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2025 EMSNext Recipients Announced

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Samantha Hilker Sr. Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2025 EMSNext Winners Washington, D.C. The American Ambulance Association (AAA) is proud to […] The post 2025 EMSNext Recipients Announced appeared first on American Ambulance Association.

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Episode 165 Fish Tongue Parasite: Parasite Appreciation Hour

This Podcast Will Kill You

Okay everyone, think about your tongue. Maybe move it around a bit, check in with it, consider what it means to you. Now imagine that your tongue suddenly shriveled up and fell off and that in its place is a tongue-sized isopod aka rollie pollie aka pillbug. Just there, hanging out, forever. How are you feeling? Horrified? Disgusted? Hey, we get it.

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More trials from TBS 2025. (part 2)

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.

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EMCrit 394 – CV-EMCrit – Inotrope Basics Part 2 – Specific Scenarios

EMCrit Project

Part 2 of Inotropes with Trina - we discuss specific scenarios. EMCrit Project by Scott Weingart, MD FCCM.

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Oropharyngeal Suctioning Standard Operating Procedure: The Basics

SSCOR

Airway management is a priority for both nurses and first responders. A critical component of this is effective airway clearance techniques to manage oropharyngeal secretions. Whether in the field or a hospital, the how and when of oral suctioning must be mastered to ensure the patient's patent airway.

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NRHA | Community Paramedicine Framework

American Ambulance Association

National Rural Health Association December 2024 Policy Paper Bridging the gap: A policy framework for sustainable community paramedicine in rural America Authors: Katie Gorndt, Kimberly Haverly, Tom Syverson The post NRHA | Community Paramedicine Framework appeared first on American Ambulance Association.

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The Clock Is Ticking on Trauma Center Time to Transfer 

ESO

For the first time, the 2024 ESO Trauma Index took a deep dive into Time to Transfer data a critical, patient-centered metric that directly impacts survival rates and care outcomes. Defined by the National Trauma Data Bank (NTDB) as the time between when a transfer order is written and when the patient physically leaves the facility, this metric sheds light on how well trauma systems move patients to the right place for the right care.

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A Wolf in Cellulitis’ Clothing: Managing Necrotizing Fasciitis

EM Board Bombs

-Case- It’s a busy shift in the ED when EMS rolls in with a 56-year-old man. He’s diaphoretic, tachycardic, and complaining of excruciating pain in his left leg. His wife says it started as a minor scrape two days ago, but now his entire leg is swollen, red, and dusky. His vitals are notable for a fever to 103°F, heart rate of 130, and blood pressure at 90/60.

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Onboard Airway Suctioning: Staying Safe in an Ambulance

SSCOR

Modern, fully equipped ambulances with well-trained paramedics are marvels, providing services that save lives and maintain seriously injured or ailing patients status before they reach an appropriate medical facility. But that goal is only achieved when technicians aboard the ambulance practice safe procedures.

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Ambulance History: A Journey Between England and America

Stem EMS

Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.

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Clonidine

Life in the Fastlane

Chris Nickson Clonidine Critical Care Compendium entry for Clonidine (pharmacology)

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Pamela Bondi

FirstNet Authority

Pamela Bondi michelle.

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Closing the Deal: Mastering Suturing and Wound Closure in the ED

EM Board Bombs

-Case- A 28-year-old bartender walks into your ED with a deep laceration on her forearm after an unfortunate run-in with broken glass while working. The wound is actively bleeding, but the edges are clean. She’s concerned about scarring and whether she’ll be able to use her arm without issues in the future.

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The Patient Perspective: EMS’s Best Teacher

The EMS Educator

What if the best EMS educators werent clinicians, but patients themselves? In this episode, hosts Hilary Gates and Maia Dorsett welcome sudden cardiac arrest survivor Nova McCarthy and medical director Alicia Bond for an insightful discussion on how patient experiences can enhance EMS education. Nova describes her experience as a keynote speaker and explores the power of patient-centered learning.

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Special Edition: Who Wants To Be Not Dead?

EMS 20/20

Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote! Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote!

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Prazosin

Life in the Fastlane

Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.

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Russell Vought

FirstNet Authority

Russell Vought michelle.

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A Wolf in Cellulitis’ Clothing: Managing Necrotizing Fasciitis

EM Board Bombs

-Case- It’s a busy shift in the ED when EMS rolls in with a 56-year-old man. He’s diaphoretic, tachycardic, and complaining of excruciating pain in his left leg. His wife says it started as a minor scrape two days ago, but now his entire leg is swollen, red, and dusky. His vitals are notable for a fever to 103°F, heart rate of 130, and blood pressure at 90/60.

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There IS Beauty in Medicine

EMOttawa

Medicine often carries an aura of mystiquea profession elevated by society as a noble calling, a higher pursuit. But for those of us in the trenches, the reality is far simpler (: medicine is a job. A demanding, high-stakes, and sometimes unforgiving job, but a job nonetheless. This isnt a dismissal of its importance but […] The post There IS Beauty in Medicine appeared first on EMOttawa Blog.

