Sat.Apr 12, 2025 - Fri.Apr 18, 2025

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Agitated with a head injury: Will Ketamine make it worse?

NAEMSP

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.

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Prehospital Extra-Corporeal Cardiopulmonary Resuscitation

International Journal of Paramedicine

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.

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ECG Pointers: Blocks

EMDocs

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.

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PCC Summit June 10th-12th, 2025

Paramedic Chiefs of Canada

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.

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Savvik is Giving Away Gloves from DASH Medical!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik is Giving Away Gloves from DASH Medical! appeared first on American Ambulance Association.

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From Ambulance to Admission

International Journal of Paramedicine

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.

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EMS Leaders: Why Do We Eat Our Young?

JEMS

Chief Dan Kramer examines the systemic lack of leadership development in EMS and its consequences.

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More Trending

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U.S. Department of Transportation (DOT) published a Request for Information (RFI) – Input Requested!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post U.S. Department of Transportation (DOT) published a Request for Information (RFI) Input Requested! appeared first on American Ambulance Association.

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EMCrit 399 – Serotonin Syndrome (SS) and Neuroleptic Malignant Syndrome (NMS) – Primer Episode

EMCrit Project

Neuroleptic Malignant Syndrome (NMS) and Serotonin Syndrome (SS) are relucatantly covered on this week's show EMCrit Project by Scott Weingart, MD FCCM.

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EMS Drone Initiative Trials Set for Summer in PA

JEMS

An initiative using aerial drones to deliver defibrillators, EpiPens and other medical supplies to local emergency scenes has been cleared for a test run.

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Special Edition: Crafting a Plan

EMS 20/20

Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM! Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications.

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Demers Ambulances: 65 Years of Continuous Growth and Global Leadership

Paramedic Chiefs of Canada

FOR IMMEDIATE RELEASE Demers Ambulances 65 Years of Continuous Growth and Global Leadership FOR IMMEDIATE RELEASE Crestline Coach Celebrates 50 Years of Manufacturing Excellence and Growth

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1:1 Nursing Podcast – Episode 0 – The Introduction

EMCrit Project

Intro to the 1:1 Nursing Podcast EMCrit Project by Scott Weingart, MD FCCM.

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WV First Responders Push to Save EMS Training Program

JEMS

TheMonongalia County Technical Education Center is considering eliminating the emergency medical services program.

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Pediatric transfusion dosing

First 10 EM

This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.

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Episode 86: EEGs in the ICU with Carolina Maciel

Critical Care Scenarios

We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your Continue reading "Episode 86: EEGs in the ICU with Carolina Maciel" We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and

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When to Perform Nasotracheal Suctioning

SSCOR

We all know the important role suctioning plays in airway management. Imagine treating a respiratory, trauma, or cardiac arrest patient without the aid of suction. Impossible, right? Effective nasotracheal suctioning can mean the difference between a patent and a non-patent airway. It can also mean the difference between life and death for your patient.

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Trees in the Forest

JEMS

There are times when you can miss the forest for the trees, including during patient care.

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An Assessment of Prehospital Provider Education and Sequelae Around the Experience of Breaking Bad News

International Journal of Paramedicine

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

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Intranasal!

Peter Canning

The call is for a seizure. A 9-year-old boy with epilepsy falls off the couch and is observed seizing, with full tonic-clonic activity. His mom shouts for the boys older sister to call 911, and then she goes to her purse and takes out the medicine his doctor prescribed for him. She sticks the nozzle of the device in the boy’s nose and pushes the plunder.

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Six-Month Injectable PrEP: A New Horizon in HIV Prevention

Clinical Correlations

By Allison Tu Peer Reviewed Once a death sentence, HIV/AIDS is now a treatable and preventable disease. Pre-exposure prophylaxis (PrEP) has been a game-changer in HIV prevention since the FDA approved emtricitabine/tenofovir.

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Final Day of EMS Training Underway at FDIC International

JEMS

The final hours of JEMS @ FDIC are ticking away at the Indianapolis Convention Center, as emergency medical service professionals engage in a last round of critical training and networking.

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Size Matters: The Impact of Cuff Size on Blood Pressure

REBEL EM

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.

