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

The Skeptics' Guide to EM

Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program. Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA).

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Just Culture in EMS

JEMS

Emergency medical services(EMS) has historically been a punitive system, resulting in people being unforthcoming about issues or concealing minor infractions in hopes of evading discipline. The current fear-based environment results in underreporting in EMS, which can lead to negative patient outcomes.

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How ESO EHR Makes Critical Care Documentation Easier

ESO

We’re excited to announce the launch of our advanced Critical Care functionality within ESO Electronic Health Record (EHR) , designed to meet the unique demands of high-acuity healthcare environments. Advanced Reporting and Analytics Understanding the data behind your care drives ongoing improvement.

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Decisions Under Pressure: Fatigue, Stress, and Split-Second Judgments in EMS and Critical Care Transport

The FllightBridge ED

A flight paramedic hovers over a trauma patient in a dimly lit helicopter, straining to hear vitals over the screaming jet engine and…

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Women’s Health Challenges in EMS and Fire Service Culture

JEMS

The Culture of Silence is a Barrier to Progress One of the most striking themes was the pervasive “culture of silence” around women’s reproductive health issues in EMS and fire departments. Key Takeaways 1.

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How Memphis Fire Department Cracked the Code on Recruitment and Retention

JEMS

Stephen shared data to expose the disconnect between passing those initial hurdles and surviving on the job—nearly half of recruits without EMS experience hired through written exams dropped out during their first year because they couldn’t complete EMT school or failed to display necessary attitudes like integrity and punctuality.

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Unmasking the Mental Health Crisis Among First Responders

JEMS

The study exposes alarming rates of PTSD, depression, and suicidal ideation—20% of EMS respondents have thought about suicide linked to their work. The conversation addresses how chronic workplace stressors like mandated overtime and stigma create substantial barriers to care. Watch Part 2 here. Three Important Takeaways 1.