February, 2025

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NRHA | Community Paramedicine Framework

American Ambulance Association

National Rural Health Association December 2024 Policy Paper Bridging the gap: A policy framework for sustainable community paramedicine in rural America Authors: Katie Gorndt, Kimberly Haverly, Tom Syverson The post NRHA | Community Paramedicine Framework appeared first on American Ambulance Association.

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Episode 165 Fish Tongue Parasite: Parasite Appreciation Hour

This Podcast Will Kill You

Okay everyone, think about your tongue. Maybe move it around a bit, check in with it, consider what it means to you. Now imagine that your tongue suddenly shriveled up and fell off and that in its place is a tongue-sized isopod aka rollie pollie aka pillbug. Just there, hanging out, forever. How are you feeling? Horrified? Disgusted? Hey, we get it.

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National Fire Organizations Set to Advocate for Legislation in DC Later this Week

NVFC

The Congressional Fire Services Institute (CFSI) will hold its annual Fire and Emergency Services Symposium and Dinner on February 12-13 in Washington, DC. CFSI is a consensus organization for the nations fires service that advocates for policies that have been approved by its National Advisory Committee, which consists of over 30 national fire service organizations including the National Volunteer Fire Council (NVFC).

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More trials from TBS 2025. (part 2)

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care.

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Posttraumatic Stress Disorder (PTSD) and Police Officers

First Responder Wellness

by: Nancy Ryba Panza, PhD, ABPP At First Responder Wellness we specialize in the treatment of Posttraumatic Stress Disorder (PTSD). PTSD is diagnosed when someone has been exposed to an incident (or incidents) that involve actual or threatened death, injury, or sexual violence and then develops impairing symptoms after that exposure. Given the high propensity for police officers to be exposed to such events, it is not surprising that we see a higher rate of PTSD in officers than in the general p

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Becker’s Hospital Review: How Cleveland Clinic’s geriatric ED model reduced admissions 42%

GEDC

Cleveland Clinic’s Geriatric Emergency Department (GED) model has significantly reduced hospital admissions and improved care for older emergency department (ED) patients. The GED model involves dedicated units, specialized practitioners, and a focus on early delirium detection, care transitions, and geriatric education. It operates in all 13 Cleveland Clinic EDs, with positive results: 17% admission rate for those seen by the geriatric team, compared to 55% for those not seen.

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2025 EMSNext Recipients Announced

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Samantha Hilker Sr. Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2025 EMSNext Winners Washington, D.C. The American Ambulance Association (AAA) is proud to […] The post 2025 EMSNext Recipients Announced appeared first on American Ambulance Association.

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Confirmation Hearing for Secretary of Labor Nominee to be Held on February 19

NVFC

The Senate Committee on Health, Education, Labor, and Pensions will hold a confirmation hearing for Secretary of Labor nominee Lori Chavez-DeRemer on February 19 starting at 10am ET. If confirmed by the Senate, Chavez-DeRemer would oversee the Occupational Safety and Health Administration (OSHA) and the ongoing development of their proposed Emergency Response Standard.

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Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.

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The 5 Basic Steps of CPR

Unitek EMT

A complete guide to life-saving CPR on adults, children, and infants Every second counts when someone experiences cardiac arrest, and the actions of a bystander can make all the difference. CPR or cardiopulmonary resuscitation can double or triple a persons chance of survival. According to a September 2018 article by the American Heart […] The post The 5 Basic Steps of CPR appeared first on Unitek EMT.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: New Meta-analysis Metoprolol vs Diltiazem for A-Fib with RVR Spoon Feed This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when t

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The Douglas K. York Endowed Scholarship: Application Deadline is March 1

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post The Douglas K. York Endowed Scholarship: Application Deadline is March 1 appeared first on American Ambulance Association.

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New Toolkit to Advance the Development of Partnerships between GEDs and Value-Based Care Organizations

GEDC

A new toolkit from the West Health Institute aims to equip clinical and operational leaders with the tools to partner with local value-based care organizations (VBCOs) in order to provide additional dispositions for older adults. Traditional paths of admission, discharge, or observation limit the scope of disposition choices to those that may not be optimal to address the patients acute needs and goals of care.

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Recruiters: Can You Answer These Common Volunteer Firefighter & EMS Questions?

NVFC

By Walter Campbell Recruiting in the volunteer fire and EMS world is no small task. While youre asking your prospective recruits about their motivations, time commitments, and whether they can tell the difference between a Halligan bar and a crowbar, theyre interviewing you just as much. Potential volunteers want to know if your departments culture, opportunities, and leadership align with their passions and priorities.

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Annals ECG of The Month

ACEP Now

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.

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How to Treat Strokes

Unitek EMT

A guide for EMTs and Paramedics in identifying and managing stroke cases in the field. According to guidelines published by the American Heart Association and American Stroke Association, before 2008, public education campaigns used the “5 Suddens” (sudden weakness, speech difficulty, vision loss, dizziness, severe headache) to help identify a stroke.

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Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why its a systemic issue rather than an individual failure, and what changes are needed to maintain competency. The post Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24 appeared first on St.Emlyn's.

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The Commission on Accreditation of Ambulance Services Launches ANSI-Approved CAAS Standards Version 4.0

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post The Commission on Accreditation of Ambulance Services Launches ANSI-Approved CAAS Standards Version 4.0 appeared first on American Ambulance Association.

