Don't Forget the Bubbles
JULY 7, 2025
You are working in the paediatric emergency department overnight, and the resus nurses are checking the emergency drugs during their daily checks. The department is quiet, and one of the newly qualified nurses asks you to explain why there are so many different concentrations of adrenaline and how they work. On his last shift, he noticed a different dose for croup vs. cardiac arrest.
International Journal of Paramedicine
JULY 8, 2025
The growing prevalence of ambulance deserts—geographic areas where residents live more than 25 minutes from the nearest ambulance station—poses a critical threat to health equity and public safety in the United States. Rooted in systemic underinvestment, workforce shortages, and fragmented policies, these deserts disproportionately affect rural and underserved communities, where response times can exceed 30 to 60 minutes during life-threatening emergencies.
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EMDocs
JULY 7, 2025
Today on the emDOCs cast Brit Long interviews Zachary Aust on a performing under pressure. Episode 122: Performing Under Pressure Understanding Crisis Performance Myth of the “Clutch Performer” – debunked High pressure reduces performance Data shows we fall to the level of our training No one is immune— everyone is affected How Our Brain and Body Reacts Threat vs.
JEMS
JULY 11, 2025
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
EMCrit Project
JULY 10, 2025
Everything you ever wanted to know about persistent air leaks, bronchopleural fistuale and alveolopleural fistuale. EMCrit Project by Katrina Augustin.
International Journal of Paramedicine
JULY 8, 2025
Introduction: Community paramedicine programs address the needs of diverse and often underserved communities and individuals with varied social and chronic disease needs. Community paramedics have adopted knowledge, skills, and behaviours characteristic of primary healthcare professionals. Paramedics often lack access to higher education that enables autonomous practice alongside other health professionals.
EMDocs
JULY 9, 2025
Author: Jude Luke (EM Resident Physician, NYU/Bellevue Hospital) and Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steve Field, MD; Brit Long, MD (@long_brit) Case A 65-year-old female with a history of heart failure with reduced ejection fraction, type 2 diabetes, and hypertension presents to the emergency department (ED) with fever, altered mental status, and weakness.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Emergency Medicine Education
JULY 11, 2025
I found this article very helpful and practical, particularly for situations when a patient presents with a facial fracture and no specialist or subspecialist is immediately available. It provides valuable guidance on which injuries may not warrant emergent consultation. In fact, the article published in the current issue of Journal of Trauma and Acute Care Surgery highlights that more than half of patients with isolated facial fractures did not require any intervention or admission.
International Journal of Paramedicine
JULY 8, 2025
Background: Malawi has no country-wide emergency medical services, with prehospital care majorly provided by laypersons. Transport is typically provided by private car or taxi with less than 2% of emergency patients receiving transport by ambulance. Zomba Private Ambulances is currently the only private ambulance group operating in south-eastern Malawi.
The Skeptics' Guide to EM
JULY 5, 2025
Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Dr. Sandi Angus Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust.
JEMS
JULY 8, 2025
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
SSCOR
JULY 5, 2025
As a paramedic or EMT, your first responsibility in patient care is to secure a patent airway. Whether you are placing an EOA to elevate the tongue of an overdosed patient, suctioning the oropharynx of a trauma code, or inserting an endotracheal tube for a patient who has stopped breathing, a thorough understanding of the structures that make up the respiratory tract is a must.
International Journal of Paramedicine
JULY 8, 2025
As the U.S. populace ages, interfacility transport teams face unique challenges in addressing the needs of two rapidly growing patient populations. Both elderly individuals at risk for delirium and those transitioning to comfort-based care, such as hospice are increasingly utilizing interfacility transport resources as the interact with the medical system.
Pulsara
JULY 9, 2025
How CHI St. Joseph Health EMS Triaged 150+ Patients a Day at One of Texas’s Largest Festivals When hundreds of thousands of people descend on a single event over just eight weekends, things are bound to get chaotic. For years, CHI St. Joseph Health EMS has been the go-to medical provider for the Texas Renaissance Festival—but in 2023, that almost changed.
JEMS
JULY 11, 2025
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
Core EM
JULY 8, 2025
In this hands-on simulation video, we provide a comprehensive, step-by-step guide to placing a transvenous pacer (TVP) for emergency cardiac pacing. This tutorial covers the entire procedure, from selecting the correct equipment like the Cordis and pacing catheter to the specific roles for a two-person team. We demonstrate the proper setup of the pacer box in VVI mode, the technique for inserting the catheter using the balloon as a 'sail' to float into the right ventricle, and how to confirm pla
International Journal of Paramedicine
JULY 8, 2025
EMS first responders provide essential services to communities in rural, suburban, and urban locations across the United States. While the mental health experiences of first responders have been generalized across all geographic locations, less is known about the mental health differences among rural, suburban, and urban first responders. This study explored mental health symptom profiles, job stressors, coping mechanisms, and mental health resource availability of 118 first responders providing
First Responders Foundation
JULY 8, 2025
Retirement is often painted as a well-earned reward at the end of decades of service, but for many first responders, it can feel less like a finish line and more like standing at the edge of an unfamiliar road. Navigating identity after retirement for first responders is no small task. If you’ve spent years serving your community in uniform, that role likely shaped not just what you do, but who you are.
