IFEM Capacitación

28/01/2026

‼️Feliz cumpleaños 🎂 Hiquingari, te deseamos lo mejor‼️

25/01/2026

‼️Estudia y trabaja tanto, hasta que…‼️

21/01/2026

Interesante 🤓

🚑 Your patient achieves ROSC — the SBP is 86 mmHg.

How aggressive do you need to be?

Post-ROSC hypotension is common, but this large prehospital study suggests it may be far more dangerous than we’ve appreciated.

How low....and for how long... the pressure drops both matter.

📊 This study analyzed 17,280 out-of-hospital cardiac arrest (OHCA) patients using national EMS data, focusing on prehospital hypotension after ROSC and its relationship to survival.

Over one-third of patients (37.8%) had at least one systolic BP < 90 mmHg after ROSC.

What they found was clear:
➡️ Higher blood pressures were consistently associated with better outcomes
➡️ Deeper and longer hypotension was associated with worse survival and more re-arrest
➡️ For every 10 mmHg increase in average SBP, the odds of survival increased by 19%.
➡️ For every 10 mmHg increase in the lowest systolic BP, survival increased by 20%.

On the flip side, increasing hypotension dose (how low × how long) was independently associated with:
➡️ Lower survival
➡️ Higher rearrest rates

Interestingly, patients with post-ROSC hypertension (>140 mmHg) had the highest survival rates, outperforming even normotensive patients. This challenges the traditional “SBP ≥90 mmHg is good enough” mindset.

🚨 What about treatment?
Different hypotension management strategies (fluids, push-dose pressors, or infusions) were not associated with improved survival or faster resolution of hypotension. Vasopressor use was actually associated with higher rearrest, likely reflecting sicker patients rather than harm, but it reinforces that prevention matters more than rescue.

💡 Why this matters for EMS
Post-ROSC care is not benign. Even brief or moderate hypotension may worsen secondary brain injury.

These data suggest we may need to:
➡️ Treat hypotension earlier
➡️ Avoid “permissive hypotension” post-ROSC
➡️ Reconsider whether an SBP of 90 mmHg is too low a target

🔑 Bottom line:
After ROSC, depth and duration of hypotension matter. Higher systolic pressures were associated with better survival, and the traditional SBP ≥90 mmHg threshold may be insufficient in post–cardiac arrest care.

Want More? The Florida EMS Webinar has highlighted Mike Humphrey and Adam Perrett from Lethbridge Fire & EMS who have been deeply invested in this topic for some time. https://youtu.be/lObg1s06o3o

📚 Full study: https://ow.ly/A8Hi50Y08uT

08/01/2026

𝐘𝐨𝐮'𝐫𝐞 𝐰𝐨𝐫𝐤𝐢𝐧𝐠 𝐚 𝐭𝐫𝐚𝐮𝐦𝐚 𝐜𝐨𝐝𝐞, 𝐚𝐧𝐝 𝐈𝐕 𝐚𝐜𝐜𝐞𝐬𝐬 𝐢𝐬𝐧’𝐭 𝐡𝐚𝐩𝐩𝐞𝐧𝐢𝐧𝐠.

Would you consider drilling into the distal femur?

💥 A new study evaluated just that, looking at whether standard IO needles are long enough to reach the bone at the distal femur site in adult trauma patients.

📊 𝐒𝐭𝐮𝐝𝐲 𝐁𝐫𝐞𝐚𝐤𝐝𝐨𝐰𝐧:
◆ 100 adult volunteers (young, healthy, and non-obese)
◆ Median age 27.3 years; 64% male
◆ Ultrasound to measure soft tissue depth at the distal femur.

📏 𝐒𝐨𝐟𝐭 𝐓𝐢𝐬𝐬𝐮𝐞 𝐃𝐞𝐩𝐭𝐡:
◆ Without pressure: Mean 25.0 mm
◆ With gentle probe pressure: Mean 14.0 mm

✅ No participant exceeded 40 mm skin-to-bone depth — important because the longest standard IO needle is 45mm, and at least 5mm must reach the medullary cavity.

✅ 0% insertion failure risk in this group based on depth.
✅ BMI and age had a moderate but significant correlation with increased tissue depth.
✅ No significant difference between males and females in soft tissue measurements.

𝐖𝐡𝐲 𝐭𝐡𝐞 𝐃𝐢𝐬𝐭𝐚𝐥 𝐅𝐞𝐦𝐮𝐫?
1. It frees up the head and chest during CPR.
2. It reduces IO dislodgment in combative patients.
3. It delivers high flow rates (up to 138 mL/min in swine models under pressure, comparable to humerus).

⚠️ 𝐁𝐮𝐭 𝐇𝐞𝐫𝐞’𝐬 𝐭𝐡𝐞 𝐂𝐚𝐭𝐜𝐡:
These were healthy medical students, not trauma patients with high BMI or muscle mass.
Prior work by the same authors showed that more than 20% of real-world trauma patients had tissue depth exceeding 45mm, potentially making IO access here unreliable without longer needles.

