JEMS

JUNE 6, 2025

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. In a profession as noble as ours, is this what we want? When investigating an incident, identifying the root cause is essential.

EMS

EMOttawa

JANUARY 13, 2025

Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome.

OR

EMDocs

JULY 9, 2025

Both studies demonstrated no difference in their primary outcome of mortality before discharge home by day 90 when employing a ‘liberal’ or ‘restrictive’ approach to fluid resuscitation for patients in septic shock. LVOT VTI is particularly helpful in managing septic patients because it offers a reliable way to evaluate fluid responsiveness.

Emergency Department

International Journal of Paramedicine

JULY 8, 2025

Current care modalities for patients are primarily centered on medical stability during transport and do not adequately address aspects such as patient comfort or alignment with goals when a patient is on hospice or at risk for delirum.

Interfacility Transport

St. Emlyn's

DECEMBER 27, 2024

Despite a high mortality rate (60% at 180 days) potentially underestimating long-term risks, the study's robust design supports IO access as a generally safe and effective procedure in critical care situations. The post What’s the long term complication rate of IO access?

Critical Care

JEMS

JULY 11, 2025

The study compared the effects of different albumins on improving heart function and reducing fluid requirements during critical resuscitations. The findings were promising. ” Whether responding in urban environments or remote rural areas, a lightweight, easy-to-store solution like 25% HSA could prove invaluable.

Mobile Integrated Health

JEMS

JUNE 11, 2025

Rethinking the Recruitment Model—People Hire People Memphis Fire and Rescue shifted recruitment responsibility from traditional human resources personnel to firefighters and firefighter-paramedics deeply embedded in the culture.

Mobile Integrated Health

JEMS

JULY 3, 2025

This distinction is critical: EMS providers should rely on their specific guidelines, which consider the operational environment and exposures inherent to prehospital care, rather than hospital rules designed for prolonged patient contact. Surgical masks, combined with proper vehicle ventilation protocols, suffice for most encounters.

Mobile Integrated Health

EMDocs

JUNE 18, 2025

Frequently, point-of-care ultrasound (POCUS) is utilized to evaluate ejection fraction and for B-lines, but evaluating for these alone does not answer the full question. That is, it may provide a measure for when fluid resuscitation should be stopped and earlier pressors utilized.

E-9-1-1

JEMS

JUNE 24, 2025

Barriers to Treatment Remain High Despite the clear need, many first responders hesitate to seek mental health care due to stigma and fear of professional consequences. The study highlighted concerns that seeking help might lead to being labeled “weak,” losing one’s license, or being sidelined at work.

First Responder

REBEL EM

NOVEMBER 18, 2024

Day 1 • Didactic presentations by Dr. Levitan and Dr. Rezaie on crisis performance, oxygenation, airway anatomy, laryngoscopy, endoscopy, pediatrics, rescue oxygenation techniques and critical care. End of day will involve discussion of challenging airway management cases from participants and faculty.

Critical Care

EMCrit Project

JULY 19, 2025

0000000000004651] Bellal Joseph, MD FACS Dr. Bellal Joseph is the Martin Gluck Endowed Professor of Surgery, Professor of Neurosurgery, Chief of General Surgery and Chief Division of Trauma, Critical Care, Burns & Emergency Surgery, at the University of Arizona. Questions Before Joining (FAQ) Join Now!

Critical Care

Don't Forget the Bubbles

NOVEMBER 11, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation.

ALS

NAEMSP

JULY 15, 2025

Author : Daniel Johnson, DO, FACEP; Assistant Professor, Department of Emergency Medicine, Life Lion EMS & Critical Care Transport, Penn State Health Milton S. In 2018, Meyers, Weingart, and Smith published “The OMI Manifesto” which shed light on the concept of a novel categorization of acute myocardial infarction 2.

EMS

Don't Forget the Bubbles

JULY 7, 2025

Adrenaline, an endogenous catecholamine produced by the adrenal medulla, exerts its effects on both alpha- and beta-adrenergic receptors in a dose-dependent manner, triggering the well-known sympathomimetic ‘fight or flight’ response to stress. It should be delivered intravenously, or if intravenous access is unavailable, via the intraosseous route.

Emergency Department

Don't Forget the Bubbles

NOVEMBER 18, 2024

Pathophysiology I know we all tend to skip the pathophysiology bit when revising (or maybe it was just me) but bear with me, I promise it will make treating hypotension a little easier. Systemic Vascular Resistance (SVR): Neonatal immature autonomic regulation can lead to failures in vascular tone maintenance, resulting in low SVR.

OR

ESO

JANUARY 27, 2025

EHR | FLACC Pain Scale The FLACC Pain Scale was part of our Critical Care initiative in 2024 and will be available in the Pain section within Vitals in ESO EHR. You can now automatically calculate Shock Index based off of the values you enter for Pulse and Systolic Blood Pressure.

MIH

ESO

MAY 19, 2025

Auto-Generated Narrative is just one of ESO EHRs new innovative features aimed at empowering first responders in better caring for their communities. By drawing directly from structured data already entered in the record, ESOs Auto-Generated Narrative writes a full narrative summary ready for review.

Critical Care

JEMS

JULY 11, 2025

Light has 30 years in the field of EMS, with a background in critical care. 5 min read News News Feed Patient Care Headlines Nebraska Whole Blood Massachusetts Opioid Overdose Deaths Down 36% in 2024 Opioid related overdose deaths fell 36% in Massachusetts in 2024, reaching their lowest point since 2013.

