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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004.

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The Future of Autonomous EMS Delivery Systems

JEMS

These unmanned aerial vehicles can rapidly deliver automated external defibrillators (AEDs), naloxone, epinephrine, and other critical supplies to the scene of an emergency, often faster than traditional ambulances. Technological Advancements in Autonomous EMS One of the most significant developments in autonomous EMS is using drones.

EMS
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Just Culture in EMS

JEMS

Scenario One A paramedic forgets to restock epinephrine 1:1,000 in the medical bag, and the next crew responds to an anaphylaxis call without it. In the traditional response model, the paramedic gets written up or suspended, even though the issue might be because of rules related to shift changes or understaffing. What happens?

EMS
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The Pediatric EMS Podcast: Prehospital Pediatric Traumatic Cardiac Arrest – Priorities for Care

EMDocs

Navy veteran, he specializes in pediatric trauma care Takehome Points Differentiate Between Traumatic and Medical Cardiac Arrest: The approach to traumatic cardiac arrest is distinct from medical arrest, with hemorrhage control and volume resuscitation taking precedence over standard CPR and epinephrine administration.

EMS
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Emergency Evidence Updates – May 2025

The Bottom Line

Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)

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How Drones Are Transforming EMS Logistics and Healthcare Delivery

JEMS

Their Guardian system can deliver critical emergency supplies—Narcan, epinephrine, blood products, AEDs—direct to incident scenes faster than ground crews can arrive. This capability can mean the difference between life and death in overdose, allergic reaction, or trauma incidents.

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Intranasal!

Peter Canning

When I started as a paramedic we could only give naloxone intravenously (IV) or intramuscularly (IM). Recently I read the FDA just approved an intranasal epinephrine that also looks just like the naloxone and diazepam nasal sprays. Many people die of anaphylaxis because people either dont give epinephrine or giving it too late.