The Skeptics' Guide to EM

JUNE 1, 2024

He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). Population: Children (aged 0 to <18 years) who underwent blunt trauma evaluation in emergency departments. (ED)

Emergency Medical Services 217

Emergency Medical Services Emergency Department EMS ALS 217

International Journal of Paramedicine

OCTOBER 8, 2024

Little is known about patients’ decisions to come to the Emergency Department (ED) via emergency medical services (EMS) versus privately owned vehicle (POV); this is problematic as trust in EMS systems impacts patient care decisions. Patients completed a multi-method survey during their ED stay.

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Emergency Medical Services EMS Emergency Department ED 52

ACEP Now

FEBRUARY 18, 2025

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. She was transported to the emergency department, and the following ECG was obtained (Figure1).

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Emergency Medical Services Emergency Department ALS EMS 52

JEMS

JULY 8, 2025

Between 2006-2017 the country saw a 60% rise in pediatric emergency department visits that were related to behavioral health. This increase was also reflected in data from 2011-2020 where pediatric emergency department visits for behavioral health increased from 4.8 million in 2011 to 7.5 million in 2020. of visits.

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EMT EMT Mobile Integrated Health Paramedic 105

Pulsara

JANUARY 25, 2024

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED.

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Emergency Medical Services EMS STEMI Emergency Department 116

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.

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The Skeptics' Guide to EM

JANUARY 15, 2022

Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program.

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Emergency Medical Services Critical Care Paramedic Firefighter 109

Don't Forget the Bubbles

MAY 19, 2025

Owen Hibberd The use and utility of the paediatric oral fluid challenge in a single tertiary paediatric emergency department Why? The paediatric oral fluid challenge (OFC) has been a staple in emergency departments for years, helping to determine which children struggling with oral intake truly need IV fluids.

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Emergency Department ACS EMS OR 62

Irish College of Paramedics

FEBRUARY 15, 2025

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel.

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Emergency Medical Services Emergency Department ED ALS 40

ACEP Now

JUNE 11, 2025

A 55-year-old woman with medical history of well-controlled hypertension and renal cell carcinoma, status post-partial nephrectomy, presented to the emergency department (ED) with sudden-onset, 10-out-of-10 chest pain and pressure.

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Operating Room Emergency Medical Services Emergency Department ED 59

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.

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Emergency Medical Services EMS Emergency Department Ambulance 95

EMDocs

NOVEMBER 19, 2024

His roommate found an empty pill bottle on the floor next to him.

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Overdose EMS ALS Emergency Medical Services 101

ACEP Now

APRIL 8, 2025

Organize an international conference on topics of interest in emergency medicine. Act as a resource in the development of emergency medical services. IFEM Opportunities Each year, IFEM holds a conference, the International Conference on Emergency Medicine (ICEM). It is helpful to know that you are not alone.

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Emergency Medical Services Critical Care Emergency Department ED 52

EMDocs

JUNE 2, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators.

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Emergency Department Emergency Medical Services Overdose ED 85

The Skeptics' Guide to EM

FEBRUARY 17, 2018

Other serious time-dependent conditions such as myocardial infarction and trauma have been improved significantly with emergency medical services (EMS). It has been reported that over half of patients with sepsis arrive to the emergency department via ambulance [1].

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Paramedic Emergency Medical Services Ambulance ALS 100

EMDocs

SEPTEMBER 15, 2023

Source Emergency Medical Services handoff of patients in cardiac arrest in the Emergency Department: A retrospective video review study of duration and details of handoff. Try this checklist! Resuscitation. 2023 Aug;189:109834. doi: 10.1016/j.resuscitation.2023.109834. 2023.109834.

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Emergency Medical Services Coronary Emergency Department EMS 76

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

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Emergency Department Emergency Medical Services ED OR 52

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.

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Emergency Medical Services Emergency Department ED ALS 124

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

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Emergency Department Emergency Medical Services ED EMS 70

International Journal of Paramedicine

OCTOBER 8, 2024

Background Alternative emergency medical services (EMS) disposition programs have been developed for adults with low-acuity complaints. Methods This was a planned secondary analysis of a cross-sectional study of children transported by EMS to an emergency department (ED).

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Emergency Medical Technician EMT EMT Paramedic 52

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.

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EMS Emergency Medical Technician EMT EMT 52

AAEM RSA

MAY 7, 2021

Schreyer, MD CMQ FAAE Originally published: Common Sense January/February 2021 The advent and broad availability of ridesharing services, such as Lyft and Uber, are changing the way patients access medical services, and emergency departments (EDs) are taking notice. Academic Emergency Medicine. 2019.10.013.

