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

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

Core EM

MAY 1, 2025

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.

Emergency Department 130

Emergency Department OR 130

Core Ultrasound

MAY 1, 2025

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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130

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

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 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

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

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

JEMS

MAY 2, 2025

The Colorado state senate unanimously passed a bill aimed at protecting residents from surprise ambulance billing.

Ambulance 52

Ambulance 52

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

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

EM Board Bombs

MAY 2, 2025

-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing. On exam, you note subtle crepitus in his neck and chest wall.

ED 52

ED 52

JEMS

MAY 2, 2025

A regional advanced life support paramedic intercept program launched by a local fire chief last month has brought better service and quicker response times to participating towns.

Advanced Life Support 52

Advanced Life Support ALS Life Support Paramedic 52

The EMS Educator

MAY 2, 2025

How should we best acquire medical knowledge and skills so that we can easily retrieve and effectively use them in the field? Now that we are past the stressful March 31st recert deadline, hosts Maia Dorsett, Hilary Gates, Rob Lawrence delve into the issues surrounding EMS recertification and continuing education. Special guest Ethan Setnik, Chief Technology Officer at Prodigy EMS, offers unique insights into the design of learning from his perspective as a system engineer.

EMS 52

EMS 52

NHCPS Save a Life

MAY 2, 2025

If youre working in healthcare, you’re already doing the hard work of saving lives, thinking fast, and showing up for your patients every single day. With everything on your plate, remembering when your ACLS certification expires probably isnt your top priority. Still, staying current is important, and, fortunately, its easier than you might think.

Life Support 52

Life Support 52

SSCOR

MAY 1, 2025

Medical professionals must be sure that all lifesaving equipment is operational when needed, with protocols that dictate equipment inspections and checks. Some checks must be done at the beginning of each shift, and some are scheduled on a less frequent basis.

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97

JEMS

MAY 2, 2025

Lawyers representing Acadian Ambulance want a federal judge to dismiss a class action lawsuit filed against the company, claiming victims haven't proved they were harmed by a data breach.

Ambulance 52

Ambulance 52

Paramedic Chiefs of Canada

MAY 1, 2025

View entire newsletter in your browser PSW 2025 Exclusive Sneak Peek A Photo Contest Celebrating Your Team! To mark Paramedic Services Week 2025 and its theme We Care. For Everyone. , Demers and Crestline proudly launch their annual photo contest, celebrating the dedication of paramedics across Canada. Open to all paramedic services, the contest showcases the people, vehicles, and moments that define frontline care.

Paramedic 52

Paramedic Ambulance 52

ACEP Now

APRIL 30, 2025

Research in JACEP Open , ACEPs peer-reviewed open access journal, features a map of the United States to show which emergency departments have round-the-clock coverage by a board-certified emergency physician. Nothing is shocking at first glance, said emergency physician and research co-author Deborah Fletcher, MD, FACEP. Large patches of land, stretching east-to-west from Minnesota to Wyoming and north-to-south from North Dakota to Kansas reveal little or no physician coverage 24/7.

ED 52

ED Emergency Department EMS OR 52

California Casualty

APRIL 28, 2025

California Casualty Indemnity Exchange Earns Financial Stability Rating® of A, Exceptional, From Demotech, Inc.

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100

JEMS

APRIL 29, 2025

The woman charged withthe murder of Kansas City(MO) Firefighter-Paramedic Graham Hoffmanallegedly tried to drive away in the ambulance after thefatal stabbing.

Ambulance 122

Ambulance Firefighter Paramedic EMS 122

FirstNet Authority

MAY 1, 2025

Mike Cannon Named FirstNet Authority Executive Director and CEO Press Releases michelle.

First Responder 52

First Responder 52

ACEP Now

MAY 1, 2025

In our weekly eNow from Sunday, April 27, 2025, we mistakenly labeled an article as Ketamine for Seizures. The link provided did not go to that article, which is available HERE. ACEPs Clinical Policy on the management of seizures can be found HERE. The post Correction on Article appeared first on ACEP Now.

