Trending Articles

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ECG of the week 14/5/2025

EMergucate

A 33yr old male presents with exertional chest pain, his ECG is below: What is the specific finding and concern … Continue reading →

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FDNY EMS Members Celebrate 50 Years of Serving New York City

JEMS

New York City salutes the service and protection provided by the citys street doctors.

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6 Ways To Lose DKA Style Points

FOAMfrat

I think most clinicians enjoy getting as much information as possible before getting on scene. It gives your mind time to start working through various scenarios, cross-check guidelines, and develop a game plan with your partner. I want you to read the following dispatch information and let your brain do a little premature future-telling.

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Hilo Benioff Medical Center Improves Average Door-to-Needle Time by 41%

Pulsara

After implementing Pulsara, the Island of Hawaii's Hilo Benioff Medical Center achieved a 24-minute reduction in average door-to-needle time for stroke patients. Hilo Benioff Medical Center, the largest facility in the Hawaii Health System Corporation and the leading provider of inpatient and outpatient care on Hawaii Island, is a Level III Trauma Center and Primary Stroke Center that faces unique challenges in delivering timely stroke care.

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A Simplified Protocol for Intralipid Administration in the Emergency Dept.

ACEP Now

A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Recently, numerous Emergency Department (ED) groups have demonstrated the efficacy of UGNBs for pain control with a low rate of complications. 1-3 This cohort study included data from the National

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VBG of the week 14 May 25

EMergucate

The following patient was found collapsed outside a warehouse. What is his diagnosis and management? ph 7.

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Is It Time for Midlevel Providers to Staff EMS Vehicles?

JEMS

Nurse practitioners and physician assistants might be the future of prehospital care amid rising acuity, demand and workforce shortages.

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More Trending

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Procedure: Nail bed repair

Life in the Fastlane

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure, instruction and discussion: nail bed repair - a deceptively simple injury that can lead to permanent nail deformity if managed incorrectly

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Paramedic Chiefs of Canada – Paramedic Flourishing at Work: A Way Forward

FirstWatch

Instructions to join are below description and speakers. June 26, 2025 | 9:00 am PDT (12:00 pm EDT) This session will outline a masters thesis using an explanatory sequential mixed methods design to explore paramedic well-being with a strengths-based lens. At the Ottawa Paramedic Service, this study followed the thread of flourishing through a quantitative survey to semi-structured interviews utilizing narrative inquiry with an appreciative focus.

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PulmCrit Letter to the Editor: Things we do for no reason: Checking QTc on hospitalized adult patients before IV ondansetron administration

EMCrit Project

I'm writing a letter to the editor in response to a recent article in the Journal of Hospital Medicine. I'm posting it here rather than submitting it to the journal to avoid burying it behind a paywall (and because I have the attention span of an intensivist hopped up on lots of coffee). First, I […] EMCrit Project by Josh Farkas.

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LA EMS Academy Slashes Tuition to Attract New EMTs

JEMS

In response to a growing shortage of emergency medical technicians, the National EMS Academy is slashing its tuition by 78% in an effort to attract more people into the field.

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Special Edition: Gambling with Grumpy

EMS 20/20

Spencer rolls the dice for Chris as he presents him with one grumpy customer. can Chris get through the interpersonal obstacles or will he fall flat on his face? Vote on our Instagram! Spencer rolls the dice for Chris as he presents him with one grumpy customer. can Chris get through the interpersonal obstacles or will he fall flat on his face? Vote on our Instagram!

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Procedure: Nail bed repair

Life in the Fastlane

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure: nail bed lacerations - a deceptively simple injury that can lead to permanent nail deformity if not managed carefully

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Ten More Things I’ve Learned From My Transgender Child

Don't Forget the Bubbles

I walked down Karangahape Road to meet an old friend for dinner the other night. For those unfamiliar with the so-called K Road, its a vibrant, bustling, noisy street in the heart of Auckland, a hub of diversity and colour. When I was a kid, it was the strip club street, with enormous billboards featuring bare-breasted women and high heels leaving little to the imagination and prostitutes on every corner after dark.

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Episode 89: Thrombectomy for stroke, with Justin Fraser

Critical Care Scenarios

We explore the world of thrombectomy for acute ischemic stroke with Justin F. Fraser (@doctorjfred), MD, FAANS, FAHA,Professor andVice-Chairof Neurological Surgery andDirector of Cerebrovascular Surgeryand Neuro-interventional Radiologyat University of Kentucky, where he specializes in cerebrovascular, endovascular, skull base, and endoscopic transsphenoidal surgery.

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Demers Ambulances to Honor EMS Professionals During Paramedic Services Week and National EMS Week

JEMS

The company will celebrate frontline heroes with engaging contests and special tributes across Canada and the U.S.

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Savvik EMS Week Giveaway is Live! 🙌

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik EMS Week Giveaway is Live! appeared first on American Ambulance Association.

