas is medical director for Geisinger EMS and co-director of Mobile Integrated Healthcare for Geisinger Health System, his professional home for the past 30 years. He is a professor of emergency medicine and an EMS physician who is board-certified in both EMS and emergency medicine. Dr. Kupas also serves as the director of the Resuscitation Program at Geisinger. Dr. Kupas is an avid researcher and passionate advocate for EMS practitioners and patient safety. His clinical interests include CPR, hypothermia, end-of-life care, trauma triage, EMS patient and practitioner safety and EMS airway management.
Dr. Kupas’s EMS career began 40 years ago when he joined Lower Kiski Ambulance Service in Leechburg, PA, on his 16th birthday as a volunteer. He later became a paramedic and a physician. He earned his medical degree from Jefferson Medical College of Thomas Jefferson University and completed his residency in emergency medicine at Geisinger Medical Center in Danville, PA. Dr. Kupas is the Medical Director of NAEMT, President-Elect of NAEMSP, and serves on the EMS Subboard of the American Board of Emergency Medicine. In 2020, Dr. Kupas received the Rocco V. Morando Lifetime Achievement Award from NAEMT and NREMT.
Create your
podcast in
minutes
It is Free