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Just Culture in EMS

JEMS

Scenario One A paramedic forgets to restock epinephrine 1:1,000 in the medical bag, and the next crew responds to an anaphylaxis call without it. This outdated model has been replaced in high-risk industries like aviation, nuclear power and healthcare by the “Just Culture” model. What happens? Misasi, P., & & Keebler, J.

EMS 116
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From Ambulance to Admission

International Journal of Paramedicine

METHODS : A retrospective observation study was performed from December 2019 to December 2022. Epinephrine was administered to 163 (13.4%) patients. Inclusion criteria were adult patients who received vasopressor infusions during transport by the Mayo Clinic Ambulance Service.

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Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

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All you need to know about Adrenaline

Don't Forget the Bubbles

Over two years (2019-2021), over 600 children were screened across the four EDs, with 58 eligible patients found. Low-Dose Epinephrine Boluses for Acute Hypotension in the PICU. Low-Dose Epinephrine Boluses for Acute Hypotension in the PICU. This left an intention-to-treat analysis of 40 enrolled patients. Pediatr Crit Care Med.

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"Call HazMat Before Opening"

FOAMfrat

Health effects of acute H2S exposure per (Centers for Disease Control (CDC), 2014)and (National Institute for Occupational Safety and Health (NIOSH), 2019) Medical Management Victims of a chemical suicide who have survived will likely need rapid and aggressive treatment and transport to survive. 2019, 10 30). Hydrogen Sulfide.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

STEMI 52
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First10EM Journal Club: November 2024

Broome Docs

PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest. Epub 2019 Dec 13. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest. Resuscitation.