JEMS

JUNE 23, 2025

It’s a truth that emergency medical personnel know well but can be tricky to spot — strokes present as a variety of symptoms, some with pain and some without, some instantaneous, others slow, including Cartier’s. ‘It’s Getting Worse.’

First Responder

JEMS

AUGUST 1, 2025

Tikvesa D, Vogler C, Balen F, et al. European J Trauma and Emergency Surgery 2025;51:4Full text available on-line at: [link] 3. Identifying and profiling pre-arrival characteristics of avoidable emergency department visits transported by paramedics: a cohort study using linked prehospital and hospital data.

E-9-1-1

JEMS

JUNE 12, 2025

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. A novel artificial intelligence–enhanced digital network for prehospital emergency support: Community intervention study.

E-9-1-1

JEMS

AUGUST 7, 2025

When a patient does not have insurance or defaults on payment for care they have received in an emergency department or hospital, those costs need to be absorbed by someone. Note There are no concrete numbers for utilization and cost relevant to the GDP in the United States regarding emergency medical services.

EMS

JEMS

JULY 30, 2025

That’s the new average response time for emergency medical services (EMS) in Delaware County in the wake of the closures of Crozer-Chester and Taylor hospitals on April 30, county officials say. Unfortunately, wait times have been affected by our unprecedented 50 percent increase in emergency department volume.”

Ambulance

Don't Forget the Bubbles

AUGUST 3, 2025

Reviews and opinion articles Disparities in Pediatric Mental Health Care in Emergency Departments: A Scoping Review. Efrem E, et al. Maria Giovanna P, et al. Cristofori F, et al. Derbie AY, et al. Beard LA, et al. Piske M, et al. Pratt MTG, et al. Drummond H, et al. Pediatrics.

E-9-1-1

ACEP Now

JUNE 4, 2025

percent mortality rate within one year among patients discharged from the emergency department (ED) following a nonfatal opioid overdose. 5,6 Prehospital Bupe Emergency medical services (EMS) often serve as the first point of contact with the health care system for many individuals experiencing overdose or withdrawal.

Emergency Medical Services

The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al.

Emergency Department

Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten Color-Coded Length-Based Weight-Estimation System: History of [Emergency Medical Services for Children] Designed by Dr. James Broselow. Dr. Broselow was family medicine but switched to emergency medicine. Emergency Medical Services for Children] “Red to Head.” One end of the tape is red with an arrow.

E-9-1-1

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: July 21, 2023 Reference: McDonald et al. Reference: McDonald et al. He has midline neck tenderness but no limb numbness or paresthesia.

Emergency Medical Services

The Skeptics' Guide to EM

JUNE 1, 2024

Reference: Tavender E, et al. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC.

Emergency Medical Services

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EMS

The Skeptics' Guide to EM

JANUARY 15, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Reference: Matchett, G.

Emergency Medical Services

The Skeptics' Guide to EM

FEBRUARY 17, 2018

[display_podcast] Date: February 14th, 2018 Reference: Alam N et al. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Medical Services

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.

Emergency Medical Services

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.

Emergency Medical Services

NAEMSP

FEBRUARY 1, 2023

“Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” ” Prehospital Emergency Care 23.3 Background: Diabetes is a common chronic medical condition. ” Prehospital Emergency Care 22.6 Rostykus, Paul, et al.

OR

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.

EMS

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Fnais N, Soobiah C, Chen MH, et al. Keller S, Yule S, Zagarese V, et al.

Critical Care

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

ED

Irish College of Paramedics

SEPTEMBER 26, 2018

The recent discussions regarding the crew composition of the proposed Helicopter Emergency Medical Services (HEMS) in Cork require comment from paramedicine. 2000, Stiell et al. 2004, Jayaraman et al. 2014), BLS (Sanghavi et al. Irish Journal of Paramedicine. link] under a CC-BY-NC 4.0 Nichol , G.,

Emergency Medical Technician

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.

Operating Room

ACEP Now

JULY 7, 2023

Carvey (@MATTCARVEY123) is a second-year resident through the MetroHealth and Cleveland Clinic Foundation emergency medicine residency program in Cleveland, Ohio. References Prekker ME, et al. The impact of a soiled airway on intubation success in the emergency department when using the GlideScope or the direct laryngoscope.

ALS

The Skeptics' Guide to EM

AUGUST 10, 2024

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA.

Emergency Medical Services

The Skeptics' Guide to EM

MAY 21, 2017

[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. display_podcast] Date: May 19th, 2017 Reference: Willman et al. Reference: Willman et al.

Naloxone

The Skeptics' Guide to EM

JANUARY 19, 2019

Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. This teaching has been challenged by a systematic review by Willman et al 2017.

Naloxone

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.

Frozen Plasma

The Skeptics' Guide to EM

MAY 29, 2021

Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Journal of Trauma and […] The post SGEM#332: Think Outside the Cardiac Box first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Medical Services

EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). References Evans L, Rhodes A, Alhazzani W, et al. 2022;22:76.

E-9-1-1

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. Pediatr Emerg Care.

ALS

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. American Journal of Emergency Medicine. Types of Injury: Primary: Injury caused by the blast wave. It most commonly affects gas-containing organs. Nowadly C.D., Schauer S.G.,

EMS

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. American Journal of Emergency Medicine. Types of Injury: Primary: Injury caused by the blast wave. It most commonly affects gas-containing organs. Nowadly C.D., Schauer S.G.,

EMS

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Carsten L, et al. Ann Emerg Med.

Defibrillator

EMDocs

JUNE 1, 2023

Source Article: Cooper DJ, Nichol AD, Bailey M, et al. Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia. Bradycardia: 18.8% Average ventilator days (8.3

E-9-1-1

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Tintinalli JE, Stapczynski J, Ma O, et al. Emerg Med Pract. Emerg Med J. 2023 Jul 17.

Operating Room

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Vet Hum Toxicol. 1986;28(6):543-4. Pediatrics.

E-9-1-1

REBEL EM

NOVEMBER 20, 2023

Paper: Jansen JO, Hudson J, Cochran C, et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. References: Butler FK Jr, Holcomb JB, Shackelford SA, et al.

OR