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TBS Top papers 2025 (part 1)

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.

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Rethinking EMS

High Performance EMS

Download the collaborative document created by several national professional organizations on “ Rethinking Emergency Medical Services.” There are several very quotable sections including, “The EMS staffing crisis highlights the need for reasonable, evidence-based and data driven system design and response changes to sustain these vital services while addressing the root causes of workforce shortages and economic challenges.

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Kristi Noem

FirstNet Authority

Kristi Noem michelle.

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NICU graduation to PICU

Don't Forget the Bubbles

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

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New Study Shows Drop in Stroke Treatment Times with Pulsara and Viz.ai

Pulsara

A new study published by the AHA shows the use of AI and communication tools decreases treatment times between 43% and 53% for door-to-CT, door-to-needle, and door-to-puncture times A group of clinicians in Washington State implemented both Pulsara and Viz.ai , tracking treatment times for door-to-CT, door-to-needle, door-to-puncture, and length of stay.

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‘NSTEMI’ or reperfused OMI? And which lesion is the culprit?

Dr. Smith's ECG Blog

Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.

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3 Neurological Emergencies Requiring Suction

SSCOR

Neurological emergencies come in many forms, many of them life-threatening. Any pathological process or traumatic injury that impacts the patient's neurological system can have devastating consequences: paralysis, brain damage, or even death. As an emergency provider, you must be prepared to support your patient's vital functions. This includes ensuring adequate circulationby maintaining blood pressure and pulsealong with oxygenation, through oxygen therapy, intubation, and, most importantly, su

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Your First 5 Minutes of an MCI w/ Rommie Duckworth

FOAMfrat

Join Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of knowledge on this topic and speaks globally to prepare emergency responders for these events. Initial Assessment and Action Upon arrival at an MCI, the scene can often feel overwhelming.

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emDOCs Podcast – Episode 114: Airway/Intubation Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a

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OPVEE and Opioid Epidemic Opportunists

Peter Canning

A pharmaceutical company is apparently targeting police departments to get them to carry OPVEE (nalfemene), a long-acting opioid antagonist that the two top toxicology organizations in the country say has significant risks and has not been studied in actual settings. In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, Th

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Snooze Control: Procedural Sedation 101

EMOttawa

Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid recovery and minimizing complications. Despite its routine use, PS requires meticulous preparation, risk stratification, and vigilance for potential […] The post Snooze Control: Procedural Sedation 101 appeared first on EMOtt

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No Lifeguard on Duty: Managing Drowning in the ED

EM Board Bombs

–Case– It’s a hot summer afternoon when EMS rushes in with an 8-year-old boy who was pulled from a community pool after being underwater for an unknown amount of time. Bystanders report he was initially unresponsive but had spontaneous respirations after CPR was started. Now in the ED, he’s tachypneic, mildly cyanotic, and lethargic.

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Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent. He was notably diaphoretic, tachycardic, and severely agitated, requiring physical restraint by multiple security and medical team members for patient and staff s

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ECG Pointers: Hyperkalemia or Toddler Squiggles?

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA); Mai Saber, DO (EM Attending Physician, Hackensack University Medical Center, NJ); Rachel Bridwell, MD (EM Attending Physician, Charlotte, NC) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations.

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Stockton Fire Dept. Delivers Customer Service through Data

FirstWatch

How this busy agency supports its neighbors and keeps up with demand with FirstWatch The real advantage of FirstWatch, Says Michele Godina Machado, Administrative Analyst II at Stockton (Calif.) Fire Department , is that I know the numbers are right. We say in this business that if its garbage in, then its garbage out. FirstWatch allows us to verify the accuracy of our data.

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Enter the STEPRâ„¢ Health & Safety Giveaway to Enhance Fire Department Fitness

NVFC

Three STEPR PRO+ stair climbers will be awarded to volunteer fire departments Responding to emergencies is a physically demanding job, and fitness and health are essential for volunteer firefighters, EMS providers, and rescue personnel to perform at their best. To support these dedicated first responders, STEPR has partnered with the National Volunteer Fire Council (NVFC) to give away three STEPR PRO+ stair climbers in 2025 through the STEPR Health & Safety Giveaway.

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Closing the Deal: Mastering Suturing and Wound Closure in the ED

EM Board Bombs

-Case- A 28-year-old bartender walks into your ED with a deep laceration on her forearm after an unfortunate run-in with broken glass while working. The wound is actively bleeding, but the edges are clean. She’s concerned about scarring and whether she’ll be able to use her arm without issues in the future.

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Death by 1,000 Medicare Cuts

ACEP Now

Medicare was initially developed to provide health insurance to address the health care needs of Americans aged 65 and older, many of whom lacked adequate insurance coverage and the capacity to keep up with general workforce requirements. Medicare has long been the cornerstone of health care for millions of Americans and, therefore, often sets the benchmark for health care reimbursement.

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