REBEL EM

DECEMBER 23, 2024

Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). To assess the clinical impact and relevance of these concerns, Alwang et al. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. Published 2021 Feb 22. PMID: 33196806 Carden MA, Fay ME, Lu X, et al.

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ALS ED ACS EMR 116

NAEMSP

APRIL 18, 2025

Rosenbaum SB, Gupta V, Patel P, et al. Gestring (2021) Ketamine Use in Prehospital and Hospital Treatment of the Acute Trauma Patient: A Joint Position Statement, Prehospital Emergency Care, 25:4, 588-592, DOI: 10.1080/10903127.2020.1801920 Zeiler FA, Teitelbaum J, West M, Gillman LM. Updated 2024 Jan 30]. In: StatPearls [Internet].

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Ambulance EMS EMT EMT 52

EMDocs

JANUARY 11, 2025

Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. In StatPearls. StatPearls Publishing. May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. Cureus 15(5): e39179. doi:10.7759/cureus.39179 39179 Panneerselvam, S.,

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E-9-1-1 EMS Emergency Department ALS 96

EMDocs

NOVEMBER 19, 2024

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. Gummin DD, Mowry JB, Beuhler M, et al. Riboldi I, Cavaleri D, Capogrosso CA, et al. 8 Hypersalivation can occur. Front Psychiatry.

Overdose 102

Overdose EMS ALS Emergency Medical Services 102

FOAMfrat

JANUARY 7, 2025

Fahrenheit, and a 12 lead that looks like this: (Buttner et al., 2021) We're dealing with a patient now who's febrile, hypoglycemic, hypertensive, and has a concerningly prolonged QT interval at 510ms, and that's just what we can find! Journal of Addiction Medicine , 14 (5). link] Baj, J., Flieger, W., Teresiski, G.,

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REBEL EM

NOVEMBER 25, 2024

1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant difference in first-attempt intubation success between the bougie and an endotracheal tube with stylet among critically ill adults. Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med.

Operating Room 92

Operating Room Emergency Department ICU ALS 92

EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases. 2021 Aug;74(2):1014-1048. Mattos AA, Wiltgen D, Jotz RF, et al. Hepatology.

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ALiEM

JANUARY 6, 2025

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. References Papudesi, Bhavani Nagendra, et al. Accessed 14 Dec.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

EMDocs

NOVEMBER 16, 2024

2021 Aug 31. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2021 Mar;33(1):11-17. Epub 2021 Mar 2. Epub 2021 Jun 12. Parvizi J, Tan TL, Goswami K, et al. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018. Statistical Brief #281. doi:[link] Patel, I.,

EMS 96

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

This Podcast Will Kill You

DECEMBER 10, 2024

Randal, et al. Girard-Madoux, Mathilde JH, et al. 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., Diagnosis and management of acute appendicitis in adults: a review.

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Don't Forget the Bubbles

JUNE 10, 2025

2021 May 29;6(1):15–22. Proctor A, Billing J, Lyttle M, et al. References Hetherington J, Jones I. What factors influence clinical decision making for paramedics when attending to paediatric emergencies in the community within one ambulance service trust? Br Paramed J. Fowler J, Beovich B, Williams B. 2018 [cited 2025 Mar 17];15(1).

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

Don't Forget the Bubbles

OCTOBER 28, 2024

Karageorgos S, Ren D, Ranaweera M, et al. Re ferences Al-Jeabory M, Gasecka A, Wieczorek W, Mayer-Szary J, Jaguszewski MJ, Szarpak L. 2021.02.009 George S, Wake E, Jansen M, et al. doi:10.1136/bmjopen-2021-057780 Hibberd O, Price J, Thomas SH, Harris T, Barnard EBG. 0303109 Holcomb JB, Tilley BC, Baraniuk S, et al.

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Frozen Plasma FFP Plasma ALS 70

Don't Forget the Bubbles

JUNE 10, 2025

2021 May 29;6(1):15–22. Proctor A, Billing J, Lyttle M, et al. What factors influence clinical decision making for paramedics when attending to paediatric emergencies in the community within one ambulance service trust? Br Paramed J. Fowler J, Beovich B, Williams B. Australasian Journal of Paramedicine [Internet].