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EMCrit 395 – Stellate Ganglion Block – Not Whether, but When?

EMCrit Project

The Stellate Ganglion Block for Electrical Storm EMCrit Project by Scott Weingart, MD FCCM.

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Ep. 147 Freedom House with Chief Moon and Dr. Haamid

Prehospital Emergency Care Podcast

Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom House and Dr.

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The Clock Is Ticking on Trauma Center Time to Transfer 

ESO

For the first time, the 2024 ESO Trauma Index took a deep dive into Time to Transfer data a critical, patient-centered metric that directly impacts survival rates and care outcomes. Defined by the National Trauma Data Bank (NTDB) as the time between when a transfer order is written and when the patient physically leaves the facility, this metric sheds light on how well trauma systems move patients to the right place for the right care.

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Evidence Based Guidelines for Fatigue Risk Management in Emergency Medical Services

Irish College of Paramedics

Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as just part of the job.

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The Patient Perspective: EMS’s Best Teacher

The EMS Educator

What if the best EMS educators werent clinicians, but patients themselves? In this episode, hosts Hilary Gates and Maia Dorsett welcome sudden cardiac arrest survivor Nova McCarthy and medical director Alicia Bond for an insightful discussion on how patient experiences can enhance EMS education. Nova describes her experience as a keynote speaker and explores the power of patient-centered learning.

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ESS Information Sharing Bulletin February 2025

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post ESS Information Sharing Bulletin February 2025 appeared first on American Ambulance Association.

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NVFC Mourns Passing of Director Bill Betts

NVFC

The NVFC is deeply saddened by the passing of past chief Willard Bill Betts, Jr., who served as an NVFC director from Delaware since 2020. Betts was also on the NVFCs OSHA Task Force, helping to advocate the volunteer fire services concerns about proposed new standards. Betts served nearly 60 years with the Frederica (DE) Volunteer Fire Company and was actively involved with the Delaware Volunteer Firefighters Association.

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Single-Dose vs. Multi-Dose Epinephrine

Emergency Medicine Education

A pre-post study conducted in North Carolina compared multi-dose epinephrine with single-dose epinephrine in adult non-traumatic out-of-hospital cardiac arrest (OHCA) patients. The authors concluded that patients with bystander CPR and a shockable rhythm who received only a single dose of epinephrine had a higher survival rate to hospital discharge compared to those who did not receive bystander CPR and had multiple doses of epinephrine.

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EMCrit RACC-Lit – January 2025

EMCrit Project

EMCrit RACC-Lit for January 2025 All the literature goodness! EMCrit Project by Scott Weingart, MD FCCM.

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Prehospital Care Research Forum Abstracts – ICoP members

Irish College of Paramedics

World Caf-Mediated Contribution of Prehospital Practitioners in Ireland to the First Official National Guidance Regarding Continuous Professional Competence Author: Shane Knox, PhD, MSc HDip, Advanced Para, MCPara, Assoc. CIPD Associate Authors: Suzanne Dunne, PhD, Colum P. Dunne, PhD IntroductionThere was no regulatory requirement for prehospital practitioners in Ireland to provide evidence of competence, or any link between competence and registration to practice.

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Stop and Think: Post Intubation Management

The FllightBridge ED

Over the years I have come to understand that there are a few phrases that should make you STOP and THINK before you do anything…

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Savvik In Your Pocket 📱

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik In Your Pocket appeared first on American Ambulance Association.

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STEPRâ„¢ Health & Safety Giveaway Application Period Opens February 10

NVFC

Fitness and health are essential for first responders to perform at their best. That is why STEPR is partnering with the NVFC to support volunteer responders through the STEPR Health & Safety Giveaway. Three volunteer fire departments will receive a STEPR PRO+ stair climber in 2025 to help foster physical and mental wellness among their members.

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Oropharyngeal Suctioning Standard Operating Procedure: The Basics

SSCOR

Airway management is a priority for both nurses and first responders. A critical component of this is effective airway clearance techniques to manage oropharyngeal secretions. Whether in the field or a hospital, the how and when of oral suctioning must be mastered to ensure the patient's patent airway.

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EMCrit 394 – CV-EMCrit – Inotrope Basics Part 2 – Specific Scenarios

EMCrit Project

Part 2 of Inotropes with Trina - we discuss specific scenarios. EMCrit Project by Scott Weingart, MD FCCM.

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The Use of CPAP in Prehospital Care

Irish College of Paramedics

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel. Despite the allegiance to endotracheal intubation as a gold standard of airway control, endotracheal tube placement during acute exacerbation of various respiratory conditions comes with a significant increase in complications and mortality (Keenan, Sinuff, Cook, & Hill, 2004).

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Prazosin

Life in the Fastlane

Chris Nickson Prazosin Critical Care Compendium pharmacology entry for prazosin.

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Something Big Is Coming….

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Something Big Is Coming… appeared first on American Ambulance Association.

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Why are Patients with Diabetes Immunocompromised?

Clinical Correlations

By Daniel Martinez-Krams Peer Reviewed You are rounding on your patients, and your team is discussing a 52-year-old man with HIV who came in with shortness of breath and fever and was found to have pneumonia.

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