EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. Angeli P, Bernardi M, Villanueva C, et al. 2018 Apr;36(4):689-698. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. Hepatology. Long B, Koyfman A.

E-9-1-1 100

E-9-1-1 ALS OR ED 100

ACEP Now

MAY 10, 2025

References Goldsmith A, Driver L, Duggan NM, et al. Newberry MA, et al. Leu N Anderson E et al Safety and Pain Reductiontin Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study Ann Emerg Med 2024,83(1):14-21. Sandoval MV et al. JAMA Netw Open 2024:7(11)1-2444742. Farrow RA, Shalaby M.

ED 87

ED Emergency Department ALS Epinephrine 87

EMDocs

NOVEMBER 16, 2024

Hospitals, 2018. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2018 Fall;18(3):242-252. Parvizi J, Tan TL, Goswami K, et al. The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. 2021 Aug 31. Statistical Brief #281. 2015;97(17):1386-1397.

EMS 96

EMS E-9-1-1 Operating Room Emergency Department 96

ACEP Now

JUNE 17, 2025

Evans, et al., Gausche-Hill M, et al. Hair-Grooming Syncope When evaluating these patients with low-risk syncope, how often have you asked: “Were you getting your hair groomed when you passed out?” Hair-grooming syncope is a rare subtype of neurocardiogenic syncope that is precipitated by different acts of hair care or grooming.

Emergency Department 52

Emergency Department ALS OR ED 52

REBEL EM

NOVEMBER 25, 2024

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. References: Driver BE, Prekker ME, Klein LR, et al. PMID: 29800096 Driver BE et al. PMID: 34879143 Apfelbaum JL, Hagberg CA, Connis RT, et al. PMID: 34762729 von Hellmann R, Fuhr N, Maia IWA, et al. PMID: 37725023 Prekker ME, Driver BE, Trent SA, et al.

Operating Room 92

Operating Room Emergency Department ICU ALS 92

JEMS

JULY 7, 2025

Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Dorsett M, Allen H, Garbacz H, et al. Baker PO, Karim SR, Smith SW, et al. Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest.

E-9-1-1 98

E-9-1-1 EMT EMT Mobile Integrated Health 98

Don't Forget the Bubbles

JUNE 10, 2025

2018 [cited 2025 Mar 17];15(1). Proctor A, Billing J, Lyttle M, et al. Improving Paramedic Confidence with Paediatric Patients: A Scoping Review. Australasian Journal of Paramedicine [Internet]. Available from: [link] Burr S, Brodier E: Integrating feedback into medical education. Br J HospMed 2010, 71:520–523.

E-9-1-1 62

E-9-1-1 Emergency Department Paramedic Ambulance 62

Don't Forget the Bubbles

JUNE 10, 2025

2018 [cited 2025 Mar 17];15(1). Proctor A, Billing J, Lyttle M, et al. Fowler J, Beovich B, Williams B. Improving Paramedic Confidence with Paediatric Patients: A Scoping Review. Australasian Journal of Paramedicine [Internet]. Available from: [link]. Emergency Medicine Journal 2025;42:352-359.

Emergency Department 86

Emergency Department E-9-1-1 Ambulance Paramedic 86

Don't Forget the Bubbles

APRIL 28, 2025

Communicability Marin et al. Burden of Chickenpox on the Health Service Bernal et al. Bernal et al. , Bozzola et al. Available from: [link] Bozzola E, Tozzi AE, Bozzola M, Krzysztofiak A, Valentini D, Grandin A, et al. doi:10.1177/2051013616655980 Lee YH, Choe YJ, Lee J, Kim E, Lee JY, Hong K, et al.

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

FOAMfrat

DECEMBER 31, 2024

After reading this awesome paper, we should feel more at ease treating these patients (PMID: 30202496; AHA (Peberdy et al., As the body does not love anything foreign inside of itself, so when it detects this we always have the possibility of clot formation (Trinquero, 2018). Therefore, take a breath and calm down.

