Trending Articles

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How to Place a Transvenous Pacemaker

Core EM

In this hands-on simulation video, we provide a comprehensive, step-by-step guide to placing a transvenous pacer (TVP) for emergency cardiac pacing. This tutorial covers the entire procedure, from selecting the correct equipment like the Cordis and pacing catheter to the specific roles for a two-person team. We demonstrate the proper setup of the pacer box in VVI mode, the technique for inserting the catheter using the balloon as a 'sail' to float into the right ventricle, and how to confirm pla

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Communicating with Pediatric Patients in Crisis

JEMS

JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention

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SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?

The Skeptics' Guide to EM

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Dr. Sandi Angus Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust.

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JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Recognise and treat drug-induced hyperthermia fast. Learn how early sedation and rapid cooling can save lives in this ED-focused clinical review. The post JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency appeared first on St.Emlyn's.

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US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

Author: Jude Luke (EM Resident Physician, NYU/Bellevue Hospital) and Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case A 65-year-old female with a history of heart failure with reduced ejection fraction, type 2 diabetes, and hypertension presents to the emergency department (ED) with fever, altered mental status, and weakness.

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Lightning rounds 55: APP fellowships with Melissa Bridges

Critical Care Scenarios

Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy! Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP) , chats with us (Bryan is president of APGAP , th

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Pediatric Sepsis: Are you Prepared?

FOAMfrat

Case StudyYou’re working a typical weekend and just settling down for a safety nap when the tones go off. You and your partner are called to transport an infant from a rural facility to a level one pediatric facility that is having difficulty breathing.You get to the bedside and find a 4-month-old that is lethargic and listless. Her airway is patent, and breathing is rapid, labored with retractions.

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Ambulance Deserts

International Journal of Paramedicine

The growing prevalence of ambulance deserts—geographic areas where residents live more than 25 minutes from the nearest ambulance station—poses a critical threat to health equity and public safety in the United States. Rooted in systemic underinvestment, workforce shortages, and fragmented policies, these deserts disproportionately affect rural and underserved communities, where response times can exceed 30 to 60 minutes during life-threatening emergencies.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Combo Albuterol-Budesonide PRN for Mild Asthma Spoon Feed — Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.

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Doctors: Sharing Our Personal Health Stories Can Save a Life

ACEP Now

As a 47-year-old woman in medicine, I am accustomed to the balancing act we perform regarding our families, careers, and our well-being. In March 2024, I was planning my next six months, as we typically do in emergency medicine. I was accepted into a part-time master’s degree program at Georgetown University. I was looking forward to my mother’s birthday cruise to Alaska, and was gearing up for my 14th medical mission trip, this time to Malawi.

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Airway Anatomy: A Brief Review

SSCOR

As a paramedic or EMT, your first responsibility in patient care is to secure a patent airway. Whether you are placing an EOA to elevate the tongue of an overdosed patient, suctioning the oropharynx of a trauma code, or inserting an endotracheal tube for a patient who has stopped breathing, a thorough understanding of the structures that make up the respiratory tract is a must.

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Easy Boat Snacks for Smooth Sailing

California Casualty

Sunshine, salty air, and smooth sailing—now all you need is the perfect snack. Whether you’re captaining a cruiser or just along for the ride, the right munchies can make or break your day on the water. We’ve rounded up easy, packable boat snacks that won’t melt or make a mess.

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Integrating community paramedicine topics into degree-level paramedic education programs

International Journal of Paramedicine

Introduction: Community paramedicine programs address the needs of diverse and often underserved communities and individuals with varied social and chronic disease needs. Community paramedics have adopted knowledge, skills, and behaviours characteristic of primary healthcare professionals. Paramedics often lack access to higher education that enables autonomous practice alongside other health professionals.

