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SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting

The Skeptics' Guide to EM

Reference: Muldowney et al. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School of Public Health, while serving as a firefighter/paramedic in the Chicago suburbs. Ann Emerg Med.

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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol. Reference: Couper et al.

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The Future of Autonomous EMS Delivery Systems

JEMS

Remote-operated robots might soon perform basic triage tasks or even administer lifesaving interventions under the supervision of a remote paramedic or physician. Some conceptual models envision fully autonomous ambulances that transport stabilized patients without needing onboard medical staff. References 1. Claesson, A., Fredman, D.,

EMS
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Severe Hemorrhage Technology Developed by Military Researchers

JEMS

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. Understanding the Study The research, published in Shock (Penn et al., It’s like autotransfusion.”

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How Memphis Fire Department Cracked the Code on Recruitment and Retention

JEMS

Steven reveals how placing paramedics strategically across all units, not just ambulances, slashed burnout and boosted job satisfaction. Their innovative approach cut paramedic attrition by 60% and achieved a remarkable 75% retention rate overall.

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New ALS Intercept Service Brings Better Response Times in NH

JEMS

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.

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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

The guidelines, updated most recently in 2019, note that endotracheal intubation is reserved for paramedics. Extraglottic devices, however, are in the scope of practice for both advanced emergency medical technicians (AEMTs) and paramedics, making the devices more widely applicable. Benger JR, Kirby K, Black S, et al.