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. In line with HCPC requirements, paramedics must use evidence-based practice to make informed clinical decisions. This post explores the key information needed to support sound, evidence-based, and patient-centred decision-making in managing chickenpox in children.

Paramedic 97

Paramedic ALS Emergency Department Ambulance 97

NAEMSP

APRIL 18, 2025

Author : Katie Stuart MD; Washington University Emergency Medicine Residency Editors : Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a safe landing place near where the ambulance is staged.

EMS 52

EMS Ambulance EMT EMT 52

International Journal of Paramedicine

APRIL 16, 2025

Objectives Emergency Medical Services clinicians are often tasked with the delivery of bad news including making death notifications and informing loved ones about the termination of resuscitations. Existing trainings for breaking bad news are based around palliative care conversations in dramatically different clinic or hospital settings. We hypothesize that pre-hospital clinicians are not receiving formal training in the skill of breaking bad news and the delivery of bad news can have harmful

Emergency Medical Services 52

Emergency Medical Services EMS OR 52

The Skeptics' Guide to EM

APRIL 26, 2025

Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he received a Master of Public Health (MPH) degree emphasizing Environmental and Occupational Health from the University of Illinois at Chicago, School

Emergency Medical Services 325

Emergency Medical Services OR Paramedic EMS 325

California Casualty

APRIL 21, 2025

When the rest of the world is winding down, you’re just gearing up—saving lives, keeping streets safe, answering calls, and making sure others get the care they need.

Paramedic 130

Paramedic OR 130

Emergency Medicine Cases

APRIL 21, 2025

In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation.

EMS 205

EMS 205

FOAMfrat

APRIL 4, 2025

When you think about strokes, you probably picture a slurred speech, middle-aged hypertensive smoker with half their face drooping. You dont picture atoddler in a car seat or a baby in a crib. But the reality is that strokes happen to kids, too.As paramedics, we thrive on pattern recognition, but pediatric strokes are theultimate zebra in the room. They dont present like adult strokes; theyre incredibly rare,and the clock is still ticking as fast.

Paramedic 105

Paramedic OR 105

ESO

APRIL 28, 2025

A typical hospital produces about 137 terabytes of data per day, more than twice the data housed in the Library of Congress. Yet, up to 97% of hospital data are unused. But what if all that data helped you improve patient outcomes, streamline operations, and support performance initiatives? What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)?

EMS 104

EMS Emergency Department STEMI ED 104

The Skeptics' Guide to EM

APRIL 5, 2025

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.

Emergency Department 210

Emergency Department ED ALS OR 210

International Journal of Paramedicine

APRIL 16, 2025

Introduction Out-of-hospital cardiac arrest remains a global health problem. There is emerging evidence that the use of extra-corporeal membrane oxygenation during resuscitation [ECPR], may help to improve outcomes. Several prehospital services around the world are now able to provide on-scene ECPR. However, the early identification of patients is a key factor in enabling this level of response to OOHCA.

Emergency Medical Dispatch 80

Emergency Medical Dispatch OR 80

Emergency Medicine Cases

APRIL 22, 2025

In this ECG Cases blog Dr. Jesse McLaren guides us through 6 illustrative cases delving into overall impression in identifying occlusion MI. He discusses how using multiple OMI findings such as acute Q wave, subtle STE, reciprocal STD, hyperacute T waves, and reciprocal TWI to contribute to your overall impression, can double the sensitivity of STEMI criteria for acute coronary occlusion.

STEMI 130

STEMI Coronary EMS 130

Paramedic Chiefs of Canada

APRIL 30, 2025

PCC Members, Paramedic Services Week is quickly approaching. 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.

Paramedic 85

Paramedic Community Paramedicine Paramedicine Paramedicine 85

REBEL EM

APRIL 14, 2025

Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care. The issue of BP cuff size has been studied in manual BP cuffs previously, but there is scant literature on automatic BP cuffs.

Emergency Department 125

Emergency Department ED EMS OR 125

ACEP Now

APRIL 22, 2025

On a recent shift, I cared for a stroke patient with a story that, on the surface, was one that we hear all too often in Emergency Medicine. Mrs. A, as well call her, arrived hypertensive and aphasic with a hemiparesis and left-sided neglect. Family told EMS that she had no known past medical history, yet the paramedics suspected that she likely hadnt seen a doctor in many years.

OR 98

OR Paramedic EMS 98

The Skeptics' Guide to EM

APRIL 1, 2025

Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr.

ED 278

ED Emergency Department 278

St. Emlyn's

APRIL 8, 2025

St.Emlyn's - Emergency Medicine #FOAMed In this episode of the St Emlyns Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians. The post Podcast – Monthly Round Up February 2025 – Skills Fade, Resusciation Targets and more appeared first on St.Emlyn's.

83

83

EMDocs

APRIL 18, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.

STEMI 63

STEMI OR EMS 63

California Casualty

APRIL 16, 2025

There’s nothing quite like prom and graduation season—the photos, the dresses and tuxes, the flowers, the celebrations. But while your teen may be focused on finding the perfect outfit or planning the after party, you’re likely thinking about something else entirely: their safety on the road.

OR 130

OR 130

REBEL EM

APRIL 28, 2025

Bottom Line Up Top: Blood gas electrolytes closely correlate with serum measurements and can be used under most circumstances to guide clinical care. Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Her vital signs are HR = 82, BP 153/72, O2 Sat 95%, Temp 98.7.

ALS 96

ALS Emergency Department ICU EMS 96

ACEP Now

APRIL 7, 2025

Emergency physicians across the United States are facing increasing financial and operational pressures threatening their ability to provide lifesaving care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI). An ACEP press release underscores the urgent need for policy and payment reforms to preserve the essential role of emergency departments in the U.S. health care system.