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Unpacking CDC Guidelines on Masks, Vehicle Ventilation and Post-Exposure Protocols

JEMS

JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention

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Toxin-Induced Hypotension Treatment Tips

ACEP Now

Acute toxic ingestions are a common reason for presentation to the emergency department (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. A wide variety of toxins cause hemodynamic instability, from cardiotoxic medication to plant-based toxins, and even inhaled substances. 1 In the ED, the most important consideration in management of these toxicities involves decontamination, evaluating for airway protection, and managin

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Application Period Now Open for the DripDrop Hydration Giveback Campaign

NVFC

200,000 sticks of DripDrop electrolyte powder to be donated, in partnership with the NVFC The application period for the 2025 DripDrop Hydration Giveback Campaign is now open. For the sixth year, DripDrop has partnered with the National Volunteer Fire Council (NVFC) to provide 200,000 electrolyte sticks to volunteer fire departments to keep responders hydrated during wildfires, summer heat, long incidents, and more.

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OBBBA Summary from Health Management Associates

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post OBBBA Summary from Health Management Associates appeared first on American Ambulance Association.

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Strengthening EMS in Malawi

International Journal of Paramedicine

Background: Malawi has no country-wide emergency medical services, with prehospital care majorly provided by laypersons. Transport is typically provided by private car or taxi with less than 2% of emergency patients receiving transport by ambulance. Zomba Private Ambulances is currently the only private ambulance group operating in south-eastern Malawi.

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Where Burn Care Advances Meet Lasting Impact: The Journal of Burn Care & Research (JBCR)

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities In burn care, knowledge drives progress, inspires innovation, and transforms patient outcomes. At the heart of this advancement stands the Journal of Burn Care & Research (JBCR), the official journal of the American Burn Association (ABA).

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Texas EMS Org Leverages Pulsara to Manage Pre-Planned Events

Pulsara

How CHI St. Joseph Health EMS Triaged 150+ Patients a Day at One of Texas’s Largest Festivals When hundreds of thousands of people descend on a single event over just eight weekends, things are bound to get chaotic. For years, CHI St. Joseph Health EMS has been the go-to medical provider for the Texas Renaissance Festival—but in 2023, that almost changed.

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Navigating Identity After Retirement: Who Am I Without the Uniform?

First Responders Foundation

Retirement is often painted as a well-earned reward at the end of decades of service, but for many first responders, it can feel less like a finish line and more like standing at the edge of an unfamiliar road. Navigating identity after retirement for first responders is no small task. If you’ve spent years serving your community in uniform, that role likely shaped not just what you do, but who you are.

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Bacterial Meningitis in the ED: Tap First, Ask Later

EM Board Bombs

-Case- A 22-year-old college student arrives to the ED with fever, headache, photophobia, and neck stiffness. He’s somnolent and slow to answer questions. His roommate mentions he hasn’t left bed all day and had a seizure earlier. Fever? Headache? Neck stiffness? Uh-Oh… -Evaluation- Bacterial meningitis is a life-threatening infection of the meninges.

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Improving the Interfacility Transport Experience

International Journal of Paramedicine

As the U.S. populace ages, interfacility transport teams face unique challenges in addressing the needs of two rapidly growing patient populations. Both elderly individuals at risk for delirium and those transitioning to comfort-based care, such as hospice are increasingly utilizing interfacility transport resources as the interact with the medical system.

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Four Hospitalized After FL Ambulance/ Pickup Truck Collision

JEMS

Four people were hospitalized early Wednesday after an Apopka Fire Department ambulance collided with a pickup truck in Orange County, according to the Florida Highway Patrol.

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Going Back to School: Real-World Advice for EMS Students

The EMS Educator

We’re going back to school in this episode of The EMS Educator podcast! Specifically, you’ll hear audio recordings of what EMS students and educators wish they had known when they were in school. Hosts Hilary Gates and Rob Lawrence are joined by EMS educator Ginger Locke to offer commentary on this sage wisdom. There are tips about possessing quiet confidence and kindness, practical study strategies, and the importance of active reflection and being open to feedback.

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Code Blind: Eye’m losing it! Vision Loss in the ED

EMOttawa

Imagine waking up one day, and the world around you is no longer as you’ve always seen it. The numbers on your alarm clock blur into nothingness, or half of your vision seems to have vanished altogether. Panic sets in as you make your way to the emergency department. The doctor tells you: “This is […] The post Code Blind: Eye’m losing it!

