May, 2025

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Groundbreaking Research Aims to Understand the Impact of Work-Related Stress in EMS Clinicians

JEMS

The National Registry of Emergency Medical Technicians is collaborating with investigators at the Dartmouth College Center for Technology and Behavioral Health.

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SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants?

The Skeptics' Guide to EM

Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study.eClinicalMedicine Lancet December 2024 Date: March 6, 2025 Dr. Demetris Athanasiou Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London.

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Mental Health Days: Self-Care for First Responders

California Casualty

You run toward danger, answer the call in the toughest moments, and shoulder the weight of other people’s emergencies. But who looks out for you? For first responders, the toll of constant stress, trauma, and long shifts can quietly accumulate—until it erupts as burnout, anxiety, or worse.

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Episode 209: Blast Crisis

Core EM

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.

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AAA Advocates for Student Loan Forgiveness for All EMS Personnel

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post AAA Advocates for Student Loan Forgiveness for All EMS Personnel appeared first on American Ambulance Association.

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Paramedic Services Week – May 18th – 24th, 2025

Paramedic Chiefs of Canada

PCC Members, We hope your Paramedic Services Week is off to a great start! This year’s theme, ‘We Care. For Everyone’ depicts the diverse roles that Paramedics play in an ever-changing environment, from community paramedicine to preventative healthcare, Paramedics stand ready to respond to challenges whenever they are needed. We hope that you will join us in recognizing the below themes each day of Paramedic Services week this year.

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Thoracic Aortic Emergencies on Ultrasound: Recognizing Aneurysms and Dissections

Core Ultrasound

In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.

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Summer Pet Hazards: What Every Pet Parent Should Know

California Casualty

Summer is here, and our four-legged friends are ready to make the most of it—soaking up the sun, chasing butterflies, and joining us for backyard barbecues and beach days.

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Fighting Fatigue in EMS

JEMS

Here are some strategies to combat fatigue, and how to protect your health, performance and longevity in the field.

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Protecting Firefighter Free Speech: What S.1247 Means for Public Safety

Firefighters and EMS Fund

In a significant legislative development for first responders across the nation, Senator Eric Schmitt (R-MO) introduced S.1247, officially titled the “Public Safety Officer Free Speech Act,” on April 2, 2025. This landmark bill aims to protect firefighters, emergency medical service providers, and law enforcement officers from workplace retaliation when they speak out about job-related safety […] The post Protecting Firefighter Free Speech: What S.1247 Means for Public Safety a

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ECG of the Week 28/5/25

EMergucate

Today’s ECG is from a 75yr old male patient.

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Modern Medicaid Alliance Opposes Medicaid Policies in House Reconciliation Bill

American Ambulance Association

The American Ambulance Association is a member of the Modern Medicaid Alliance. Modern Medicaid Alliance Opposes Medicaid Policies in House Reconciliation Bill Press Release | Published: May 21 2025 […] The post Modern Medicaid Alliance Opposes Medicaid Policies in House Reconciliation Bill appeared first on American Ambulance Association.

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SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis

The Skeptics' Guide to EM

Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Childrens Hospital where she is the Head of Department.

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6 Ways To Lose DKA Style Points

FOAMfrat

I think most clinicians enjoy getting as much information as possible before getting on scene. It gives your mind time to start working through various scenarios, cross-check guidelines, and develop a game plan with your partner. I want you to read the following dispatch information and let your brain do a little premature future-telling.

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FDNY EMS Members Celebrate 50 Years of Serving New York City

JEMS

New York City salutes the service and protection provided by the citys street doctors.

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Imaging in paediatric trauma- what’s new?

Don't Forget the Bubbles

Its the first week of your new placement in the Emergency Department of a Paediatric Major Trauma Centre. Youve just finished discharging your third case of flu that day when the red phone rings a 14-year-old child has been stabbed in the chest and is severely injured. The nurse in charge has input out a major trauma alert, and the consultant has asked you to request the relevant bloods and imaging after the primary survey.

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ECG of the week 14/5/2025

EMergucate

A 33yr old male presents with exertional chest pain, his ECG is below: What is the specific finding and concern … Continue reading →

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Register Now: FICEMS Meeting on June 11

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Register Now: FICEMS Meeting on June 11 appeared first on American Ambulance Association.

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ESO Auto-Generated Narratives: Tech that follows your lead

ESO

Cut documentation time up to 80% and stay in control At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together. – Dr. Brent Myers, Chief Medical Officer at ESO Filling out patient care reports has always been an important, yet time-consuming, part of an EMS providers shift.

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A Simplified Protocol for Intralipid Administration in the Emergency Dept.

ACEP Now

A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Recently, numerous Emergency Department (ED) groups have demonstrated the efficacy of UGNBs for pain control with a low rate of complications. 1-3 This cohort study included data from the National

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Service Animals and EMS: How Our Policies Miss the Mark in Advocating for Patients and Providers

JEMS

Here's how EMS policies fall short in protecting rights of patients with service animals.

