Don't Forget the Bubbles

JULY 21, 2025

References Bradshaw CJ, Bandi AS, Muktar Z, et al. doi:10.1007/s00268-017-4396-6 Chen Q, Huang G, Li T, et al. Ostermann RC, Joestl J, Lang N, et al. 2017.01.007 Sweet, A et al. Eur J pediatr 2023. Holistic, family-centred care is essential. Now see how you manage Tarquin. World J Surg. 2018;42(6):1885-1894.

Emergency Department 76

Emergency Department ALS OR Ambulance 76

ALiEM

NOVEMBER 18, 2024

Updated August 16, 2023. Munawar K, Nayak G, Fatterpekar GM, et al. 2020.06.029 Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Accessed January 11, 2024. Clinical Imaging.

Emergency Department 177

Emergency Department ALS OR ED 177

JEMS

JULY 11, 2025

Understanding the Study The research, published in Shock (Penn et al., 2023), tested various forms of albumin, including 25% HSA, in animal models to explore its effectiveness in managing severe blood loss. Reference Penn, A. Falabella, M., Sanchez, A., Hernandez, O., McFadden, K., & & Hutcheson, J.

Mobile Integrated Health 105

Mobile Integrated Health EMT EMT Community Paramedicine 105

EMDocs

JULY 9, 2025

1 The 2022 CLASSIC and 2023 CLOVERS trials are two landmark studies that further examine approaches to fluid resuscitation in septic patients. References Evans L, Rhodes A, Alhazzani W, et al. link] Meyhoff TS, Hjortrup PB, Jørn Wetterslev, et al. link] Chandraratna PA, Nanna M, McKay C, et al. Crit Care Med. 2021;49(11).

Emergency Department 85

Emergency Department ALS ICU Critical Care 85

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bogossian et al. (1) Bogossian H, Frommeyer G, Ninios I, Hasan F, Nguyen QS, Karosiene Z, Mijic D, Kloppe A, Suleiman H, Bandorski D, et al. For more on Torsades de Pointes vs PMVT See My Comment in the October 18, 2023 post and the September 2, 2024 post in Dr. Smith's ECG Blog ). Heart Rhythm [Internet]. 2014;11:22732277.

Coronary 122

Coronary OR Defibrillator ALS 122

ACEP Now

JULY 3, 2025

Alshaya OA, Alhamed A, Althewaibi S, et al. Treasure Island (FL): StatPearls Publishing; July 28, 2023. Upchurch C, Blumenberg A, Brodie D, et al. Wagner ML, Pergolizzi J Jr, LeQuang JAK, et al. 2023 Jul 17. 2023 Jun 9. 2023 Feb 13. 2023 Jan 23. 2023 Jun 12. McGraw-Hill Education; 2024.

E-9-1-1 52

E-9-1-1 Overdose Epinephrine Naloxone 52

EMDocs

JANUARY 11, 2025

Ahmad H, Jannat H, Khan U, et al. May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. 2023 Oct;48(10):3050-3062. Epub 2023 Jun 27. link] Morano, C., & Sharman, T. In StatPearls.

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

EMDocs

NOVEMBER 19, 2024

10 Table 1: Second-Generation Antipsychotics and Associated Adverse Effects Adapted from: UpToDate 8 with additional sources Micromedex 9 and Riboldi, et al 11 *SL=sublingual, IM=intramuscular, PO=oral, ODT=orally disintegrating tablets, ER=extended release, IR=immediate release. +to Gummin DD, Mowry JB, Beuhler M, et al. Micromedex.

Overdose 102

Overdose EMS ALS Emergency Medical Services 102

This Podcast Will Kill You

FEBRUARY 11, 2025

” International Journal for Parasitology: Parasites and Wildlife (2023). Thomas, Frdric, et al. A molecular phylogenetic framework for the evolution of parasitic strategies in cymothoid isopods (Crustacea). Journal of Zoological Systematics and Evolutionary Research, 46(1), pp.19-23. Carlson, Colin J., ” Science advances 3.9

E-9-1-1 97

E-9-1-1 ALS OR 97

ALiEM

JANUARY 6, 2025

References Papudesi, Bhavani Nagendra, et al. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Accessed 14 Dec. View other cases from this Clinical Image Series on ALiEM.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

ACEP Now

DECEMBER 7, 2024

Purkey E, Davison C, MacKenzie M, et al. Ashworth H, Lewis-OConnor A, Grossman S, et al. 2023 Dec;28(1):2206681]. Published July 2014. Accessed November 3, 2024. Experience of emergency department use among persons with a history of adverse childhood experiences. BMC Health Serv Res. 2020;20(1):455. Med Educ Online.