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ECG of the week 16/4/25

EMergucate

The following 75yr old recently ceased amiodarone through the GP and presented with presyncope.

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Episode 208: Geriatric Emergency Medicine

Core EM

We explore the expanding field of Geriatric Emergency Medicine. Hosts: Ula Hwang, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Geriatric Show Notes Key Topics Discussed Importance and impact of geriatric emergency departments. Optimizing care strategies for geriatric patients in ED settings. Practical approaches for non-geriatric-specific EDs.

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Rethinking the Paramediceptor’s Diet: From ‘Eating Our Young’ to Growing Our Own

JEMS

Rethink EMS preceptorshipditch the hazing, build medics with support, not fear.

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National Public Safety Telecommunicators Week April 13-19th, 2025

Paramedic Chiefs of Canada

The Paramedic Chiefs of Canada (PCC) recognizes National Public Safety Telecommunicators Week April 13-19th, 2025. We would like to thank all telecommunications professional and recognize the crucial role they play in providing patient care and keeping our communities safe. Your dedication to your profession is commendable and we appreciate your service serving communities across the country.

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Public Safety Answering Points: The Backbone of Emergency Communications

FirstNet Authority

Public Safety Answering Points: The Backbone of Emergency Communications Blog michelle.fordi Thu, 04/17/2025 - 12:48 By Jennifer McIntyre, 9-1-1/Emergency Communications Subject Matter Expert, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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Chest pain and this ECG. Angiogram totally normal. Is this myocarditis?

Dr. Smith's ECG Blog

A man in his early 30s was walking when he developed central chest pain which was non-radiating, then had a syncopal event with bowel incontinence, and when he woke up he had ongoing chest pain. Notes never having symptoms like this before, pain is so severe its causing SOB. He called 911. Medics recorded a BP of 79/52 with pulse of 47. They recorded this ECG: Obvious inferior STEMI/OMI What else?

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Medic Charged in VA Ambulance Crash

JEMS

The driver of a Bloxom ambulance that collided with a tractor-trailer earlier this month has been charged with reckless driving, according to the Virginia State Police.

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emDOCs Podcast – Episode 118: Lisfranc Injury

EMDocs

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.

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Podcast – Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Peter Brindley discusses social media, artifical intelligence (AI) and how those working in medicine can (and must) navigate this new world. The post Podcast – Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC appeared first on St.Emlyn's.

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Law and Disorder: Navigating medicolegal Issues (Part 1)

EMOttawa

On October 17, 2013, 27-year-old Philisha Sutherland was found at home by her parentslethargic, weak, and slurring her speech. EMS transported her to Sault Area Hospital, where she was assessed by the attending emergency physician, Dr. Booth. Dr. Booth performed a neurological assessment. She checked motor function, coordination, and speechfinding no ataxia, no facial droop, […] The post Law and Disorder: Navigating medicolegal Issues (Part 1) appeared first on EMOttawa Blog.

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NH EMS Agencies Circle Statehouse with Ambulance Caravan to Protest Rate Caps

JEMS

A caravan of slow-moving ambulances circled Concord Wednesday as executives inside warned that a House-passed rate for commercial insurance reimbursement could drive them out of business.

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ABA Members Advocate for Increased Burn Research Funding in FY26

American Burn Association

Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities As Congress begins work on the fiscal year 2026 (FY26) budget, the American Burn Association (ABA) is encouraging lawmakers to increase funding for the Military Burn Research Program (MBRP) to $12 milliona $2 million increase over last years request.

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Providing feedback and defining excellence in medicine

First 10 EM

There appears to be wide agreement that we are not good at providing feedback in medicine. I have attended many seminars and read many papers on this topic, and despite believing this is an essential role in medical education, I still fail routinely. I have received a lot of advice. I should start by setting […] The post Providing feedback and defining excellence in medicine appeared first on First10EM.

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Episode 173 Childhood Vaccine Schedule 2: Who’s making the call?

This Podcast Will Kill You

After last weeks episode, we all know about each of the diseases that were protected against thanks to our childhood vaccine schedule here in the US. And after this weeks episode, well understand more about the schedule itself – why it might look different from other schedules around the world, how it gets made, and who makes the recommendations.

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