CPR 64

CPR Defibrillator Emergency Department Emergency Transportation 64

JEMS

JUNE 23, 2025

Rodríguez-Lomba E, Pulido-Pérez A, Ricciardi R, Marcello PW, Kuki I, Nakane S, et al. (1 Leppin AL, Gionfriddo MR, Kessler M, et al. Percent of GDP in 2018 [link] 43. Myers, V., & & Stiell, I. Characteristics and outcomes of older emergency department patients assigned a low acuity triage score. 1 February 1976).

EMS 116

EMS E-9-1-1 Community Paramedicine Emergency Medical Services 116

Broome Docs

JANUARY 27, 2025

100% seems too good to be true Morello et al., doi: 10.1136/emermed-2018-208151. Epub 2018 Oct 25. Clin Exp Allergy. 2024 Oct 9. doi: 10.1111/cea.14565. Epub ahead of print. PMID: 39383344 Profundus Trial – Can we actually exclude acute aortic syndromes with this protocol? Emerg Med J. 2019 Jan;36(1):2-3.

ED 100

ED OR ACS Critical Care 100

JEMS

JUNE 21, 2025

AmeriPro will provide two advanced life support (ALS) ambulance trucks 24 hours a day, and a full suite of advanced technology and equipment, including state-of-the-art cardiac monitoring, LUCAS devices capable of delivering automated chest compressions during a cardiac arrest, ZOLL ventilators, and other high-tech patient care tools.

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine Ambulance EMT 59

This Podcast Will Kill You

DECEMBER 10, 2024

Randal, et al. Girard-Madoux, Mathilde JH, et al. Academic Press, 2018. History Biology Ball, Chad G., “Prophylactic surgery prior to extended-duration space flight: Is the benefit worth the risk? ” Canadian journal of surgery 55.2 2012): 125. Paulson, E.K. and Pappas, T.N., Jama , 326 (22), pp.2299-2311. Goyal, M.K.,

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

JEMS

JULY 23, 2025

Al-Beltagi, M. 4 min read EMS Equipment & Gear EMS Operations Exclusives Podcasts Videos EMS EMT Louisiana Paramedic Postal Worker Killed in Multi-Vehicle AL Crash A U.S. The Children’s Hospital of Philadelphia (CHoP), (2017). Autism’s clinical companions: Frequent comorbidities with ASD. Children’s Hospital of Philadelphia.

E-9-1-1 98

E-9-1-1 EMT EMT Public Safety 98

REBEL EM

NOVEMBER 11, 2024

Article: Chanderraj R, Admon AJ, He Y, et al. What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. In 2021, Buckley et. 3 The same year, Ross et.

E-9-1-1 93

E-9-1-1 ICU ALS Critical Care 93

EMDocs

JANUARY 6, 2025

57 Adapted from: Long B, MacDonald A, Liang SY, et al. link] Rother B, Pierre G, Lombardo D, et al. link] Franco JR, Cecchi G, Priotto G, et al. Biggs H, Behravesh CB, Bradley KK et al. doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. 2023.04.037 Afzal S, Ali L, Batool A, et al.

ED 73

ED E-9-1-1 ALS Frozen Plasma 73

EMDocs

JULY 21, 2025

Heidenreich PA, Bozkurt B, Aguilar D, et al. Collins S, Storrow AB, Albert NM, et al. Yancy CW, Jessup M, Bozkurt B, et al. Yancy CW, Jessup M, Bozkurt B, et al. Ponikowski P, Voors AA, Anker SD, et al. 2018 Nov;55(5):635-646. 2018 Sep;36(9):1666-1673. Martindale JL, Wakai A, Collins SP, et al.

E-9-1-1 87

E-9-1-1 ALS Emergency Department OR 87

JEMS

JULY 9, 2025

Kampden et al. Based on these concepts, Emmerlich et al. 2018 Jan;54(1):90-95. Regardless, it’s important for paramedics to be familiar with situations that would necessitate a field/prehospital amputation, as well as the risks that attend such procedures. Prehosp Disaster Med. 1996 Jan-Mar;11(1):63-6. PMID: 10160461.