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EMR Emergency Medical Services Ambulance Emergency Department 52

International Journal of Paramedicine

OCTOBER 12, 2023

Background: Frequent callers of emergency medical services comprise a disproportionate percentage of emergency department visits. This study aims to describe reasons for calling 911 and healthcare services among frequent callers in Ontario. Methods: Cross-sectional research design.

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Overdose EMS Emergency Medical Services Ambulance 52

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

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ED Mental Health Services Emergency Department Emergency Medical Services 52

NAEMSP

FEBRUARY 1, 2023

The goal of the study was to determine predictors of repeat access to prehospital or emergency department care within 72 hours of initial paramedic contact. 43 patients (5.4%) had repeat access to prehospital or emergency department care. ” Prehospital Emergency Care 22.6 accepted transport to the hospital.

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OR Emergency Department Emergency Medical Services Paramedic 52

ACEP Now

MAY 9, 2024

But since the mid 80s, we have realized that EMS is the clinical practice of emergency medicine outside of the emergency department. There are also hundreds of other emergency physicians involved in EMS as part of their practice but aren’t board certified as EMS subspecialists. So physicians need to be involved.

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EMS Emergency Medical Services EMT EMT 52

Handtevy

SEPTEMBER 20, 2022

Case Report: The study discusses the case of a 17-year-old female who arrived at a community emergency department (ED) following a motor vehicle collision. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. Her condition rapidly deteriorated, requiring intubation.

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Operating Room Emergency Medical Services ED Emergency Department 52

NCOAE

DECEMBER 11, 2023

A study published by Cambridge University Press examined patient outcomes over a decade during which Emergency Medical Service (EMS) systems decreased backboard use as they transitioned from SI to SMR protocols. The study included 549 patients in the SI period and 623 patients in the SMR period.

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OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

Don't Forget the Bubbles

MAY 29, 2023

Bad manners in the Emergency Department: Incivility among doctors. Burnout and Workplace Incivility Among Emergency Medical Services Practitioners: A Preliminary Report , Prehospital Emergency Care [Internet] 2023 Okuyama A, Wagner C, Bijnen B. PLoS ONE [Internet]. 2018 13(3): e0194933.

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Critical Care E-9-1-1 Emergency Medical Services ALS 98

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.

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Emergency Medical Services Operating Room Paramedic OR 52

NCOAE

MARCH 8, 2021

Paramedic: Paramedics generally have at least two years of training, which qualifies them to provide advanced airway management, administer life-stabilizing medications, and preform emergency procedures outside of an emergency department. Do You Have What It Takes to Become an EMT?

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EMT EMT Emergency Medical Technician AEMT 52

EMT Training Station

MAY 19, 2023

We want to make the link between this knowledge and how it can be used in emergency medical services, not just give a theoretical understanding. This will involve providing a clear and concise handoff report to the emergency department staff as well as accurately documenting the incident and care rendered for future reference.

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EMT EMT Emergency Medical Services First Aid 52

Irish College of Paramedics

SEPTEMBER 26, 2018

The recent discussions regarding the crew composition of the proposed Helicopter Emergency Medical Services (HEMS) in Cork require comment from paramedicine. In years to come paramedics should be involved in more areas of care and not limited to emergency pre-hospital care. Irish Journal of Paramedicine. Nichol , G.,

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Emergency Medical Technician Advanced Life Support Paramedicine Life Support 52

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

In years gone by, joining the world of emergency medical services meant a high turnover of patients, among a daily mix of unpredictable emergencies. The medically minded individuals seeking ongoing patient contact found a vocation in medicine, mental health, nursing, midwifery and allied health professions.

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Paramedic Paramedicine Paramedicine Ambulance 52

NCOAE

SEPTEMBER 26, 2023

The suicide rate among emergency medical service (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).

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EMS Allergic Reaction EMT EMT 52

ACEP Now

JULY 7, 2023

The impact of a soiled airway on intubation success in the emergency department when using the GlideScope or the direct laryngoscope. Acad Emerg Med. Difficult intubation factors in prehospital rapid sequence intubation by an Australian helicopter emergency medical service. BioMed Res Int. 2015;2015:806243.

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Emergency Medical Services ALS EMS OR 45

JEMS

JUNE 23, 2025

Few public services are more essential and financially vulnerable than Emergency Medical Services (EMS). These policy shifts pose significant implications for emergency medical services (EMS), particularly concerning reimbursement, eligibility protocols, and provider participation. References 1.

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EMS E-9-1-1 Community Paramedicine Emergency Medical Services 116