Dean Meenach

EMS in Focus

Dean Meenach, MSN, RN, CNL, CEN, CCRN, CPEN, EMT-P, has taught and worked in EMS for more than 24 years. He currently serves as an advanced nurse clinician and EMS program director at Mercy Hospital South in St. Louis, Missouri. He has served as a paramedic instructor/program director, Paramedic to RN Bridge Program instructor, subject matter expert, author, national speaker and collaborative author in micro-simulation programs. He can be reached at dean.meenach@mercy.net.

Full list of Dean Meenach results

How to manage traumatic amputations and uncontrolled bleeding
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Knowing the type of amputation, ways to quickly control bleeding, and proper body part preservation can lead to an increase in survival rates
Role of EMS in preventing infectious disease transmission
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EMS providers need to follow infection control guidelines for care and transport of patients with infectious, contagious and even deadly antibiotic-resistant organisms
10 things you need to know about acute pain management
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EMS providers must have a thorough understanding of pain assessment tools and options for acute pain management, especially with the recent focus on opioid abuse
10 things you need to know about hypovolemic shock to save lives
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The effects of shock due to major blood loss rapidly become irreversible, so quick identification and intervention are critical
Prehospital ultrasound: Emerging technology for EMS
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Review the evidence for nine clinical applications for field ultrasound to assess, treat and monitor critically ill patients
10 things EMS providers need to know about ECMO
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Extracorporeal membrane oxygenation is becoming an option for critical cardiac care in the prehospital environment thanks to advances in technology
The flipped classroom: Capnography in use
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The flipped classroom is an inquiry-based learning strategy designed to improve student engagement, discovery and outcomes
Pharmaceuticals in EMS: Are you compliant?
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The Drug Supply Chain Security Act mandates pharmaceutical tracking, tracing and documentation for EMS agencies
Integrating new methods and products into trauma care
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EMS providers need to apply best practices for trauma patient triage and consider available products to improve patient survival
Military use of chest seals and tourniquets: Lessons for EMS
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EMS professionals must realize the value of military research and incorporate the latest evidence-based practice regarding the use of tourniquets and chest seals
How civilian and combat triage differ
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Military training incorporated into a prehospital setting helps EMS providers make complex decisions when responding to tactical incidents
When EMS should start an IV
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Intravenous therapy should be performed only when medically necessary, and under stringent guidelines
Why EMS is at risk for Type 2 diabetes
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Heart disease, stroke, blindness, peripheral nerve damage, kidney failure and non-traumatic amputations are just some of the concerns to look out for
How EMS can change its approach to acute coronary syndromes
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We need to modify our thinking to include serial 12-lead ECGs as part of our reassessment, just like we would reassess vital signs or pain scale
Does simulated CPR training improve field CPR quality?
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The value of simulation is clear, but the link proving simulation training translates to real clinical outcomes has not been well documented
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