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Pulsara Around the World - July 2025

Pulsara

June Recap Celebrating Customer and Community Successes In Colorado Teams in Colorado Springs, CO, are using Pulsara to keep STEMI DTB times under 30 minutes, close feedback loops, and create a culture of transparency and trust across the entire emergency care continuum. Read the full story here.

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International Prehospital Medicine Institute Literature Review, July 2025

JEMS

ST-segment Elevation Myocardial Infarction (STEMI) criteria have been the traditional method of cath lab activation. However, patients with occlusions that do not have STE may not activate the system and at least a quarter of the non-STEMI cases have an associated coronary artery occlusion.

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The ‘One Big Beautiful Bill’—And the EMS Revenue Collapse No One’s Ready For

JEMS

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.

EMS
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EMS is Not a Business Model and We Are Paying the Price

JEMS

The time dependent emergencies, major trauma, STEMI, and stroke, do. Anecdotal reports may tug at the heartstrings, but our story would be so much more convincingly conveyed if we said that we had a 23% reduction in deaths from STEMI or stroke because of the system of care we have put into place.

EMS
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SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. first appeared on The Skeptics Guide to Emergency Medicine.

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Case Study: Arkansas EMS Dept. Enhances Pediatric Behavioral Health Services

Pulsara

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. MEMS transports around 77,000 patients each year.

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Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

Methods and Results Patients with confirmed ST elevation myocardial infarction (STEMI) treated by emergency medical services were included in this retrospective cohort analysis of the AVOID study. Greater severity of chest pain is presumed to be associated with a stronger likelihood of a true positive STEMI diagnosis.