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Protocol Change

Peter Canning

When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford.

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The Future of Autonomous EMS Delivery Systems

JEMS

1 min read EMS Operations News News Feed Headlines New York WA Firefighter Uses Nalaxone to Save Puppy Exposed to Fentanyl A Lacey firefighter saved a puppy exposed to fentanyl by giving it naloxone at the Nisqually Reservation. All rights reserved.

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SAEM Clinical Images Series: This Rash Came Out of No Where

ALiEM

Available from: [link] www.ncbi.nlm.nih.gov/books/NBK430974/ Group A Strep Infection. References Nardi NM, Schaefer TJ. Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Group a Strep Infection.

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Practical Insights for Out-of-Hospital Birth Challenges

JEMS

3 min read Mental Health and Wellness Podcasts EMS EMT Paramedic Podcasts The JEMS Report Unmasking the Mental Health Crisis Among First Responders JEMS Managing Editor Jeff Frankel hosts a deep dive into the mental health challenges facing first responders. All rights reserved.

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Exploring EMS Frontline Fatigue: Insights from the Literature

JEMS

Not Quite, But EMS Providers Score Big Under the ‘One Big Beautiful Bill Act’ Employees will now benefit from a significant tax break. All rights reserved.

EMS
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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

After some fentanyl, applying traction, and “opening the book,” he improved. New York: Penguin Books. The astute triage nurse—based on gestalt—moved to earlier physician evaluation. The young man ended up having a left testicular torsion for the last three hours. A testicular ultrasound confirmed restored blood flow. 1999;21(10):974.

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

2023 [book]. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. Journal of the American Academy of Dermatology. 2023 Aug 1;89(2):231. DOI: Papudesi BN, Malayala SV, Regina AC. Xylazine toxicity. PMID 37603662 Rose L, Kirven R, Tyler K, Chung C, Korman AM. JAAD Case Reports. 2023 Jun 1;36:113-5.