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Scripps Mercy Hospital San Diego’s Unique ED Culture Breeds Innovation

ACEP Now

The emergency department (ED) at Scripps Mercy Hospital San Diego is a different breed of ED. This can be felt upon entering the beautiful southern California facility through the patient entrance. During my visit the greeter area was quiet, uncluttered, and virtually empty at 4 p.m. Seeing more than 76,000 annual visits, this urban academic Level I Trauma Center is a STEMI-receiving hospital, geriatric emergency department (GED) certified, and a Stroke Center.

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Mental Health Symptoms, Stressors, and Coping

International Journal of Paramedicine

EMS first responders provide essential services to communities in rural, suburban, and urban locations across the United States. While the mental health experiences of first responders have been generalized across all geographic locations, less is known about the mental health differences among rural, suburban, and urban first responders. This study explored mental health symptom profiles, job stressors, coping mechanisms, and mental health resource availability of 118 first responders providing

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2 Hartford (CT) EMS Workers Injured After Ambulance and Vehicle Collide, Police Say

JEMS

Two emergency medical service workers were sent to the hospital Friday after being injured in a collision between their ambulance and another vehicle, Hartford police said.

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Asynchronous vs. Synchronous Learning: What’s the Difference and Which Is Right for You?

Unitek EMT

Understanding online learning in EMS training. According to the BLS, as of April 2025, employment for EMTs and Paramedics is expected to grow 6% from 2023 to 2033—faster than the average for all occupations. Emergencies, such as car crashes, natural disasters, drug abuse incidents, and acts of violence, will continue to require the skills of […] The post Asynchronous vs.

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Apply for a Scholarship to Columbia Southern University

NVFC

For the 17th year, Columbia Southern University is awarding two NVFC members with a scholarship that will cover up to 60 credit hours towards any one of their online degree programs. Take your education to the next level without the financial burden and with classes that fit into your busy schedule. Degree programs include fire science, EMS, emergency management, and many more.

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Dr. Joe Sachs and “The Pitt” Redefine Public Health Education Through Storytelling

ACEP Now

When a viewer sent a message saying they sought help for post-traumatic stress disorder (PTSD) after watching an episode of “The Pitt,” Joe Sachs, MD, FACEP, knew he was accomplishing something far beyond entertainment. For Dr. Sachs—a practicing emergency physician and executive producer of the Max original series—the comment underscored what he’s been working toward for decades: using scripted television to tell deeply human stories that double as public health education.

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4 Reasons Dentists Need to Use a Medical Suction Pump During Oral Surgery

SSCOR

A medical suction pump is a key piece of equipment for oral surgery. The right suction machine improves patient outcomes, reduces the risk of complications, and can promptly intervene in the event of a serious dental emergency.

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Six Killed in NC Flooding

JEMS

JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention

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Adult Ortho Cases 005

Life in the Fastlane

Michael Gibbs MD Adult Ortho Cases 005 Xray and ultrasound (POCUS) evaluation of integrity of quadriceps tendon, patella tendon, and patella evaluating for tendon rupture and patella fracture.

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Wildfire PREsponse: Closing the Gap With Mitigation

NVFC

While many people think wildfires mainly impact the western portion of the U.S., the reality is that they occur all over the country and at any time of the year. This spring saw large wildfire incidents in New York, New Jersey, the Carolinas, Alabama, and Oklahoma, among other states. This article for Domestic Preparedness Journal by NVFC Wildland Fire Assessment Program Advocate Mark Howell, delves into initiatives that help fire departments and communities prepare before a wildfire strikes.

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Pre-planning in Punxsutawney: How FirstNet supported Public Safety on Groundhog Day

FirstNet Authority

Pre-planning in Punxsutawney: How FirstNet supported Public Safety on Groundhog Day Blog joseph.rey@fir… Wed, 07/09/2025 - 09:12 By Lori Stone, Senior Public Safety Advisor, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.