High Performance EMS

AUGUST 9, 2024

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. The following example of a “ priority 2 ” request may search for an ALS unit capable of meeting a particular response time standard directed by evidence-based patient outcomes.

BLS 264

BLS CAD Advanced Life Support Life Support 264

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Reference: Dillon et al.

Naloxone 256

Naloxone NARCAN Overdose CPR 256

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

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

CPR 270

CPR Defibrillator First Responder Epinephrine 270

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. Date: July 21, 2023 Reference: McDonald et al. Emergency Medical Services (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. Reference: McDonald et al.

Emergency Medical Services 246

Emergency Medical Services ALS EMS Emergency Department 246

The Skeptics' Guide to EM

APRIL 13, 2024

Reference: Albers GW et al. Reference: Albers GW et al. Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. TIMELESS Investigators.

ALS 337

ALS Emergency Department OR EMS 337

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. Managing editor of EM:RAP and Associate Editor at REBEL EM. Date: July 6, 2023 Reference: Hanula R et al. Managing editor of EM:RAP and Associate Editor at REBEL EM. JAMA Int Med 2023. JAMA Int Med 2023.

ALS 267

ALS Emergency Department EMS ED 267

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. 2024.10.006].

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

Core EM

JANUARY 25, 2024

How and when to reverse anticoagulation in the bleeding EM patient. Fariborz Farsad B, Golpira R, Najafi H, et al. Fariborz Farsad B, Golpira R, Najafi H, et al. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Iran J Pharm Res. 2015;14(3):877-885.

Frozen Plasma 246

Frozen Plasma FFP Plasma Critical Care 246

The Skeptics' Guide to EM

JULY 22, 2023

Date: July 21, 2023 Reference: Prekker et al. NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. Date: July 21, 2023 Reference: Prekker et al.

Emergency Medical Services 245

Emergency Medical Services Defibrillator CPR EMS 245

The Skeptics' Guide to EM

JANUARY 27, 2024

He is also an assistant medical director for EMS at the Centre for Paramedic Education and Research in Hamilton, Ontario, Canada. That 40-patient study by Ferguson et al did show a statistically significant increased likelihood of hypotension in RVMI patients who received nitrates, but to me, the study design was just plain weird.

Paramedic 308

Paramedic ALS EMS OR 308

ALiEM

MAY 17, 2023

There were 132 (46%) EM residency programs with at least one unfilled PGY-1 position, and there were 554 (18.4%) overall unfilled EM positions. Dr. Sara Krzyzaniak (EM program director at Stanford) hosts this important episode with Dr. Michelle Lin (ALiEM/UCSF), reflecting on the whys, hows, and what nexts. Ann Emerg Med.

EMS 130

EMS ALS 130

Pulsara

OCTOBER 9, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Territories, and Canada.

EMS 104

EMS Paramedic ALS 104

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. link] Sharma R, Gaillard F, Bell D, et al.

EMS 110

EMS E-9-1-1 ALS OR 110

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

ICU 227

ICU Defibrillator CPR Paramedic 227

ACEP Now

JANUARY 5, 2025

Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. References Grasl S, Mekhail P, Janik S, et al. Dharmawardana N, Chandran D, Elias A, et al. Ker K, Edwards P, Perel P, et al. Arora R, Saraiya S, Niu X, et al. Andreae MC, Cox RD, Shy BD, et al.

Operating Room 98

Operating Room Epinephrine ALS ED 98

The Skeptics' Guide to EM

OCTOBER 19, 2024

Date: October 7, 2024 Reference: Nguyen et al. Annals of EM 2024. Reference: Nguyen et al. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital. mg/kg nebulized or 0.3

OR 243

OR Emergency Department ED ALS 243

The Skeptics' Guide to EM

JUNE 1, 2024

Reference: Tavender E, et al. His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). Reference: Tavender E, et al.