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Summer Driving Rules Every Parent Should Set

California Casualty

The freedom of summer is calling, and for many teens, that means hitting the road—often for the first time without a parent in the passenger seat. With new jobs, beach days, late-night hangouts, and spontaneous road trips on the agenda, it’s easy to forget that driving comes with serious responsibility.

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Procedure: Nail bed repair

Life in the Fastlane

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure: nail bed lacerations - a deceptively simple injury that can lead to permanent nail deformity if not managed carefully

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MDCalc Wars: NEXUS Criteria Vs Canadian C-Spine Rules

REBEL EM

REBEL Rundown Key Points Decision rules help : 98% of c-spine CTs are negativerules reduce unnecessary imaging. Both NEXUS & CCR rule out >99% of serious injuries; CCR may lower imaging rates. NEXUS is simpler but excludes intoxicated patients and can’t clear midline tenderness. CCR is more validated , includes MOI, allows intoxication if alert, and can clear some with midline tenderness.

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A snapshot of the 2024 PEM MSc dissertations

Don't Forget the Bubbles

In 2021, we welcomed our first cohort of doctors, nurses, and paramedics from across the world onto the PEM MSc. This online MSc is undertaken over three years and covers the full range of PEM presentations. In the final year, students use the skills they have learned in knowledge translation and evidence appraisal to undertake their own study for their dissertation.

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Hilo Benioff Medical Center Improves Average Door-to-Needle Time by 41%

Pulsara

After implementing Pulsara, the Island of Hawaii's Hilo Benioff Medical Center achieved a 24-minute reduction in average door-to-needle time for stroke patients. Hilo Benioff Medical Center, the largest facility in the Hawaii Health System Corporation and the leading provider of inpatient and outpatient care on Hawaii Island, is a Level III Trauma Center and Primary Stroke Center that faces unique challenges in delivering timely stroke care.

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Is It Time for Midlevel Providers to Staff EMS Vehicles?

JEMS

Nurse practitioners and physician assistants might be the future of prehospital care amid rising acuity, demand and workforce shortages.

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Year-end Class Management Tips

California Casualty

The countdown to summer is on, and your students can feel it. But before the final bell rings, there’s still learning to do and a classroom to keep on track. Year-end chaos doesn’t have to rule the day.

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Prehospital Cath Lab Activation for inferior "STEMI" -- do you agree?

Dr. Smith's ECG Blog

A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the prehospital ECG: The computer says STEMI Based on this and the presence of chest pain, the medics did a prehospital activation of the cath lab. What do you think? Interpretation: There is clear atrial flutter. Look at the spikes in V1 at a rate over 300, which are flutter waves.

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Unique Airway Considerations and Risks When Treating Pregnant Patients

SSCOR

Pregnant patients exhibit various unique characteristics that first responders must account for during treatment. A significant challenge responders encounter when treating pregnant women is navigating difficult airway anatomy and possible risks during airway management. The rate of failed intubation in pregnant patients is four to eight times higher than in nonpregnant patients, and this is largely due to anatomical changes , hormone production, and aspiration risks that occur during pregnancy.

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Peer-assisted learning in the ED

Don't Forget the Bubbles

What is peer-assisted learning (PAL)? Peer-Assisted Learning (PAL) has roots in educational research dating back to 1993 when it was developed to enhance learning through collaboration. The idea was simple but powerful: students learn better when they learn together. By harnessing the benefits of peer tutoring, PAL aimed to support diverse learning needs and improve educational outcomes.

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Celebrating EMS Week: We Care. For Everyone.

Pulsara

Today is EMS Recognition Day, the final day of EMS Week and a time to recognize and celebrate the people who take on the challenge of serving their communities every single day. Whether its a life-threatening emergency or a routine transport, EMS professionals play a crucial role in keeping us all safe. Think about those moments when every second countswhen lives are on the line, and each decision is crucial.

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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.

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US Probe: An Abundance of Artifacts

EMDocs

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) and Lilly Bellman, MD (Pediatric POCUS Director, San Francisco Emergency Medicine Associates, California Pacific Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case: A 41 year old male presents to the ED with right upper quadrant pain that worsens after eating.

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EMCrit Ghali Grills 003 – Further Disambiguating “PEA”

EMCrit Project

We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!! EMCrit Project by Scott Weingart, MD FCCM.

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The Fundamentals of Assessing Respiratory Status

SSCOR

About one in eight non-traumatic emergency visits were due to respiratory distress. Among patients with respiratory health issues or emergent trauma, the figure may have been even higher. Assessing respiratory status is a core component of emergency and trauma care, as well as medical intake. Even when respiratory distress is not the presenting issue, it may be a complicating factor.

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Is this STEMI or NSTEMI? Neither. It is OMI.

Dr. Smith's ECG Blog

interesting spontaneous reperfusion case 1413140 prehospital STEMI first ED ECG is here, with 3/10 pain: But this is the same patient just 10 minutes before, with 7/10 pain Isn't it ridiculous to say that the patient has both a STEMI and an NSTEMI? ACS is dynamic. It can't be given one static name. This patient has OMI that meets STEMI criteria, then OMI that does not meet STEMI criteria.

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