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JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
It’s official: the 2025 ILCOR Pediatric Life Support guidelines have removed the recommendation to administer cardiac arrest dose epinephrine for symptomatic bradycardia in children. Hallelujah For years, the use of epinephrine in bradycardic pediatric patients receiving CPR has been embedded in resuscitation algorithms. But as many of you have long recognized, evidence—not tradition—should guide our protocols.
How Metropolitan EMS and Baptist Health Medical Center worked together to achieve a remarkable outcome for one stroke patient When a woman in Little Rock, Arkansas, began showing signs of a severe stroke on her birthday, what followed was a powerful example of how early recognition, coordinated teamwork, and real-time communication can lead to an extraordinary outcome.
Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steven Field, MD; Brit Long, MD (@long_brit) Case: A 56-year-old male with past medical history of CHF and ESRD presents to your hospital with respiratory distress in the setting of cough for the past four days.
Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: June 12, 2025 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter of ACEP, and her career focus outside of clinical practice has been largely devoted to health care policy.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
Once a month, the CDC releases their provisional fatal overdose data based on a 12-month rolling average. The CDC’s data is 4 months behind. Lately, each month the release of the data has led to glowing articles about overdoses going down, which they had been for some time — quite substantially. That was until this month’s release. More on that in a moment.
School picture day is often dreaded by children and their parents. Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.
School picture day is often dreaded by children and their parents. Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.
Every June, National Safety Month serves as an important reminder of the need to prevent injuries and promote safe practices across all areas of life. Organized by the National Safety Council (NSC), this annual campaign encourages individuals, families, workplaces, and communities to recognize the preventable nature of many accidents and to take steps to reduce risk.
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-Case- A 46-year-old man presents to the ED after being found slumped over in his car. He’s hypotensive (BP 84/52 mmHg), tachycardic, and dyspneic. Jugular veins are distended, heart sounds are muffled, and his skin is cool and clammy. Bedside ultrasound shows a large pericardial effusion with right ventricular diastolic collapse.
A 68-year-old man presented with weakness and a 30-lb weight loss over the past three months. Chest radiograph shows a large left hilar mass. CT scan shows a 12 cm left hilar mass with multiple bilateral pulmonary nodules, concerning for metastatic disease. The emergency department (ED) is full with boarding and critical patients, and 25 patients are in the waiting room.
We all know that treating pediatric patients is nothing like treating adults. For one thing, young patients tend to add even more stress to any emergency. The infrequency with which emergency personnel treat pediatrics usually equates to less assurance and more anxiety. Children also require a separate set of drug dosages, which can be difficult to memorize when used so infrequently.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
How to Become a Physician Assistant: Duties, Requirements, Certifications, Job Outlook, and Salary If you’ve worked as an EMT or Paramedic, you already know how demanding—and deeply rewarding—the role can be. The long hours, high-stakes situations, and hands-on patient care offer more than just experience; they build the foundation for a lifelong career in healthcare. […] The post EMT to Physician Assistant: EMT Career Guide appeared first on Unitek EMT.
Hospital occupancy demands are projected to substantially increase over the next seven years from 75 percent to 85 percent. 1 There are many reasons for this increasing demand, including the aging “Baby Boomer bubble.” However, the increasing demand is occurring during a period when hospitals are “going the other way.” A growing numbers of U.S. hospitals are closing inpatient beds for a variety of reasons, including inability to find staff to keep those beds open, resulting in a worsening crisis
A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline L McIntyre. NEJM 2025; DOI: 10.1056/NEJMoa2416761 Clinical Question In hospitalised patients, does the use of Lactated Ringers (LR) vs Normal Saline (NS) lower the incidence of death or readmission to the hospital within 90 days after the index admission?
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An overview of a qualitative study aimed for paediatricians and paediatric nurses. Recognising when a child is deteriorating—and knowing what to do next—is rarely straightforward. It’s a dynamic process that relies on more than clinical acumen. It involves teamwork, communication, and navigating complex systems involving healthcare professionals and families.
