Sat.Mar 29, 2025 - Fri.Apr 04, 2025

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3 Ways to Increase the Performance of Your Portable Suction Device

SSCOR

Users of battery powered portable suction devices often comment that it sucks. This can be interpreted two ways either negatively or positively. When the negative sentiment applies, theres no need to despair or throw the unit across the room There are three ways to increase the performance of your portable suction device to turn that negative into a positive.

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Can Kids Have Strokes??

FOAMfrat

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.

professionals

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Alcohol Use and Trauma in First Responders 

First Responder Wellness

By Stephen Odom, PhD, Founder and Chief Clinical Officer, FR Health Family of Companies As we recognize Alcohol Awareness Month this April, its an important time to shine a light on the complex relationship between alcohol use and trauma in first responders. These are the men and women on the front lineslaw enforcement officers, firefighters, correctional officers, EMS personnel, 911 dispatcherswho routinely witness tragedy and stress in their work.

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The Museum of Modern Airway: How the Protected Airway Collaborative Cultivates Joy in Learning

The EMS Educator

Does your classroom have a joyful buzz? Jonathan St. George has it figured out--as the founder of the Protected Airway Collaborative (PAC), Jonathan was inspired by a museum visit to create a learning environment like no other. Join us as we dive into his innovative world of airway management education. Prodigy EMS team members Maia Dorsett and Shane O'Donnell report from the PAC as they experienced the self-directed learning approach firsthand.

EMS
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ECG Pointers: Slow and Steady Wins the … Pacemaker?

EMDocs

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.

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Is the D-Dimer Useful in High-Probabilty Pulmonary Embolism?

REBEL EM

Bottom Line Up Top: A negative D-Dimer likely excludes significant pulmonary embolism (PE) in all patients but the low chance of getting a negative result makes a D-Dimer first approach of low clinical utility in the high pre-test probability group. Clinical Scenario: A 45-year-old man with malignant melanoma presents with right-sided pleuritic chest pain for 3 days.

EMS
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Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Randomized Clinical Trial

EMOttawa

Methodology: 4/5 Usefulness: 2/5 Arleth T, et al. JAMA. 2025;333(6):479489. doi:10.1001/jama.2024.25786 Question and Methods: This multicentered randomized control trial allocated trauma patients to a liberal or restrictive oxygen strategy for 8 hours to examine outcomes of death and/or respiratory complications. Findings: The study found there was no difference between the groups with outcome of death […] The post Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Rando

ALS

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Protecting Yourself from Vehicle Wheel Theft

California Casualty

Imagine walking out to your car, only to find it sitting on cinder blocks—your wheels gone without a trace. Wheel theft is on the rise, and thieves are getting faster and bolder. Here’s how to protect your vehicle from becoming an easy target. Why Are Wheels and Tires a Target for Thieves?

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Street Medicine: Compassionate Care for the Unhoused

REBEL EM

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
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SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients

The Skeptics' Guide to EM

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
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CAAS Releases GVS V4.0 Draft for Public Comment #2

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post CAAS Releases GVS V4.0 Draft for Public Comment #2 appeared first on American Ambulance Association.

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Flying with Your Pet

California Casualty

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
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Emergency Medical Services: What Makes Students Successful?

JEMS

Paramedic students show the importance of social support, time management, preparation and grit in the face of academic rigor.

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EMCrit 398 – NeuroEMCrit – NeuroMuscular Emergencies

EMCrit Project

NeuroMuscular Emergencies are tough without neurology, but you can do it and do it well! Casey Albin is here to help. EMCrit Project by Scott Weingart, MD FCCM.

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Savvik Spring Glove Giveaway is Here!

American Ambulance Association

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

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Pulsara Introduces New ‘Secure-ish’ Messaging Feature

Pulsara

For Those Who Love a Good "Oopsie!" At Pulsara, we pride ourselves on enabling secure, HIPAA-compliant communication for healthcare teams. But lets be honestsometimes, people just love the thrill of an accidental message mishap. Were excited to announce our latest (and definitely not HIPAA-compliant) feature: Secure-ish Messaging.

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Baltimore Mayor Proposes Ambulance Fee Hike, Other Changes to Close $85M Deficit

JEMS

The mayors proposal seeks to fill the gap between revenues and expenditures by increasing fees on EMS, landfill use, and ride-sharing/taxi trips.

