ACEP Now

NOVEMBER 8, 2024

Maenner MJ, Warren Z, Williams AR, et al. Cleve Clin J Med. 2015;82(11 Suppl 1):S2-S7.  Debunking myths about neurodiversity in the workplace. Published August 5, 2020. Accessed October 17, 2024. Centers for Disease Control and Prevention.

Emergency Department 52

Emergency Department ED OR ALS 52

JEMS

MAY 2, 2025

A regional advanced life support paramedic intercept program launched by a local fire chief last month has brought better service and quicker response times to participating towns.

Advanced Life Support 52

Advanced Life Support ALS Life Support Paramedic 52

EMDocs

JUNE 18, 2025

References Beaubien-Souligny W, Rola P, Haycock K, et al. doi: 10.1186/s13089-020-00163-w Bhardwaj V, Vikneswaran G, Rola P, et al. doi: 10.24908/pocus.v9i1.16985 Rola P, Miralles-Aguiar F, Argaiz E, et al. doi: 10.1186/s13089-021-00232-8 Longino AA, Martin KC, Leyba KR, et al. Ultrasound J. 2020;12(1):16. Ultrasound J.

E-9-1-1 110

E-9-1-1 ALS ICU OR 110

ALiEM

JANUARY 13, 2025

References Kelly, E.W. and Fitch, M.T. 2013) Recurrent Spontaneous Globe Subluxation: A Case Report and Review of Manual Reduction Techniques. Available at: [link] (Accessed: 04 January 2024). 2021) Spontaneous globe subluxation: A case report and review of the literature – international journal of emergency medicine, BioMed Central.

Emergency Department 169

Emergency Department ED ALS OR 169

EMDocs

DECEMBER 23, 2024

Now lets walk through them quickly: Ho et al (4) looked at termination of VT in 15 min or hemodynamic deterioration. Gorgels et al (5) looked at procainamide vs lidocaine and again and primary outcome was VTach termination. Manz et al (6) looked at ajmaline vs lidocaine for the termination of VT. and Komura et al.,

ALS 75

ALS OR STEMI Emergency Department 75

REBEL EM

NOVEMBER 6, 2024

Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 28846302 O’Driscoll SW. How Do Elbows Dislocate?: A Cadaveric Study” J Bone Joint Surg Am. 17.01448.

E-9-1-1 104

E-9-1-1 ACS OR Emergency Department 104

Handtevy

JUNE 20, 2025

Back in 2020, Holmberg et al. Despite these clear findings, the recommendation persisted—until O’Halloran et al. References: Holmberg MJ, Ross CE, Yankama T, et al. 2019.12.032 O’Halloran AJ, Reeder RW, Berg RA, et al. Scholefield BR, Acworth J, Ng K-C, et al. And the evidence has spoken—again and again.

Epinephrine 52

Epinephrine CPR Life Support ALS 52

EMDocs

JULY 9, 2025

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. Monnet X, Rienzo M, Osman D, et al. link] Gonzalez FA, Varudo R, Leote J, et al. Zhai S, Wang H, Sun L, et al. Crit Care Med. 2021;49(11). N Engl J Med.

Emergency Department 85

Emergency Department ALS ICU Critical Care 85

ACEP Now

OCTOBER 29, 2024

Knack SKS, Scott N, Driver BE, Pet al. Thiruganasambandamoorthy V, Kwong K, Wells GA, et al. Freund Y, Cachanado M, Aubry A, et al. Penaloza A, Verschuren F, Meyer G, et al. Ankay Yilbas A, Canbay O, Akca B, et al. Gut feelings: the intelligence of the unconscious. New York: Penguin Books. Ann Emerg Med.

Emergency Department 59

Emergency Department ALS Emergency Medical Services OR 59

FOAMfrat

DECEMBER 28, 2024

Ralston, D. C., & Becker, T. Prehospital point-of-care ultrasound: A transformative technology. SAGE open medicine, 8, 2050312120932706. link] Beckl, R., Establishing, measuring, and achieving a minimum proficiency standard with point-of-care ultrasound among clinicians in an air medical transport program. Air Medical Journal, 43(4), 367.

Emergency Medical Services 65

Emergency Medical Services Medical Transportation EMS ALS 65

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM Oct 2024.

Emergency Department 297

Emergency Department ED ALS EMS 297

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. So the best way to measure whether there is prolongation within an individual is to measure changes in either the JT interval or the T-peak to T-end interval (1, 2). Heart Rhythm [Internet].