There is significance in the things we carry. 1 The objects we choose to fill a limited space reflect a lot about the lives we lead, the way we think, what we anticipate, and what we prioritize. The hierarchical culture in academic medicine dictates that as we advance in seniority, we carry less. Think about the medical student on rounds whose pockets are stuffed with all manner of items compared to the attending who carries nothing more than a phone, eschewing even a pen or stethoscope to the
This content is for AAA members only. Please either Log In or Join! The post EMS & Public Safety Agencies Must Reevaluate Marijuana Use Policies In Light of Florida Court Ruling in Firefighter Medical Marijuana Employment Case appeared first on American Ambulance Association.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
During the Spring 2025 electoral season, emergency services funding emerged as a critical issue for municipalities nationwide. Communities, ranging from small rural areas to expanding suburban regions, faced different financial decisions that could sustain or enhance their local fire department operations. Today, we examine the outcomes of the various ballot initiatives presented across the country […] The post Spring 2025 Fire Referendums: How Wisconsin & Illinois Communities Voted o
Written by Pendell Meyers A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke her from sleep and radiated to her back. She described it as "stabbing", 8/10, constant, and associated with nausea. She denied preceding symptoms or recent illnesses. Here is her triage ECG during active pain: What do you think?
Big changes are on the horizon for trauma centers participating in the American College of Surgeons (ACS) Trauma Quality Programs (TQP). Starting in January 2026, a new data submission process will be implemented , making it easier and faster to submit your trauma data. What’s changing? Instead of manually uploading files, healthcare facilities will be able to submit data directly from their trauma registry software to the TQIP Data Center.
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Authors: Paige Seals, MD, MBA, MBS, MPH (EM Resident, University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine , UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by provi
If you’ve ever read the little instructions pamphlet included in a box of tampons, you probably came across a paragraph calling attention to a condition called toxic shock syndrome (TSS). It describes the association between TSS and tampon use, symptoms of TSS, and guidance on how to reduce risk. This legally mandated warning label has formed an indelible link connecting tampons and TSS, and indeed, tampons form a large part of the story of TSS.
June is recognized as National Migraine and Headache Awareness Month, a time dedicated to raising awareness about the impact of headaches and migraines on daily life. For the more than 39 million Americans affected by migraines, the condition can be not only painful but also disruptive to work, family, and social life. Migraines are more than just severe headaches.
JEMS Training JEMS Events Job Board EMS Product Center EMS Airway EMS Rig Podcasts Webcasts Subscribe Patient Care Emergency Medical Care Emergency Trauma Care Cardiac & Resuscitation Airway & Respiratory EMS Operations Flight Ambulance Operations Ground Ambulance Operations Rescue Operations EMS Equipment & Gear Mobile Integrated Health and Community Paramedicine Mental Health and Wellness EMS Training Paramedic Training EMT Training Admin/Leadership EMS Recruitment & Retention
Home EMCrit PulmCrit IBCC ODR About About EMCrit PulmCrit – The Full Story EMCrit FAQ Subscribe to the Newsletter Contact Join Why Should I Become a Member? Questions Before Joining (FAQ) Join Now! EMCrit Project Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation EMCrit Archives EDICUs Show Types ▿ Foundational Stabilization (FoundStab) Project RACC-Lit CV-EMCrit Mind of the Resuscitationist Procedures Outside Shows You are here: Home / EMCrit / 1:1 Nu
Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk of stroke by up to 15% with the use of aspirin. In part 1 we explored the physiology, mechanism […] The post Navigating Twists, Turns and Tears: BCVI in the ED (Part 2) appeared first on EMOttawa Blog.
REBEL Rundown Key Points Hypoxemia = low blood oxygen Hypoxia = low tissue oxygen 5 causes of hypoxemia , but most hospital cases are either: Shunt = doesn’t improve with oxygen therapy Dead space = causes tachypnea but is easier to oxygenate Always start with maximizing oxygen delivery ( ), but recognize quickly when positive pressure ( ) is needed V/Q mismatch Shunt (refractory to oxygen therapy) Click here for Direct Download of the Podcast.
Cyber incidents that shut down systems at two Lewiston hospitals in recent weeks caused ambulances to be diverted, leaving rescue chiefs and patients in limbo.
An 88yr male who presented with syncope and diaphoresis. In ED he is alert and not complaining of dizziness, chest pain or palpitations. Here is his ECG: What is your management?
Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain, nausea, dyspnea, and diaphoresis. He was brought in by EMS. His first ECG is shown: ECG 1 Obvious STEMI (+) OMI. What would you guess is the culprit? There is STE in V1 and V2 with lateral STD, a pattern known as precordial swirl , so.it should be LAD, right?
A suction machine is a key component of any medical toolkit. In hospital settings, it prevents aspiration and protects the airway during medical procedures ranging from routine to revolutionary. SSCOR offers a range of suction devices for every agency and in every need.
A 78-year-old bicyclist was airlifted to a Massachusetts hospital with serious injuries Friday afternoon after being struck by a motor vehicle on Route 111.
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