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EMCrit RACC-Lit Review – March 2025

EMCrit Project

All the lit goodness for March 2025 EMCrit Project by Scott Weingart, MD FCCM.

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Helpful Steps When Hooking Up Your Suction Machine

SSCOR

Quickly and efficiently hooking up your portable suction machine can save precious seconds, preventing hypoxia and reducing the risk of serious respiratory complications. It should only take a few seconds, but if youve never done it before, the process can feel overwhelming and frustrating.

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Mental Shortcuts That Hijack Good Instructors

The FllightBridge ED

Logic doesnt give a s**t about your feelings Mark Manson It is my opinion that the most dangerous place a paramedic will ever operate is…

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Need 35 New Ambulances? Santa Barbara (CA) Can Help You Out

JEMS

The Santa Barbara County Fire Department is selling 35 new ambulances after failing to secure an emergency medical services contract for the county.

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EMCrit Q&A – Episode 001

EMCrit Project

You've got questions, I've got answers (maybe??)! EMCrit Project by Scott Weingart, MD FCCM.

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Special Edition: Bled Too Much? Is That A Thing?

EMS 20/20

SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel! SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!

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Stop and Think: Tube Confirmation

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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Lawsuit Over 911 Sending Armed Officers to Mental Health Calls Can Go Forward

JEMS

Disability Rights Oregonscasecan proceed against Washington County, alleging that 911 dispatchers fail to send trained mental health clinicians to calls involving people in crisis.

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​Trump Administration Issues Executive Order that Reduces the Federal Mediation & Conciliation Service

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Trump Administration Issues Executive Order that Reduces the Federal Mediation & Conciliation Service appeared first on American Ambulance Association.

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Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm

Emergency Medicine Cases

How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This podcast focuses us to think critically about risk stratification, early interventions and escalation in care in PE.

ED
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Lightning rounds 51: Hemodynamic interfaces with Philippe Rola

Critical Care Scenarios

Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, were not sponsored, just a cool event.

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International Prehospital Medicine Institute Literature Review, April 2025

JEMS

This literature review keeps you up to date with current EMS publications and studies.

EMS
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Everyone sees ST depression, but what does it mean?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from sleep around midnight. He described it as substernal, non-radiating, 7 out of 10 intensity. His ECG obtained around 4 AM is shown. ECG 1 What do you think? I texted this ECG to Dr. Smith without any information and he immediately replied: "combination of precordial swirl and South African Flag sign, with Swirl predominating.

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Empowering Heroes: State Farm® and NVFC Team Up to Give $1 Million to Volunteer Firefighters

NVFC

Program will expand in 2025 to $1.5 million State Farm and the National Volunteer Fire Council (NVFC) teamed up to launch the Good Neighbor Firefighter Safety Program in 2024. In the inaugural year, 100 volunteer fire departments were each awarded $10,000 grants, for a total of $1 million provided to help local departments increase safety and efficiency and better serve their communities.

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Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE)

First 10 EM

Pulmonary embolism is probably discussed far more than is truly necessary. It receives more attention than almost any other pathology. We endlessly debate the best algorithms for diagnosis. We add new decision tools almost yearly. However, if there is one aspect of pulmonary embolism that might be under-discussed it is the management of massive and […] The post Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE) appeared first on First10EM.

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FlightScore: A Field-Based App to Assist First Responders with Trauma-Related Medical Flight Activations

JEMS

FlightScore is a free app to help first responders determine if flight activation is indicated at a major trauma scene.

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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: Should We Use Normal Saline vs Balanced Fluid for TBI? Spoon Feed This large meta-analysis of ICU RCT subgroups found decreased mortality in patients with traumatic brain injury treated with normal saline vs. crysta

ICU
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NVFC Supported Bill Re-introduced to Increase State Pension Access to Nonprofit Fire Departments

NVFC

Last week Rep. Greg Murphy (R-NC) reintroduced a bill (H.R. 2382) to amend both the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code to allow paid firefighters in nonprofit fire departments access to a states public pension system. The National Volunteer Fire Council (NVFC) strongly supports this legislation. This bill would especially impact North Carolina, where the states General Assembly passed legislation in 1999 which allowed paid firefighters in nonprofit depa

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The First10EM monthly wrap-up for Winter 2025

First 10 EM

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for Winter 2025 appeared first on First10EM.

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TX Legislature Considers Rural EMS Funding Bill

JEMS

The Texas Legislature is weighing a proposal to establish a grant program for rural EMS providers.

EMS