Mental Health Services 52

Mental Health Services Emergency Department ED ALS 52

Don't Forget the Bubbles

NOVEMBER 11, 2024

Kochanek et al. explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al. in a 2023 systematic review and meta-analysis. The guidelines by Kochanek et al. The most recent meta-analysis by Utsumi et al. 2023; 173:158-166.e2.

ALS 115

ALS Life Support Critical Care OR 115

ACEP Now

MAY 10, 2025

1-3 This cohort study included data from the National Ultrasound-Guided Nerve Block Registry, a retrospective multicenter observational registry encompassing procedures performed in 11 EDs in the US from January 1, 2022, to December 31, 2023, of adult patients who underwent a UGNB. References Goldsmith A, Driver L, Duggan NM, et al.

ED 87

ED Emergency Department ALS Epinephrine 87

FOAMfrat

JANUARY 7, 2025

Fahrenheit, and a 12 lead that looks like this: (Buttner et al., Address fevers, address low blood sugar, and administer fluids as indicated as part of initial care (Mirijello et al., Equivalence in AWS is 1mg Lorazepam to 2mg Midazolam, and 10mg Diazepam is roughly equivalent to 3mg Midazolam (Gortney et al., link] Baj, J.,

E-9-1-1 59

E-9-1-1 ALS EMS OR 59

EMDocs

NOVEMBER 13, 2024

2023 Aug;70:84-89. 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. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. Am J Emerg Med. Hepatology.

E-9-1-1 100

E-9-1-1 ALS OR ED 100

REBEL EM

NOVEMBER 25, 2024

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. A medical librarian with expertise in systematic reviews, searched Cochrane, Embase, Medline, Scopus, and Web of Science for relevant randomized controlled trials and comparative observational studies from inception to June 2023. References: Driver BE, Prekker ME, Klein LR, et al.

Operating Room 92

Operating Room Emergency Department ICU ALS 92

EMDocs

NOVEMBER 16, 2024

Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Arthroplasty 5 , 2 (2023). 2023 Dec 1;6(12):e2345883. BJO-2023-0083.R2. Parvizi J, Tan TL, Goswami K, et al. Prevalence of Total Hip and Knee Replacement in the United States. The Journal of Bone and Joint Surgery-American Volume. Zalikha, A.K.

EMS 96

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

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. 0303109 Holcomb JB, Tilley BC, Baraniuk S, et al. Karageorgos S, Ren D, Ranaweera M , et al. Published 2023 Oct 18.

Frozen Plasma 70

Frozen Plasma FFP Plasma ALS 70

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. 2023 [cited 2024 Dec 8]. 2023 [cited 2024 Dec 8]. Available from: [link] Bozzola E, Tozzi AE, Bozzola M, Krzysztofiak A, Valentini D, Grandin A, et al. 2024 [cited 2024 Dec 8].

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

EMDocs

JUNE 9, 2025

4 Conversely, a 2023 study comparing scores from emergency physicians to those calculated by neurologists found excellent reliability with an intraclass correlation coefficient (ICC) of 0.95 (an ICC of 1 indicates perfect reliability). doi:10.1056/NEJM199512143332401 Adams HP Jr, Davis PH, Leira EC, et al. Published 2023 Apr 14.

ED 70

ED OR ALS Ambulance 70

JEMS

JULY 3, 2025

According to the 2024 Michigan Healthcare Workforce Index, a staggering 10-year shortage of paramedics between 2023 and 2033 will rise to 1,160 paramedics and 621 emergency medical technicians (EMTs). Abelsson et al., Bienstock et al. (16 Recruitment and retention are the bane of the public safety organization. Narayanan, A.,

EMS 116

EMS E-9-1-1 EMT EMT 116

FOAMfrat

DECEMBER 31, 2024

After reading this awesome paper, we should feel more at ease treating these patients (PMID: 30202496; AHA (Peberdy et al., Apr 10, 2023). Jul 10, 2023). The LVAD continues to push blood through without caring for the electrical activity. Therefore, take a breath and calm down. 2017); PMID: 31914051). In StatPearls.

CPR 64

CPR Defibrillator Emergency Department Emergency Transportation 64

JEMS

JUNE 23, 2025

However, the program concluded earlier than planned, ending on December 31, 2023, two years ahead of its scheduled five-year duration. 2023, July). 2023, July 20). 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. WA-23-0024).

EMS 116

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

This Podcast Will Kill You

DECEMBER 10, 2024

Randal, et al. Girard-Madoux, Mathilde JH, et al. 2023): 928-936. 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. Bollinger, R.

E-9-1-1 52

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

ACEP Now

FEBRUARY 18, 2025

This article was published in Annals of Emergency Medicine , 82, Brandenberger L, Williams Silva K, Macheret F, et al., Woman with syncopal episode and seizure-like activity , 216-218, 2023 by the American College of Emergency Physicians. She was transported to the emergency department, and the following ECG was obtained (Figure1).

