Wed.May 28, 2025

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Choose to Bring the Light

JEMS

EMS providers need to balance clinical skill with empathy, advocating for patient-centered care through compassion, respect and clear communication.

EMS
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What does this ECG represent in the setting of "negative" troponins?

Dr. Smith's ECG Blog

This was written by Mark Hellerman, Cardiology Fellow at Stony Brook: The Case: A 60 year old man with no reported medical history presents to the ED for evaluation of chest pain. For the past 3 days he has been experiencing substernal, exertional chest pain that resolves with rest. At the time of evaluation in the emergency department he is pain free at which time the following ECG is obtained: The above tracing and clinical vignette were sent to Dr.

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Lightning rounds 52: Echo tips with Michael Lanspa

Critical Care Scenarios

We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better. Learn more at the Intensive Care Academy! Find us on Patreon here! Takeaway lessons We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better.

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A sick elderly patient with nonspecific symptoms

Dr. Smith's ECG Blog

Written by Pendell Meyers An elderly woman summoned EMS for generalized weakness and multiple vague complaints. She was confused and ill appearing. Here is her EMS ECG: What do you think? Without other ECGs (below), the rhythm differential could include junctional/ventricular escape, or ventricular paced rhythm (with small or filtered-out pacing spikes), or other rhythms.

EMR
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Name that murmur

Life in the Fastlane

Gary Zhang, Andrew Robbins and Mike Cadogan Name that murmur Eponymythology: heart murmur eponyms and named cardiac murmurs. Related eponyms, the person behind their origin, their relevance today, and modern terminology.

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Episode 109 – The HITS Keep Coming

The Curious Clinicians

Why don’t we all get heparin-induced thrombocytopenia? Way back in episode 59 , we discussed why heparin, a commonly-used anticoagulant in the hospital, can cause mild hyperkalemia. The more widely-known side effect of heparin, though, is heparin-induced thrombocytopenia (HIT), of which there are two types: Type 1 (non-immune mediated) and Type 2 (immune-mediated).

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TX Ambulance Crash Sends Paramedic to ICU

JEMS

A paramedic was seriously injured in an ambulance crash Monday in Beaumont.

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PCC 2025 Board Nomination Results

Paramedic Chiefs of Canada

PCC Members, Thank you for participating in the nominations for the 2025 PCC Board of Directors seats. Nominations are now closed for all Board vacancies. We are pleased to share with you that for the Board of Director seats below, one individual was nominated for the seat and therefore is elected by acclamation. British Columbia – Jennie Helmer, COO, BC Emergency Health Services Manitoba – Ryan Sneath, Deputy Chief, Winnipeg Fire Paramedic Service Nova Scotia – Gord Peckham, V

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Ambulance Rate Hike in Works Just 18 Months Into $30 Million Sonoma County (CA) Contract

JEMS

Less than a year and a half into a new contract for ambulance service in Sonoma Countys urban core, local health officials and theSonoma County Fire Districtnegotiating a rate increase.

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Prepare for Unforeseen Consequences

EMS 20/20

The guys analyze a crew that walks into self-imposed traps. Do they figure it out before it's too late, or do they find themselves at the bottom of a hidden pit? Listen and find out! The guys analyze a crew that walks into self-imposed traps. Do they figure it out before it's too late, or do they find themselves at the bottom of a hidden pit? Listen and find out!

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Two Killed and Dozens Injured in TN Greyhound Bus Crash

JEMS

Two people were killed and dozens were injured when a Greyhound bus and a passenger vehicle crashed in Tennessee, authorities said.

EMS
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Not What They Signed Up For

Peter Canning

There has been much speculation about why fatal overdose deaths have been declining nationwide. Here are some of the reasons mentioned in a plethora of articles: 1. Increased Availability of Naloxone 2. Expanded Addiction Treatment 3. Shift from Injecting to Smoking and Other Safer Practices such a as Not Using Alone 4. Impact of Opioid Settlement Dollars 5.

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SC Man Receives $45K Settlement Over Ketamine Incident

JEMS

A Charleston County man has received a $45,000 payout following a lawsuit alleging he suffered a serious health reaction to ketamine administered by medics.

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Ambulance Stranded in TX Floodwaters

JEMS

Heavy flooding in Kilgore Monday morning left a CHRISTUS EMS ambulance stranded under high water at a Houston Street underpass.

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TN Backs Off Plans to Force Cities and Towns to Fund EMS; Economic Study Planned

JEMS

A new Tennessee law is prompting a closer look at how cities rely on counties for ambulance services and whether that financial burden should be shared more equally.