Emergency Department 86

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

Don't Forget the Bubbles

APRIL 28, 2025

Communicability Marin et al. 2021) conducted a literature review investigating 16 studies on the communicability of varicella before rash onset. Burden of Chickenpox on the Health Service Bernal et al. Bernal et al. , Bozzola 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

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.

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

JEMS

JUNE 23, 2025

“The entire mission of stroke therapy is to restore the blood flow to the brain as soon as possible,” said Alhamza Al-Bayati, associate professor of neurology and neurosurgery at the University of Pittsburgh School of Medicine and a physician specializing in stroke. “If it was faster, would he be in a different condition?

First Responder 52

First Responder Mobile Integrated Health E-9-1-1 Community Paramedicine 52

Don't Forget the Bubbles

DECEMBER 16, 2024

2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. Prenatal pertussis vaccination coverage in England from January to March 2024 and annual coverage for 2023 to 2024 [Internet] [Accessed 14 Oct 24] Moore K, Marra F, Nussbaum A, et al. 2024 Ghanaie RM, Karimi A, Sadeghi H, et al. 2021 Wendelboe, A.M. Pediatrics.

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REBEL EM

NOVEMBER 11, 2024

In 2021, Buckley et. Article: Chanderraj R, Admon AJ, He Y, et al. PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. 2021 Oct 13;13(10):e18742. PMID: 34790489 Qian ET, Casey JD, Wright A, et al.

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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

FOAMfrat

DECEMBER 31, 2024

After reading this awesome paper, we should feel more at ease treating these patients (PMID: 30202496; AHA (Peberdy et al., link] Mechanical Circulatory Support Emergency Guide 2020-2021. The LVAD continues to push blood through without caring for the electrical activity. Therefore, take a breath and calm down. 2017); PMID: 31914051).

CPR 64

CPR Defibrillator Emergency Department Emergency Transportation 64

JEMS

JUNE 26, 2025

Recertification Requirements. National Registry of Emergency Medical Technicians. National Continued Competency Program. Bigham, B. Critical thinking and decision-making in paramedic practice: A review of the literature. Prehospital Emergency Care, 18(1), 81–90. Krathwohl, D. A revision of Bloom’s taxonomy: An overview. Cassady, J.

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Emergency Medical Technician EMS Mobile Integrated Health EMT 111

EMDocs

DECEMBER 9, 2024

Table adapted from: Long B, Liang SY, Carius BM, et al. References Karagoz A, Tombuloglu H, Alsaeed M, et al. link] Rivers C, Watson C, Phelan AL. doi:10.53854/liim-3203-1 Lu J, Xing H, Wang C, et al. doi:10.1038/s41392-023-01675-2 Liu H, Wang W, Zhang Y, et al. link] Petersen E, Kantele A, Koopmans M, et al.

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ED ALS OR Emergency Department 74

EMDocs

JULY 21, 2025

2021 observational study with 25 patients utilized a mean bolus dose of 872 micrograms, with a mean cumulative dose of 35 mg (Mathew). 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. Am J Emerg Med.

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JEMS

JUNE 12, 2025

Al Badawi, A. Patients who use emergency medical services have greater severity of illness or injury compared to those who present to the emergency department via other means: A retrospective cohort study. JACEP Open , 4(4), e13017. Leyenaar, M. Brousseau, A. Mercier, E., P., … & Costa, A. & Nashwan, A.

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Mobile Integrated Health E-9-1-1 EMS Community Paramedicine 98

JEMS

JULY 9, 2025

Kampden et al. Based on these concepts, Emmerlich et al. 2021 Mar;41:104-109. 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. PMID: 37163784. Am J Emerg Med. doi: 10.1016/j.ajem.2020.12.065.

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

Don't Forget the Bubbles

JULY 15, 2025

February 2021. Available from: [link] Desai V, Hernandez Conte A, Nguyen VT et al. Govindraj R, Binda DD, Harris AC et al. Administrative Science Quarterly, 44(2), 350-383. link] British Medical Association. Sexism in Medicine. Available from: [link] NHS England. Glob Qual Nurs Res. 2014 Jun 3;1:2333393614532618. MedEdPORTAL.