Emergency Medical Services 52

Emergency Medical Services Emergency Department ALS EMS 52

Don't Forget the Bubbles

DECEMBER 16, 2024

A Decline in Vaccination Coverage: A Global Issue In 2023, the World Health Organisation (WHO) reported that worldwide immunization rates for key vaccines, including the diphtheria-tetanus-pertussis (DTP3) series, had dropped to 84% from pre-pandemic rates of 86%. 2023 UK Government. have completed their preschool DTaP/IPV booster.

E-9-1-1 57

E-9-1-1 OR ALS Emergency Department 57

JEMS

JUNE 21, 2025

The George County Board of Supervisors approved the agreement, paving the way for an enhanced mutual aid partnership with neighboring Greene County after AmeriPro took over EMS services there in September 2023.

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine Ambulance EMT 59

REBEL EM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. 4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam.

E-9-1-1 93

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

EMDocs

JANUARY 6, 2025

1 By the end of 2023, 117.3 4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. 43% of refugees admitted into the US in the first 8 months of the 2023 fiscal year were from Africa. Accessed June 11, 2023.

ED 73

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

JEMS

JUNE 26, 2025

As Unitek EMT noted in 2023, providers across the country are leading CPR courses, injury prevention programs, and health fairs to teach people what to do before they have to call 911. Unitek EMT (2023). You’re not being punished—you’re being given the tools to stay relevant and reliable. References 1. Recertification Requirements.

Emergency Medical Technician 111

Emergency Medical Technician EMS Mobile Integrated Health EMT 111

JEMS

JULY 15, 2025

Langtry S, Wild J, et al. 2023 [cited 2025 Jul 14]. 2023 [cited 2025 Jul 14]. References 1. Prevalence of post-traumatic stress disorder in emergency service personnel: a meta-analysis. Front Psychiatry. 2024 [cited 2025 Jul 14]; Available from: [link] 2. Available from: [link] 3. Available from: [link] 3. Institutes of Health.

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Mobile Integrated Health EMS EMT EMT 128

EMDocs

DECEMBER 9, 2024

This PHEIC status was lifted in May 2023 following a consistent global decline in case numbers. 2 Beginning in January 2023, the DRC documented a record number of annual suspected cases of clade 1 mpox, specifically classified as Clade 1b. Table adapted from: Long B, Liang SY, Carius BM, et al. Mpox rash mimics. 2023;65:172-178.

ED 74

ED ALS OR Emergency Department 74

JEMS

JULY 24, 2025

1,3 In Nudell et al. 3 Dr. Peter O’Meara eloquently pointed out in his 2023 commentary, “Shuffling Toward Paramedic Practitioners in the United States,” that a lack of clear professional identity and title standardization is a major barrier to progress. As Nudell et al. 11,12 In stark contrast to the U.S. system, the U.K.’s

EMS 107

EMS Paramedicine Paramedicine Paramedic 107

JEMS

JUNE 20, 2025

Pratley RE, Kanapka LG, Rickels MR, et al. 2023 Jun 13. In a society struggling to maintain a connection to humans is the practice of medicine and the “laying of hands” or the art of medicine the last frontier. Editor’s Note: This commentary reflects the opinion of the author and does not necessarily reflect the opinions of JEMS.

Mobile Integrated Health 94

Mobile Integrated Health Community Paramedicine Ambulance EMT 94

JEMS

JUNE 12, 2025

Al Badawi, A. Summary of NDA approvals & receipts, 1938 to the present. Retrieved March 24, 2025, from [link] 2. Peters, G. Goldberg, S. & Cash, R. A novel artificial intelligence–enhanced digital network for prehospital emergency support: Community intervention study. Journal of Medical Internet Research , 27, e58177.

Mobile Integrated Health 98

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

EMDocs

JULY 21, 2025

Heidenreich PA, Bozkurt B, Aguilar D, et al. 2023 Apr 4;147(14):e674. 2023 Mar;81(3):383. Collins S, Storrow AB, Albert NM, et al. Yancy CW, Jessup M, Bozkurt B, et al. Ponikowski P, Voors AA, Anker SD, et al. Martindale JL, Wakai A, Collins SP, et al. Sartini S, Frizzi J, Borselli M, et al.

E-9-1-1 87

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

JEMS

JULY 24, 2025

1,3 In Nudell et al. 3 Dr. Peter O’Meara eloquently pointed out in his 2023 commentary, “Shuffling Toward Paramedic Practitioners in the United States,” that a lack of clear professional identity and title standardization is a major barrier to progress. As Nudell et al. 11,12 In stark contrast to the U.S. system, the U.K.’s

EMS 92

EMS Paramedicine Paramedicine Paramedic 92