Coronary 122

Coronary OR Defibrillator ALS 122

EMDocs

DECEMBER 18, 2024

Gortney J, Raub J, Patel P, et al. Sullivan J, Sykora K, Schneiderman J, et al. Borgundvaag B, Bellolio F, Miles I, et al. Strayer RJ, Friedman BW, Haroz R, et al. Maldonado JR, Sher Y, Ashouri JF, et al. Management of drug and alcohol withdrawal. N Engl JMed. 2003; 348:1786-1795. Cleve Clin J Med. Br J Addict.

E-9-1-1 100

E-9-1-1 Emergency Department ICU ED 100

ACEP Now

MAY 9, 2025

References Dyson K, Bray JE, Smith K, et al. Wang HE, Schmicker RH, Daya MR, et al. Benger JR, Kirby K, Black S, et al. Benger JR, Lazaroo MJ, Crout M, et al. Lyng J, Baldino KT, Braude D, et al. Smida T, Menegazzi J, Crowe R, et al. Benoit JL, McMullan JT, Wang HE, et al. Ann Emerg Med.

Paramedic 84

Paramedic Life Support ALS EMS 84

The Skeptics' Guide to EM

DECEMBER 28, 2024

Date: December 26, 2024 Reference: Steinhauser S et al. Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic:Dr. Suchismita Datta.

Emergency Department 223

Emergency Department Overdose ED ALS 223

The Skeptics' Guide to EM

JULY 5, 2025

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med.

OR 215

OR EMS Emergency Medical Services Emergency Department 215

American Ambulance Association

MARCH 19, 2025

Medicare Ambulance Extender Bill Introduced in House Yesterday, March 18, Representatives Claudia Tenney (R-NY), Terry Sewell (D-AL), Cliff Bentz (R-OR), Paul Tonko (D-NY), Mike Carey (R-OH), Danny Davis (D-IL), Carol […] The post House Reintroduces Vital Medicare Extender and EMS Workforce Bills appeared first on American Ambulance Association. (..)

EMS 130

EMS Ambulance ALS OR 130

EMDocs

JANUARY 8, 2025

Isenhour JL, Craig S, Gibbs M, et al. EKG Teaching Rounds. Vereckei A. Current algorithms for the diagnosis of wide QRS complex tachycardias. Curr Cardiol Rev. 2014 Aug;10(3):262-76. Wide complex tachycardia: Continued evaluation of diagnostic criteria. Academic EM. 2000;7(7):769-773.

CAD 96

CAD EMS Emergency Department ED 96

NAEMSP

JULY 15, 2025

Hershey Medical Center Editors : Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a rural, advanced life support (ALS) agency and you are called to a 62-year-old gentleman with chest pain. A recent study by Palladino et.

EMS 69

EMS Coronary STEMI Advanced Life Support 69

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. The guidelines by Kochanek et al. The most recent meta-analysis by Utsumi et al. 2022.01291 Kochanek PM, Tasker RC, Carney N, et al. Three secondary analyses.

ALS 114

ALS Life Support Critical Care OR 114

ACEP Now

NOVEMBER 7, 2024

References Nussbaum SR, Carter MJ, Fife CE, et al. A foam dressing was placed over the ulcer on his left ankle, and compression dressings were applied to his lower legs to reduce swelling, transitioning to compression stockings in the coming days. The ED case manager arranged follow up in the wound care clinic in two days.

ED 97

ED OR Emergency Department Ambulance 97

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto.

ICU 274

ICU Emergency Department ALS ED 274

NAEMSP

APRIL 18, 2025

Rosenbaum SB, Gupta V, Patel P, et al. Ketamine pharmacology: an update (pharmacodynamics and molecular aspects, recent findings). CNS Neurosci Ther. 2013 Jun;19(6):370-80. doi: 10.1111/cns.12099. Epub 2013 Apr 10. PMID: 23575437; PMCID: PMC6493357. Updated 2024 Jan 30]. In: StatPearls [Internet]. Available from: [link] Margaret M.

Ambulance 52

Ambulance EMS EMT EMT 52

REBEL EM

DECEMBER 17, 2024

The Bottom Line: HEAT Trial Acetaminophen for Fever in critically Ill Patients with Suspected Infection The SGEM: SGEM #146 The Heat is On IV Acetaminophen for Fever in the ICU References Young, P et al. PMID: 26436473 Schortgen F et al. PMID: 22366046 Sunden-Culberg J et al. NEJM 2015; 373(23): 2215-24.

ICU 73

ICU ALS Emergency Department EMS 73

ACEP Now

DECEMBER 7, 2024

Purkey E, Davison C, MacKenzie M, et al. Ashworth H, Lewis-OConnor A, Grossman S, et al. 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.