E-9-1-1 102

E-9-1-1 EMT EMT Mobile Integrated Health 102

Don't Forget the Bubbles

JULY 15, 2025

Available from: [link] Desai V, Hernandez Conte A, Nguyen VT et al. Govindraj R, Binda DD, Harris AC et al. 2018; 7(6):96. Workforce Race Equality Standard: 2020 Data Analysis Report for NHS Trusts and Clinical Commissioning Groups. February 2021. 2023;27:2 [link] Estacio EV, Saidy-Khan S. MedEdPORTAL. 2024 Sep 17;20:11435.

OR 135

OR ALS ACS 135

Handtevy

DECEMBER 23, 2024

Association for the Advancement of Blood & Biotherapies (AABB) Resources Standards for Out of Hospital and Prehospital Transfusion Administration Services Coalition Meeting PowerPoints STRAC & PBCFR Protocol Development Stem Cells and Drones TXA and Calcium FDA Regulations FDA Requirement for Blood Palm Beach County Fire Rescue Outcome Data (..)

NFPA 52

NFPA Plasma Emergency Response EMS 52

FOAMfrat

NOVEMBER 14, 2024

While this seems like a relatively mundane call to most, there are a few things I want to call attention to: Alcohol Withdrawal Syndrome (AWS) is one of the most frequent causes of death worldwide, more so than HIV, TB, and violence combined (Grover & Ghosh, 2018). References: Grover, S., & Ghosh, A. link] Gortney, J. Kokoska, L.,

Paramedic 98

Paramedic EMT EMT ED 98

First Responder Wellness

FEBRUARY 25, 2025

Given the high propensity for police officers to be exposed to such events, it is not surprising that we see a higher rate of PTSD in officers than in the general population (Lewis-Schroeder et al., One survey found that 61% of officers screened positive for symptoms of PTSD (Jetelina et al., What is PTSD? doi:10.1001/jamanetworkopen.2020.19658

First Responder 78

First Responder ALS Public Safety OR 78

ACEP Now

DECEMBER 7, 2024

Power WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the Early Management of Patients with Acute Ischemic Stroke: 2019 update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. References Radecki RP.

E-9-1-1 98

E-9-1-1 ED Emergency Department OR 98

Broome Docs

DECEMBER 22, 2024

2018 Nov 22;379(21):2002-2014. N Engl J Med. 2024 Oct 31:10.1056/NEJMoa2407780. doi: 10.1056/NEJMoa2407780. Epub ahead of print. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598. PMID: 30462938 Justin finds another way he was wrong (he’s a good scientist!)

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

Dr. Smith's ECG Blog

OCTOBER 7, 2022

Rallidis Et al. Smith's ECG Blog of the ECG findings most commonly seen for the 2 most common ECG patterns in patients with Takotsubo CM ( See My Comment in the March 25, 2020 post — as well as the Echo pictures by Dr. Smith in the January 22, 2018 post). A cut-off value of NT-proBNP/cTnT ratio >7.5

ACS 52

ACS Coronary CAD OR 52

Dr. Smith's ECG Blog

JUNE 10, 2025

Transient STEMI was studied by Lemkes et al. Lemkes JS, Janssens GN, van der Hoeven NW, et al. Available from: [link] Lemkes et al. This is really a transient OMI (or transient STEMI if one uses that terminology and it has diagnostic ST Elevation). Eur Heart J [Internet] 2019;40(3):283–91.

STEMI 70

STEMI E-9-1-1 CAD ALS 70

Don't Forget the Bubbles

JUNE 16, 2025

Gawronski O, Parshuram C, Cecchetti C, Tiozzo E, Ciofi degli Atti ML, Dall’Oglio I, et al. 2018 May;2(1):e000241. Along the way, we’ll also take the opportunity to unpack what qualitative research looks like in practice—how it’s done, and why it can offer valuable insights into the ‘how’ and ‘why’ behind clinical decisions.

OR 81

OR Emergency Department ALS 81

EMDocs

NOVEMBER 22, 2024

Kachalia A et al. 11, Nov 2018. Rather than announcing oneself as a physician on ED arrival, assuming the role of a patient may result in better interactions with caregivers. References / Further Reading: [link] [link] Effects Of A Communication-And-Resolution Program On Hospitals’ Malpractice Claims And Costs. Health Affairs, Vol.