JEMS
JULY 7, 2025
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
SSCOR
JULY 10, 2025
Respiratory emergencies come in many forms. It could be an asthmatic who has suffered since childhood, a COPD patient who still smokes a pack a day, or a near-drowning who was pulled from the deep end of the pool. Whatever the crisis, as an emergency responder, you are called on to treat it.
FOAMfrat
JULY 7, 2025
Case StudyYou’re working a typical weekend and just settling down for a safety nap when the tones go off. You and your partner are called to transport an infant from a rural facility to a level one pediatric facility that is having difficulty breathing.You get to the bedside and find a 4-month-old that is lethargic and listless. Her airway is patent, and breathing is rapid, labored with retractions.
The Bottom Line
JULY 11, 2025
A Randomized Trial of Shared Decision-Making in Code Status Discussions Becker. NEJM Evidence 2025; doi:10.1056/EVIDoa2400422 Clinical Question In hospitalized adults requiring code status discussions, does a shared decision-making approach (including a checklist and decision aid) compared to usual care increase the proportion of patients choosing a DNR status?
JEMS
JULY 10, 2025
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
Peter Canning
JULY 7, 2025
We respond for the “overdose.” In a lot that is littered with wax bags and other drug paraphernalia, a Spanish man is sitting alone in a row of three portable chairs in the sun. His eyes are closed, his mouth is open. He is as still as a dead man. While my partner pulls the stretcher, I stimulate him. “Hey Buddy!” I rub my knuckles on his chest.
EM Board Bombs
JULY 9, 2025
-Case- A 22-year-old college student arrives to the ED with fever, headache, photophobia, and neck stiffness. He’s somnolent and slow to answer questions. His roommate mentions he hasn’t left bed all day and had a seizure earlier. Fever? Headache? Neck stiffness? Uh-Oh… -Evaluation- Bacterial meningitis is a life-threatening infection of the meninges.
EMDocs
JULY 5, 2025
We always work hard, but we may not have time to read through a bunch of journals. It’s 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: Combo Albuterol-Budesonide PRN for Mild Asthma Spoon Feed — Patients with mild asthma who used albuterol-budesonide rescue therapy had about half as many severe exacerbations as those on albuterol alone.
JEMS
JULY 8, 2025
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
REBEL EM
JULY 7, 2025
REBEL Rundown Key Points Short + shallow: Neuromuscular, bronchospasm, or compliance problem → act fast Normal/large tidal volume: Compensation for metabolic/systemic cause Use all tools : Eyes: Chest rise, Hands: Palpate, Ears: Listen, Brain: Synthesize Click here for Direct Download of the Podcast. Introduction In this episode, we focus on the bedside evaluation of the tachypneic patient.
American Burn Association
JULY 9, 2025
Categories Advocacy Burn News MAC Spotlight Media Member Services Member Spotlight Organization News Prevention Quality Care Research Return to News & Activities In burn care, knowledge drives progress, inspires innovation, and transforms patient outcomes. At the heart of this advancement stands the Journal of Burn Care & Research (JBCR), the official journal of the American Burn Association (ABA).
NVFC
JULY 8, 2025
200,000 sticks of DripDrop electrolyte powder to be donated, in partnership with the NVFC The application period for the 2025 DripDrop Hydration Giveback Campaign is now open. For the sixth year, DripDrop has partnered with the National Volunteer Fire Council (NVFC) to provide 200,000 electrolyte sticks to volunteer fire departments to keep responders hydrated during wildfires, summer heat, long incidents, and more.
JEMS
JULY 10, 2025
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
Unitek EMT
JULY 8, 2025
Understanding online learning in EMS training. According to the BLS, as of April 2025, employment for EMTs and Paramedics is expected to grow 6% from 2023 to 2033—faster than the average for all occupations. Emergencies, such as car crashes, natural disasters, drug abuse incidents, and acts of violence, will continue to require the skills of […] The post Asynchronous vs.
Critical Care Scenarios
JULY 9, 2025
Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy! Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP) , chats with us (Bryan is president of APGAP , th
NVFC
JULY 8, 2025
For the 17th year, Columbia Southern University is awarding two NVFC members with a scholarship that will cover up to 60 credit hours towards any one of their online degree programs. Take your education to the next level without the financial burden and with classes that fit into your busy schedule. Degree programs include fire science, EMS, emergency management, and many more.
JEMS
JULY 9, 2025
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
Southwest Health
JULY 10, 2025
We all value time outdoors, whether that’s gardening in the yard, hiking local trails, or cheering on kids at summer ball games. Getting outside is good for both our bodies and our mental health. But as we dive into these activities, it’s important to be aware of some health risks that come with Wisconsin’s beautiful landscapes. One of those risks is Powassan virus.
Emergency Medicine Education
JULY 11, 2025
Each time I come across another article on this topic, I tell myself it will be the last time I read one — yet somehow, I keep coming back. The ongoing debate over whether lactated Ringer’s (LR) is better than normal saline (NS), or vice versa, seems endless. The recent NEJM article concluded that there was no significantly lower incidence of death or readmission within 90 days after the index admission, regardless of fluid type.
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