Emergency Department 98

Emergency Department ED OR 98

Paramedic Chiefs of Canada

APRIL 14, 2025

PCC Members, Our annual leadership Summit is less than two months away! In addition to the Summit sessions, you will have the opportunity to meet with sector partners, network with colleagues, and engage in conversations with Paramedic leaders from around the globe. A reminder to register for our upcoming Summit and reserve your guest room at our reduced rate by May 9th, 2025.

Paramedic 64

Paramedic Public Safety OR 64

EMOttawa

APRIL 24, 2025

In part 1 of this 2-part series on medicolegal risk in Emergency Medicine, we looked at two legal cases, with a primary focus on civil litigation and college complaints. In this section, we focus on risk assessment, documentation, and advice from lawyers and CMPA experts, with some frequently asked questions to conclude. Check out part […] The post Law and Order: Navigating Medicolegal risk in Emergency Medicine Part 2 appeared first on EMOttawa Blog.

81

81

EMDocs

APRIL 3, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, Geisinger Wyoming Valley) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.

Epinephrine 81

Epinephrine EMS OR ED 81

California Casualty

APRIL 29, 2025

Nothing throws a wrench in your day like the sudden thump-thump of a flat tire. But instead of panicking or waiting for roadside assistance, imagine confidently pulling over, grabbing your tools, and getting back on the road in no time.

OR 130

OR 130

REBEL EM

APRIL 2, 2025

Introduction: In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hockman and Kim Baldino, delve into the practice and importance of street medicinethe direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O’Connell, a pioneer of street medicine, and Dr. Ed Egan, a recent street medicine fellowship graduate, share their experiences and insights on serving this vulnerable population.

ED 107

ED EMS 107

International Journal of Paramedicine

APRIL 16, 2025

OBJECTIVE: Vasopressors are critical for patients experiencing shock. This observational study aims to describe the usage of vasopressors by EMS, and to assess how vasopressor usage differs between transport and hospital environments. The information gathered in this study can help determine which vasopressors should be available in an EMS system and guide the management of patients requiring vasopressors during EMS transport.

Ambulance 52

Ambulance Epinephrine EMS 52

American Ambulance Association

APRIL 30, 2025

This content is for AAA members only. Please either Log In or Join! The post EMS Week Op-Ed Writing Structure Guide & Checklist appeared first on American Ambulance Association.

ED 130

ED EMS Ambulance OR 130

EMergucate

APRIL 29, 2025

This week we have a series of 3 ECGs from separate patients. These patients all had the same question. “Doc is my pacemaker pacing properly?

EMS 130

EMS 130

Core Ultrasound

APRIL 2, 2025

In this video, we demonstrate the technique for performing an ultrasound-guided interfascial shoulder plane block (IPB) a simple, effective, and motor-sparing alternative to the interscalene block for treating shoulder pain in the Emergency Department. Non-Rotator Cuff Exam Rotator Cuff Exam Courses The post 5 Min Sono Interfascial Shoulder Plane Block first appeared on Core Ultrasound.

Emergency Department 100

Emergency Department 100

California Casualty

APRIL 3, 2025

Whether your pet is a seasoned jetsetter or a first-time flyer, navigating air travel with a four-legged friend takes planning, patience, and know-how. From booking the right seat to ensuring a smooth security check, here’s how to make flying with your pet a paws-itively stress-free adventure! Cabin or Cargo?

OR 130

OR 130

SSCOR

APRIL 26, 2025

Whether youre performing routine suctioning during surgical procedures, suctioning a patient on a ventilator, or performing life-saving procedures to prevent or reduce aspiration, diligent suction canister management is critical to proper patient care. Particularly in the face of bird flu and other infectious diseases, your agency must work proactively to reduce the risk of transmitting disease via equipment such as suction machines.

OR 59

OR 59

JEMS

APRIL 25, 2025

An ARCH Air Medical helicopter crashed shortly after takeoff Thursday night near a fire station in Hartford.

Ambulance 126

Ambulance 126

American Ambulance Association

APRIL 28, 2025

This content is for AAA members only. Please either Log In or Join! The post EMS Focus Webinar on Tuesday, April 29 at 12 p.m. ET appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

EMergucate

APRIL 20, 2025

The following 66yr old man went to the GP for a health check up, the GP found him to be bradycardic and referred him to ED.

ED 130

ED EMS 130

Peter Canning

APRIL 22, 2025

“We need a lot more naloxone than ever before. Some people need 20 milligrams” I hear this or versions of it in many of the opioid task force meetings I attend around the state. No, I say. The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. Which is not to say some people arent getting 20 milligrams.

Naloxone 52

Naloxone Overdose EMS OR 52

ACEP Now

APRIL 8, 2025

Did you know that by merely being an ACEP member, you are automatically a member of the International Federation of Emergency Medicine (IFEM)? IFEM is a federation of 70 emergency medicine organizations from around the world. The member organizations (i.e., ACEP) pays the membership fee, so you dont have to. IFEMs vision is a world where all people, in all countries, have access to high-quality emergency medical care.

Emergency Medical Services 52

Emergency Medical Services Critical Care Emergency Department ED 52

EMDocs

APRIL 14, 2025

Today on the emDOCs cast with Brit Long ( @long_brit) , we cover the Lisfranc injury. Episode 118: Lisfranc Injury What is it? The Lisfranc joint complex is a tarso-metatarsal articulation named for Jacques Lisfranc (1790-1847), one of Napoleons battlefield surgeons. A Lisfranc injury is any injury/disruption to this joint complex. Exist along a spectrum: minor subluxation to fracture and dislocation.

OR 68

OR ED Ambulance 68