✅ 𝐁𝐨𝐭𝐭𝐨𝐦 𝐋𝐢𝐧𝐞:
The distal femur IO site is anatomically feasible in young, healthy, non-obese adults using standard needle lengths. It could be a valuable option in EMS, especially when other sites are inaccessible.

But use caution in patients with higher BMI or muscle mass.

📚 Read the full study:https://www.handtevy.com/wp-content/uploads/2025/11/Feasibility-of-Distal-Femur-Intraosseous-Access-in-Adult-Trauma-An-Evaluation-of-Needle-Length.pdf

Kudos to Omri Simchon, Ofir Lavi, Shaked Ankol, Nadeem Shorbaji & Danny Epstein for publishing this.

Want more? Watch the two Handtevy Minutes on the distal femur IO.
Pediatrics: https://youtu.be/9gEdhRro07w?si=dkFpwiLrXSF3HktW
Adults: https://youtu.be/WaACFmIiRuY?si=XTTTy-dPOAwFg-GV

06/01/2026

Hoy celebramos a quienes cuidan, acompañan y salvan vidas con vocación y compromiso 💙🩺

Feliz Día de la Enfermería a todas y todos los profesionales que hacen la diferencia cada día 👩‍⚕️👨‍⚕️

Gracias por su entrega y humanidad.

02/01/2026

🫁 CURSO: CONTROL TOTAL DE LA VÍA AÉREA 🫁

Dirigido a personal de urgencias, enfocado en el manejo integral de la vía aérea en escenarios críticos.

📅 Fecha: 14 de marzo de 2026
📍 Sede: Centro Cultural Gómez Morín, Querétaro
💰 Costo: $1,400 MXN

🔹 Capacitación teórico–práctica
🔹 Manejo avanzado de la vía aérea difícil
🔹 Enfoque 100% aplicado a urgencias

📲 Informes e inscripciones:
📱 WhatsApp 442 616 3253

⚠️ Cupo limitado
¡Asegura tu lugar y eleva tu nivel profesional!

IFEM Capacitación
Formando profesionales que salvan vidas.

31/12/2025

✨ Bienvenido 2026 ✨

Gracias por ser parte de IFEM.
Les deseamos un año lleno de logros y aprendizaje. 🚑✨

24/12/2025

🎄✨ Feliz Navidad ✨🎄

En IFEM Capacitación deseamos que esta Navidad esté llena de paz, esperanza y nuevos aprendizajes.

Gracias por confiar en nosotros y ser parte de nuestra comunidad. Que el próximo año llegue con salud, éxito y grandes logros para ti y tu familia.

¡Felices fiestas! 🎁

15/12/2025

Se llevó a cabo con gran éxito esta 𝐜𝐚𝐩𝐚𝐜𝐢𝐭𝐚𝐜𝐢𝐨́𝐧 𝐜𝐨𝐧𝐭𝐢𝐧𝐮𝐚 en modalidad a distancia sobre el 𝐚𝐛𝐨𝐫𝐝𝐚𝐣𝐞 𝐝𝐞𝐥 𝐩𝐚𝐜𝐢𝐞𝐧𝐭𝐞 𝐩𝐫𝐞𝐧𝐬𝐚𝐝𝐨🚨

Fortaleciendo los conocimientos y habilidades en la atención prehospitalaria.

Agradecemos de manera especial al ponente 𝗧𝗦𝗨𝗔𝗠𝗣. 𝗝𝗼𝗻𝗮𝘁𝗵𝗮𝗻 𝗟𝗼́𝗽𝗲𝘇 𝗛𝘂𝗲𝗿𝘁𝗮 por compartir su experiencia, profesionalismo y valiosos conocimientos durante esta ponencia. 👏

Gracias también a todos los participantes de los diferentes estados de la República Mexicana, así como a los asistentes de otras nacionalidades, por su excelente respuesta, interés y compromiso con la formación continua. 🌎✨

03/12/2025

🎉 ¡Feliz cumpleaños, Alejandra! 🎉

De parte de todo el equipo de IFEM Capacitación, queremos desearte un día lleno de alegría, buenos momentos y muchas celebraciones.
Que este nuevo año de vida te traiga crecimiento, éxitos y nuevas oportunidades.

¡Gracias por tu dedicación y por ser parte importante de nuestro camino!
✨ ¡Que lo disfrutes mucho! ✨

19/09/2025

🚑✨ En IFEM Capacitación celebramos a quienes, con entrega, valentía y conocimiento, salvan vidas en los momentos más críticos.

👨‍⚕️👩‍⚕️ ¡Feliz Día del Urgenciólogo! 🎉👏

Gracias por su pasión, compromiso y vocación en la atención de emergencias 🔥💪🩺