American Ambulance Association
FEBRUARY 11, 2025
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.
Emergency Medicine Cases
FEBRUARY 18, 2025
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.
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This Podcast Will Kill You
FEBRUARY 11, 2025
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.
The Skeptics' Guide to EM
FEBRUARY 22, 2025
Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.
Dr. Smith's ECG Blog
FEBRUARY 10, 2025
Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/ cirrhosis had a recent increase in candesartan for their hypertension, and was also on spirolactone and nadolol. They presented to a hospital clinic for routine paracentesis, after which they developed nausea and syncope attributed to a vasovagal episode from the procedure. Labs showed a non-hemolyzed potassium of 6.2, normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the fo
NVFC
FEBRUARY 4, 2025
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).
American Ambulance Association
FEBRUARY 13, 2025
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.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Medic Mindset
FEBRUARY 23, 2025
Alex (Sandy) MacQuarrie , PhD and Paramedic, reflects on his move from Canada to Australia, principles of simulation in medical education & his personal experience with cardiac arrest. Topics discussed: Constructivism in education Organic versus mechanistic approach to learning Difference between feedback and debriefing Socratic method versus Advocacy-Inquiry model Peer-to-peer feedback Psychological safety in the classroom Emotional Seriousness in simulation NHET-SIM Certification Prebriefi
GEDC
FEBRUARY 27, 2025
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.
SSCOR
FEBRUARY 15, 2025
As you approach your patient, you hear him snoring and notice the familiar sound of gurgling coming from his mouth. You immediately know you will be working to manage his airwayall within seconds of looking at, listening to, speaking with, and touching the patient. Remember: The first few seconds when you approach your patient will likely give you the most clinical information about your patients condition, bombarding you with information rapidly, sometimes instantaneously.
NVFC
FEBRUARY 18, 2025
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.
Unitek EMT
FEBRUARY 27, 2025
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.
St. Emlyn's
FEBRUARY 11, 2025
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.
California Casualty
FEBRUARY 14, 2025
Trees bring beauty and shade to your property, but sometimes they also bring hidden risks. Strong winds, heavy storms, or decay can turn a once-sturdy tree into a serious hazard. A falling tree can cause expensive damage—or worse, serious injuries. The good news?
American Ambulance Association
FEBRUARY 18, 2025
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.
EMDocs
FEBRUARY 15, 2025
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
NVFC
FEBRUARY 18, 2025
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.
Unitek EMT
FEBRUARY 19, 2025
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.
St. Emlyn's
FEBRUARY 25, 2025
St.Emlyn's - Emergency Medicine #FOAMed Discover how the GoodSAM app is revolutionizing emergency response, from cardiac arrest alerts to real-time video triage and crime prevention. Learn how you can get involved today. The post Podcast – GoodSam App Update with Mark Wilson at LTC appeared first on St.Emlyn's.
California Casualty
FEBRUARY 18, 2025
Thinking about going green with your next vehicle? Hybrid and electric cars both offer fuel savings and eco-friendly benefits, but which one is the better fit for your lifestyle? From driving range to charging convenience—and even how they handle in different weather conditions—we’ll break down the pros and cons to help you decide.
American Ambulance Association
FEBRUARY 18, 2025
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.
GEDC
FEBRUARY 27, 2025
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.
EMCrit Project
FEBRUARY 23, 2025
The Stellate Ganglion Block for Electrical Storm EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
FEBRUARY 8, 2025
Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.
St. Emlyn's
FEBRUARY 4, 2025
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.
California Casualty
FEBRUARY 27, 2025
You love your car’s technology—keyless entry, GPS navigation, smartphone connectivity, and even self-driving features. But while these make driving easier, they also open the door to cyber threats. Just like your computer or phone, your car can be hacked, putting your personal data and even your safety at risk.
American Ambulance Association
FEBRUARY 5, 2025
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.
ACEP Now
FEBRUARY 18, 2025
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.
REBEL EM
FEBRUARY 24, 2025
Background In 1979, Hiroshi Natori was the first to appreciate the sonographic changes that occur in the inferior vena cava (IVC)s diameter with ventilation in spontaneously breathing patients, mechanically ventilated patients, and those with carcinogenic and tuberculoid cardiac tamponade. 1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation.
Prehospital Emergency Care Podcast
FEBRUARY 27, 2025
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.
Irish College of Paramedics
FEBRUARY 15, 2025
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.
NVFC
FEBRUARY 4, 2025
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.
American Ambulance Association
FEBRUARY 5, 2025
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.
First 10 EM
FEBRUARY 24, 2025
I have covered calcium channel blockers for atrial fibrillation a number of times. If you are pursuing a rate control approach, calcium channel blockers probably result in more rapid control. Thus, if you are trying to send these patients home, they might be a good choice. However, for long term management, cardiologists seem to prefer […] The post Diltiazem for atrial fibrillation: does calcium pretreatment help?
REBEL EM
FEBRUARY 28, 2025
Bottom Line Up Top: Replacing the nail into the eponychial fold doesnt appear to be critical to nail regrowth and cosmetic outcomes of finger injuries with nail avulsion. Clinical Scenario: A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. The finger was caught in a car door, injuring the nail and nail bed. On presentation, the patient has a linear laceration the full length of the nailbed and the nail has been avulsed.
Emergency Medicine Education
FEBRUARY 20, 2025
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.
Irish College of Paramedics
FEBRUARY 15, 2025
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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