Emergency Medical Services 212

Emergency Medical Services Emergency Department EMS ALS 212

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS ALS Emergency Medical Services OR 114

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 130

EMS Emergency Medical Services CPR Critical Care 130

Pediatric EM Morsels

APRIL 19, 2024

Davidson JS, Brown DJ, Barnes SN, et al. West S, Andrews J, Bebbington A, et al. Symons S, Rowsell M, Bhowal B, et al. The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. J Pediatr Orthop. 2018;Volume 00(00):DOI:10.1097/BPO.0000000000001169. 0000000000001169.

ALS 293

ALS ACS Emergency Department ED 293

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. Bernstein AL, Cassidy J, Duchynski R, Eisenberg SS. The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. Kim TK, Yoon JR, Kim YS, Choi Y, Han S, Jung J, Park IS.  2022 Jun 29;22(1):252. Zasler ND, Katz DI, Zafonte RD.

EMS 119

EMS E-9-1-1 OR ED 119

ALiEM

FEBRUARY 5, 2024

Reference Lin M, Phipps M, Chan TM, et al. Alex Rogers MD, J.D. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

The Skeptics' Guide to EM

AUGUST 19, 2023

Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of […] The post SGEM#413: But Even You Cannot Avoid…Pressure – Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage first appeared on The Skeptics Guide to Emergency Medicine.

EMS 186

EMS ALS Emergency Department OR 186

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. Originally developed by Marsh et al.,

EMS 161

EMS Emergency Department ALS ED 161

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.

Overdose 110

Overdose EMS Emergency Medical Services OR 110

ALiEM

NOVEMBER 3, 2023

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 211

Critical Care EMS Emergency Department ALS 211

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Never fear. 5 th Edition.

E-9-1-1 307

E-9-1-1 Epinephrine ALS EMS 307

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. link] Haidar H, Menon A, Al Duhirat E. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. Jauch EC, Hall G, Knoop KJ.

EMS 98

EMS E-9-1-1 OR ED 98

Pediatric EM Morsels

OCTOBER 27, 2023

2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. and Seaver, M. Rosenberg, M.S.

E-9-1-1 274

E-9-1-1 Emergency Medical Services Life Support ALS 274

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. References: Gaillard F, Glick Y, Tatco V, et al. 61.4.496 Navi BB, Kamel H, Shah MP, et al. Goldmakher GV, Camargo EC, Furie KL, Singhal AB, Roccatagliata L, Halpern EF, et al. link] Nael K, Khan R, Choudhary G, Meshksar A, Villablanca P, Tay J, et al.

EMS 96

EMS ALS OR ACS 96

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. Çalışkan Uçkun A, Yurdakul FG, Ergani HM, et al. link] Alkandari A F, Alawadhi A, Alawadhi F A, et al. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. 0000000000017823 Rosskopf AB, Martinoli C, Sconfienza LM, et al. Flexor Tendon Lacerations.

EMS 94

EMS ALS Emergency Department ED 94

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. Coolest part of this trial?

ALS 75

ALS OR STEMI EMS 75

FOAMfrat

DECEMBER 28, 2024

The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Concluding Thoughts Integrating ultrasound into EMS practice is fraught with challenges but undeniably rewarding. Ralston, D.

Emergency Medical Services 64

Emergency Medical Services Medical Transportation EMS ALS 64

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. link] Al Aaraj MS, Kelley C. Al-Noury, K., & Lotfy, A. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. The Lancet.

EMS 104

EMS ED OR ALS 104

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old man was brought into the emergency department via EMS after being stabbed. doi:10.1038/s41394-020-0315-4 Tian F, Tu LY, Gu WF, et al. 060513 Itodo OA, Flueck JL, Raguindin PF, et al. Diagnosis includes imaging. Spinal Cord Ser Cases. 2020;6(1):67.

EMS 105

EMS E-9-1-1 Emergency Department Ambulance 105

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. 2018.75010 Miranda-Barrios J, Bravo-Queipo-de-Llano B, Baquero-Artigao F, et al. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. Preseptal Cellulitis in Children: A Single-Center Experience. doi:10.14744/semb.2018.75010

EMS 95

EMS OR Emergency Department ALS 95