Mobile Integrated Health

ACEP Now

DECEMBER 7, 2024

In addition to the reduced risk for major bleeding, use of mechanical thrombectomy techniques has been shown to decrease hospital costs by reducing the need for post-procedural critical care following intervention. A massive PE, the most severe, causes hemodynamic instability and carries the most morbidity and mortality.

E-9-1-1

Don't Forget the Bubbles

JUNE 10, 2025

Other prehospital clinicians included Emergency care assistants ( 7% ) and student paramedics ( 8% ) (see Figure 1 ). These cases often involved critical care, multiple specialist teams, and more complex diagnoses or prognoses. Neurological diagnoses What do prehospital clinicians think of the feedback survey?

E-9-1-1

Don't Forget the Bubbles

JUNE 10, 2025

​Prehospital clinicians are often the first to assess and treat critically unwell children, making crucial decisions under pressure and initiating vital interventions. Many prehospital clinicians report feeling anxious and lacking confidence when caring for younger patients. e.g., ST3 + (UK equivalent).

Emergency Department

JEMS

JULY 16, 2025

The ability to move sensitive medical cargo quickly and reliably improves overall patient care efficiency and reduces operational bottlenecks. Their Guardian system can deliver critical emergency supplies—Narcan, epinephrine, blood products, AEDs—direct to incident scenes faster than ground crews can arrive.

EMS

Don't Forget the Bubbles

APRIL 28, 2025

Paramedics are increasingly required to assess patients and determine whether they can be safely managed at home with self-care or primary care or if they need to be transferred to the hospital. The researchers used electronic health records to identify VZV complications seen in secondary care. What is chickenpox?

Paramedic

JEMS

JUNE 10, 2025

This contributes to feelings of isolation and insufficient support during critical times. Stacee shared stories collected anonymously from frontline women experiencing miscarriages, fertility struggles and chronic conditions like endometriosis—all while navigating the physical demands of the job.

Mobile Integrated Health

FOAMfrat

DECEMBER 26, 2024

IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES.

Epinephrine

JEMS

JUNE 25, 2025

Operating 24/7/365, GundersenAIR responds to high-acuity emergencies when ground transport is impractical or time-sensitive care is required in flight. Both solutions significantly improve patient care by ensuring precise weight-based dosing and streamlined adherence to medical protocols.

Mobile Integrated Health

Broome Docs

JANUARY 27, 2025

Welcome to the first episode of the Broomedocs podcast for 2025. Justin and I are back for more nerdy goodness to make you smarter in the Resus room, or at a pub trivia night more likley… wether it is about salt correction, dissection or infection we can help you out! Listen in and learn! Dimer is useful in the low risk group. Emerg Med J.

ED

REBEL EM

NOVEMBER 11, 2024

found no difference in mortality in critical care patients treated with vancomycin and piperacillin- tazobactam compared to vancomycin and cefepime or meropenem. found no difference in mortality in critical care patients treated with vancomycin and piperacillin- tazobactam compared to vancomycin and cefepime or meropenem.

E-9-1-1

JEMS

JUNE 11, 2025

He has 33 years of EMS experience, beginning in the early 1990s, having been certified at various times as a an EMT, an EMT-I, a critical care technician and a paramedic. This was called Critical Care Technician. Kroll says there are any additional liability issues with using three levels of provider at his agency.

AEMT

JEMS

JULY 18, 2025

4 min read Admin/Leadership Podcasts EMS EMT Paramedic The JEMS Report Gwenny Winkler on Critical Care, Coaching and Embracing Growth Veteran flight nurse and educator Gwenny Winkler shares her EMS journey.

Mobile Integrated Health

JEMS

JULY 31, 2025

9 min read Commentary Exclusives Patient Care EMS EMT Paramedic Being a Better Advocate for Your Patients with Developmental and Intellectual Disabilities An EMS provider with autism shares insights on effectively responding to patients with autism and developmental or intellectual disabilities.

E-9-1-1

EMDocs

MAY 19, 2025

Burn center consultation; need center with multidisciplinary care (critical care, dermatology, burn surgery, ophthalmology, ENT, pulmonology, gastroenterology, nephrology, urology, gynecology, psychiatry, wound care, and nutrition). Chronic phase: disease stops progressing in convalescent stage, then recovery stage.

E-9-1-1

JEMS

JUNE 6, 2025

This approach builds critical thinking skills and helps providers work through complex scenarios independently—crucial in both exams and the field. This is sobering but reassuring advice for any EMS clinicians eager to expand their scope into critical care transport.

Critical Care

The Bottom Line

JUNE 27, 2025

Skip to content Twitter Google+ Facebook Reddit RSS The Bottom Line A compendium of critical appraisals in Intensive Care Medicine research and related specialties Home About Us Summaries Intensive Care Medicine Emergency Medicine Peri-operative Medicine Blog News EBM Editorial Submit a review Wessex ICS You are here: Home Blog Critical Care Evidence (..)

Critical Care

Don't Forget the Bubbles

MARCH 21, 2025

Patients were randomised in a 1:1 ratio to receive either nasal high-flow or standard care. 1069 intubations in 969 children were randomly assigned to nasal high flow (535 intubations) or standard care (534 intubations). Children who required multiple intubations could be re-enrolled and re-randomised.

ICU

EMDocs

AUGUST 11, 2025

ACNS divides NCSE in the critically ill patient into electrographic status epilepticus and electroclinical status epilepticus. Two forms: 1) convulsive SE (CSE) marked by prominent motor activity, and 2) non-convulsive SE (NCSE) without prominent or clinically obvious motor activity. Recently this definition has been modified to 10 minutes.

ICU