EMS 130
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VBG of the week 21/5/25

EMergucate

The following VBG was taken from a 20yr old with known T1DM: pH 6.872 pCO2 27 pO2 36.5 HCO3 4.7 O2 59.9 Hb 164 Na 142 K 4.2 Cl 110 Ca 1.47 Glu 26.1 Lactate 3.5 Creat 75 Ketones 3.

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A woman in her 60s with acute chest pain and shortness of breath

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 60s had acute chest pain and shortness of breath. EMS arrived and recorded this ECG (no baseline ECG available): What do you think? Sinus rhythm, RBBB, and anterolateral OMI pattern with concordant STE in V2, inappropriate STD (precordial swirl pattern) in V5 anv V6, HATW in I and aVL, with reciprocal STD and negative HATW in III and aVF.

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EMCrit Ghali Grills 003 – Further Disambiguating “PEA”

EMCrit Project

We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!! EMCrit Project by Scott Weingart, MD FCCM.

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An Overview of Traumatic Brain Injury Management in the Prehospital Environment

JEMS

Essential EMS strategies for traumatic brain injury include airway, hemodynamics and seizure management to improve prehospital TBI outcomes.

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Update on House Budget Reconciliation Process

American Ambulance Association

Earlier this week, the House Committees on Ways & Means and Energy & Commerce reported out favorably their respective language on tax and Medicaid changes as part of Budget Reconciliation. […] The post Update on House Budget Reconciliation Process appeared first on American Ambulance Association.

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Ask Congress to Restore Critical Fire Service Programs

NVFC

The Department of Health and Human Services recently made dramatic cuts to the staff of the National Institute for Occupational Safety and Health. This has manifested in the elimination of critical fire service-related programs like the National Firefighter Registry for Cancer, the Firefighter Fatality Investigation and Prevention Program, and the National Personal Protective Technology Laboratory.

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The Power of Nurses: Celebrating International Nurses Day

Pulsara

Think about a time you or a loved one were in a vulnerable position, navigating the complexities of illness or injury. Who was there, not only providing critical medical care, but also offering a comforting hand, a listening ear, and a reassuring word? Chances are, it was a nurse. Today is International Nurses Day, the culmination of National Nurses Week.

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US Probe: An Abundance of Artifacts

EMDocs

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) and Lilly Bellman, MD (Pediatric POCUS Director, San Francisco Emergency Medicine Associates, California Pacific Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case: A 41 year old male presents to the ED with right upper quadrant pain that worsens after eating.

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EMScapades: EMS Week Gift

JEMS

Happy EMS Week from EMScapades!

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EMSC Day 2025: Federal Programs & Projects Supporting Pediatric Care

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post EMSC Day 2025: Federal Programs & Projects Supporting Pediatric Care appeared first on American Ambulance Association.

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EMCrit 1:1 Nursing 001 – An Easy Case of Sepsis

EMCrit Project

Our first episode uses a simple case to act as touch-point for a discussion of resus nursing in the ED. EMCrit Project by Scott Weingart, MD FCCM.

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Imaging in paediatric trauma- what’s new?

Don't Forget the Bubbles

Its the first week of your new placement in the Emergency Department of a Paediatric Major Trauma Centre. Youve just finished discharging your third case of flu that day when the red phone rings a 14-year-old child has been stabbed in the chest and is severely injured. The nurse in charge has input out a major trauma alert, and the consultant has asked you to request the relevant bloods and imaging after the primary survey.

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How to Recognize Respiratory Emergencies Before They Happen

SSCOR

As a paramedic, you are frequently called upon to treat respiratory emergencies that come in many forms, from asthmatics to those with emphysema to pediatrics suffering from obstructions. No matter the type of call, emergencies involving the respiratory system are some of the most critical you will handle. Recognizing the true respiratory emergency is the first step in treating it.

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Welcome to EMS: The Journey Begins

JEMS

You passed the test, now the real learning starts.

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National Ambulance Provider and Supplier Coalition Meeting: May 22, 2025

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post National Ambulance Provider and Supplier Coalition Meeting: May 22, 2025 appeared first on American Ambulance Association.

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Giving Feedback that Sticks and Receiving it With Purpose

EMOttawa

The importance and efficacy of feedback as an educational tool is well established within medical education literature, with widespread consensus that it is essential for learner development.(1) Reflecting this, the Accreditation Council for Graduate Medical Education (ACGME) designates feedback as an essential and required aspect of resident training across all specialties.

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Emergency Evidence Updates – April 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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A young man with a 'pathologic' ECG

Dr. Smith's ECG Blog

Written by Magnus Nossen The patient in today's case is a young adult male who has had annual cardiological follow-ups due to a pathological ECG. His previous studies include annual Holter monitoring for palpitations and biennial echocardiograms. The Holter recordings and echocardiograms were unremarkable. The patient contacted EMS for chest pain and had the following ECG recorded.

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Fighting Fatigue in EMS

JEMS

Here are some strategies to combat fatigue, and how to protect your health, performance and longevity in the field.

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Senate Champions Introduce Ambulance Add-On Bill

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Senate Champions Introduce Ambulance Add-On Bill appeared first on American Ambulance Association.

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