OR 135

OR ALS ACS 135

NAEMSP

MAY 21, 2025

2022.105604 Loos MHJ, van Rijn RR, Krug E, et al. Wiley; 2021:498-501. ch62 Gaither JB, Spaite DW, Bobrow BJ, et al. This is particularly true for infants 12 months old and younger, who consistently represent a majority of abuse cases in multiple studies and suffer the highest mortality rates from intentional trauma (1-3).

Emergency Medical Services 52

Emergency Medical Services First Responder ALS EMS 52

Pediatric EM Morsels

MARCH 7, 2025

PubMed: 22006852] Nishijima DK, VanBuren JM, Linakis SW, et al. 0000000000000075 Nishijima DK, Monuteaux MC, Faraoni D, et al. 2021.2.50799 Kornelsen E, Kuppermann N, Nishijima DK, et al. It is excreted by urine so careful dosing is required if used in kidney disease. of IV form TXA [O’Neill 2020] Inexpensive !

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REBEL EM

MAY 19, 2025

REBEL Recap References Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. PMID: 34605781 Yahav D, Franceschini E, Koppel F, et al. PMID: 30535100 von Dach E, Albrich WC, Brunel AS, et al. N Engl J Med. 2025;392(11):1065-1078.

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Dr. Smith's ECG Blog

FEBRUARY 4, 2025

From VPS Connolly et al JACC, 1999 ) Major benefit to pacing! From VPS II Connolly et al JAMA, 2003 ) Answer: No significant reduction in syncope!! There was a randomized trial to determine whether pacemakers could benefit patients with vasovagal syncope, aptly named The North American Vasovagal Pacemaker Study (VPS). link] Lee, S.,

ALS 91

ALS OR 91

First Responder Wellness

APRIL 4, 2025

Research shows that first responders have significantly higher rates of chronic stress and post-traumatic stress symptoms than the general population (Bonumwezi et al., A recent meta-analysis found about 26% of first responders screen positive for hazardous alcohol use (Irizar et al., Puddephatt, J., Fallon, V., & Goodwin, L.

First Responder 81

First Responder Firefighter ALS Paramedic 81

ACEP Now

DECEMBER 17, 2024

Ahmed AM, Kadakia K, Ahmed A, et al. Trends in labor unionization among US health care workers, 2009-2021. Beresford L. The ER docs strike back. link] Published August 28, 2024. Accessed December 7, 2024. 2022;328(24):2404-2411. Ahmed A, Li X. Labor unionization among physicians in training. 2023;330(19):1905-1906.

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ACEP Now

JUNE 17, 2025

Appelboam A, Reuben A, Mann C, et al. Issa EC, Ware PJ, Bitange P, et al. Miyawaki IA, Gomes C, Caporal S Moreira V, et al. Neiner J, Free R, Caldito G, et al. Published February 26, 2021. Ann Emerg Med. 2022;79(5):498-499. 2015;386(10005):1747-1753. Accessed April 28, 2025. Thoreczako. Push Dose Epi. N Engl J Med.

Emergency Department 52

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

EMDocs

MARCH 18, 2025

2021 Dec;50:148-155. Ittrich H, Bockhorn M, Klose H, et al. Mondoni M, Carlucci P, Job S, et al. Fartoukh M, Khoshnood B, Parrot A, et al. Razazi K, Parrot A, Khalil A, et al. Kvale PA, Selecky PA, Prakash UB, et al. Knott-Craig CJ, Oostuizen G, Rossouw G, et al. Mal H, Rullon I, Mellot F, et al.

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

ACEP Now

MARCH 10, 2025

National Hospital Ambulatory Medical Care Survey: 2021 Emergency Department Summary Tables. Jeong J, Song KJ, Kim YJ, et al. Hoyer C, Stein P, Alonso A, et al. Marco CA, Bryant M, Landrum B, et al. Goff SL, Mazor KM, Meterko V et al. Marco CA, Brenner J, Krauss C, et al. Palmer BW, Harmell AL.

Emergency Department 52

Emergency Department ALS OR ED 52

ACEP Now

JUNE 4, 2025

According to recent data from the Centers for Disease Control and Prevention (CDC), overdose deaths have exceeded 100,000 annually since 2021, with approximately 75 percent involving opioidsa proportion that continues to rise. Available at: [link] Weiner SG, Baker O, Bernson D, et al. Ashburn NP, Ryder CW, Angi RM, et al.

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.

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ALS Critical Care OR Life Support 57