Mental Health Services 52

Mental Health Services Emergency Department ED ALS 52

JEMS

JULY 11, 2025

Understanding the Study The research, published in Shock (Penn et al., For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing prehospital care as we know it.

Mobile Integrated Health 105

Mobile Integrated Health EMT EMT Community Paramedicine 105

ACEP Now

JULY 3, 2025

Alshaya OA, Alhamed A, Althewaibi S, et al. Upchurch C, Blumenberg A, Brodie D, et al. Wagner ML, Pergolizzi J Jr, LeQuang JAK, et al. In: Papadakis MA, McPhee SJ, Rabow MW, Mc- Quaid KR, Gandhi M. Current Medical Diagnosis & Treatment 2024. McGraw-Hill Education; 2024. J Multidiscip Healthc. 2022;15:1851-1862.

E-9-1-1 52

E-9-1-1 Overdose Epinephrine Naloxone 52

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. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. De Gottardi A, Thevenot T, Spahr L, et al. Hepatology.

E-9-1-1 100

E-9-1-1 ALS OR ED 100

This Podcast Will Kill You

FEBRUARY 11, 2025

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., “Parasite biodiversity faces extinction and redistribution in a changing climate.” 2017): e1602422.

E-9-1-1 97

E-9-1-1 ALS OR 97

Emergency Medicine Education

OCTOBER 31, 2024

Garcia et al. Epinephrine and cardiac arrest: what’s the question? How much epinephrine is enough? published a retrospective study in AJEM discussing cumulative epinephrine dosage in cardiac arrest.

Epinephrine 40

Epinephrine ALS ED 40

ACEP Now

JUNE 29, 2025

References Holden D, Ramich J, Timm E, et al. Tisdale JE, Patel R V, Webb CR, et al. Cole JB, Knack SK, Karl ER, et al. Tian DH, Smyth C, Keijzers G, et al. He practices in both the ED and ICU. Safety considerations and guideline-based safe use recommendations for “bolus-dose” vasopressors in the emergency department.

Emergency Department 59

Emergency Department E-9-1-1 Epinephrine Critical Care 59

Dr. Smith's ECG Blog

JANUARY 31, 2025

al in 2008, and is eponymously named after the main author. From the original description by deWinter et al ( N Engl J Med 359:2071-2073, 2008 ) There is a new ECG pattern without ST elevation that signifies acute occlusion of the proximal LAD ( L eft A nterior D escending ) coronary artery.

STEMI 121

STEMI Coronary ALS OR 121

EMDocs

NOVEMBER 16, 2024

Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Parvizi J, Tan TL, Goswami K, et al. Statistical Brief #281. Prevalence of Total Hip and Knee Replacement in the United States. The Journal of Bone and Joint Surgery-American Volume. 2015;97(17):1386-1397. doi:[link] Patel, I., Zalikha, A.K. 2024 Sep;34(5):633-640.

EMS 96

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

EMDocs

JULY 7, 2025

Just In Time “Just in time” techniques for chaotic moments Trial these during high-stress times: sim lab, busy shifts, real resuscitations Must be practiced to be effective Based on performance psychology in high-stakes environments 4-Step Performance Process (Lauria et al., 5 seconds) Exhale through pursed lips (e.g.,

STEMI 88

STEMI ALS OR EMS 88

Dr. Smith's ECG Blog

SEPTEMBER 6, 2013

mm (presumably in 2 consecutive leads, but this important study by Wung et al in 2001 is vague on that). There is greater than 1 mm of ST in all 3 leads. The standard "criterion" for posterior MI, with about 80% sensitivity andd specificity, is 0.5 So this easily meets criteria for posterior STEMI.

STEMI 52

STEMI OR ALS ED 52

REBEL EM

DECEMBER 23, 2024

To assess the clinical impact and relevance of these concerns, Alwang et al. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. PMID: 24066745 Self WH, Semler MW, Wanderer JP, et al. PMID: 29485926 Semler MW, Self WH, Wanderer JP, et al. PMID: 29485925 Self WH, Evans CS, Jenkins CA, et al. Sickle Cell Disease.

ALS 120

ALS ED ACS EMR 120

JEMS

JUNE 11, 2025

Having paramedics stuck on ambulances not only limits career growth and fuels burnout but also hampers ALS care efficiency, with ambulances frequently tied up at hospitals. Instead, they spread paramedics across all apparatus, acknowledging the blend of firefighting and EMS skills required today.

Mobile Integrated Health 98

Mobile Integrated Health Community Paramedicine EMT EMT 98