ED 97

ED Emergency Department ALS OR 97

REBEL EM

JULY 14, 2025

7 🧾 Paper Cohen A, Reijman M, Kraan GA, et al. PMID: 18656779 Dean BJF, Riley N, Little C, et al. PMID: 26582616 Cohen A, Reijman M, Kraan GA, et al. About 1 in 10 patients will have an occult fracture, and roughly 1 in 10 scaphoid fractures result in nonunion. Can we avoid casting for suspected scaphoid fractures?

E-9-1-1 103

E-9-1-1 ALS OR ED 103

Don't Forget the Bubbles

APRIL 7, 2025

[link] Bornstein SR et al. International Journal of Pediatrics, DOI: 10.115/2018/1739831. link] (viewed May 2024) Cho HY, Kim JH, Kim SW, et al. 12397 El-Maouche D et al. Hietamki J, Krkinen J, Iivonen AP, et al. Korbonits M, Blair JC, Boguslawska A, et al. doi:10.1038/s41574-023-00948-8 Miller B et al.

E-9-1-1 70

E-9-1-1 Plasma ALS OR 70

EMDocs

MARCH 18, 2025

A 2018 RCT included 47 patients with hemoptysis (excluded MH) evaluated nebulized TXA three times per day compared to normal saline and found reduced expectorated blood volume, greater chance of hemoptysis resolution (96% versus 50%), shorter hospital LOS, less need for procedures for hemoptysis control (0% vs. 18.2%) (17). microg/kg IV.

E-9-1-1 69

E-9-1-1 FFP ALS Critical Care 69

ACEP Now

APRIL 14, 2025

Larochelle MR, Bernson D, Land T, et al. 2018 Jun 19;169:137-145 4. Madras BK, Ahmad NJ, Wen J, Sharfstein J, et al. Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database Syst Rev. 2009 Jul 8;(3):CD002209 3. Ann Intern Med. Nguyen CMT, Kubiak G, Dixit N, Young SA, Hayes JR.

Overdose 52

Overdose Mental Health Services ED ALS 52

REBEL EM

FEBRUARY 24, 2025

Jan 2015; PMID: 25559473 Airapetian N, et al. Di Nicol P, et al. Mar 2023; PMID: 36983218 Feissel M, et al. Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” ” Anaesthesia, Pain, Intensive Care and Emergency MedicineAPICE: Oct 1005; PMID: 16356246 Bilgili B, et al.

ALS 64

ALS E-9-1-1 Critical Care OR 64

ACEP Now

JUNE 4, 2025

The CDC reported that between January 2018 and March 2022, the rate of EMS responses for nonfatal opioid overdoses nearly doubled, from 98.1 National Vital Statistics System, Mortality 2018-2023. Available at: [link] Weiner SG, Baker O, Bernson D, et al. Ashburn NP, Ryder CW, Angi RM, et al. per 10,000 EMS calls.

Emergency Medical Services 52

Emergency Medical Services Overdose Naloxone ALS 52

Don't Forget the Bubbles

FEBRUARY 24, 2025

In a prospective multi-centre study, Berger et al. Rowlands et al. Hodder et al. BMJ 2024; 385 Unpublished data from national audit on behalf of PCCS-SG Paddock CD, Sanden GN, Cherry JD, et al. Namachivayam et al. 2007;8:207211 Garoudet et al. 2012 May 7;11(1):70 Berger et al. Nieves et al.

ALS 57

ALS Critical Care OR Life Support 57

EMDocs

FEBRUARY 12, 2025

2024.117470 Wang Y, Chen S, Bao S, et al. doi:10.3109/09553002.2013.765055 Shin JY, Yabroff KR, Keegan THM, et al. 2019.02.047 Fisher RF, Applegate KE, Berkowitz LK, et al. doi:10.1002/acm2.13526 Writing Committee Members, Hirshfeld JW Jr, Ferrari VA, et al. 27660 Waselenko JK, MacVittie TJ, Blakely WF, et al.

ALS 55

ALS Mental Health Services OR 55