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52

#badEM

APRIL 28, 2025

Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies S2E4 – Resuscitating Nursing – Dr Meghan Botes RN PhD Home About Us Podcast Blog Events #badEM Sessions21 “Heroin: Hazards, Healing, Hope” #badEM Sessions21 “First serving” #badEM19 #badEMfest18 #badEM16 Ubuntu Case Studies Blog Podcast S2E4 – Resuscitating Nursing – Dr Meghan Botes RN PhD Dan 28th April

EMS 52

EMS OR 52

JEMS

MAY 2, 2025

The Delaware Countystate legislative delegation asked Pennsylvania's attorney generalto investigate Prospect Medical Holdings and extend ambulance services.

Ambulance 52

Ambulance 52

The FllightBridge ED

APRIL 30, 2025

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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40

Medic Mindset

APRIL 30, 2025

Dr. Faroukh Mehkri walks us through a mindset-reframe for the undifferentiated crashing patient. He theorizes that the pervasive language of stay and play versus load and go has conditioned and narrowed our thinking. Dr. Mehkri describes the evidence-based, predictable & preventable pattern of patients going into cardiac arrest shortly after EMS arrival.

EMS 97

EMS Paramedic Ambulance 97

Broome Docs

APRIL 27, 2025

G’day and welcome to another instalment of the Journal Club with Dr Justin Morgenstern. This month we cover some diltiazem papers, a few on airway hacks, some population studies and discuss some nerwer management options for big PEs, and kids seizures. Unfortunately, we had soe technical glitches which means that the usual video / Youtube version will not be available – so you will have to stare at a picture of Justin as you listen to the chat!

OR 72

OR EMS ED 72

JEMS

APRIL 30, 2025

Memorial services forKansas Cityfirefighter-paramedicGraham Hoffman, who wasfatally stabbed while working an overtime shift Sunday, will take place Friday, theKansas City Fire Departmentannounced.

Firefighter 113

Firefighter Paramedic EMS 113

REBEL EM

APRIL 29, 2025

Clinical Bottom Line TNK was non-inferior to tPA for excellent outcomes (mRS 01 at 90 days) High proportion of mild strokes may introduce spectrum bias, making non-inferiority easier to demonstrate Slightly more TNK patients treated within 3 hours could affect results No difference in mortality, bleeding, or serious adverse events Findings support TNK as an alternative to tPA Introduction The American Heart Association and the European Stroke Organization have updated their guidelines to recomm

ALS 57

ALS OR EMS 57

EM Literature of Note

APRIL 28, 2025

Periodic reminder theres lots of content over at our new home on evidencetriage.com Such great hits as: Run A Marathon And Drop Dead Paxlovid Spiralling Into Total Disutility Can Dr. Oz Really Replace Your Doctor With AI? The Bluejepa EAGLEs Have Landed and many others!

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61

Don't Forget the Bubbles

APRIL 30, 2025

Its a typical Friday night in emergency department (ED) the kind where the corridor feels more like a game of Tetris than a functioning workspace. Youve already reviewed three wheezers, two toddlers with gastro, and a teenager with abdo pain, ?appendix. Youre halfway through your coffee when you get asked to see Sophie, a 2-year-old brought in with a fever and reduced intake.

E-9-1-1 52

E-9-1-1 EMR Emergency Department OR 52

JEMS

APRIL 30, 2025

Secaucuspolice arrested a man last week on accusations he assaulted an EMT atHudson Regional Hospital.

EMT 104

EMT EMT EMS 104

EMS 20/20

APRIL 30, 2025

Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end? Chris gives Spencer a maze with no end. or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?

OR 40

OR 40

EMergucate

APRIL 29, 2025

The following patient presents with 1day of vomiting, and has had multiple similar presentations: ph 6.

EMS 130

EMS 130