August, 2025

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Point-of-Care Ultrasound for Pulse Detection in Cardiac Arrest: Implications for Prehospital Care

NAEMSP

Author : Matt Olocco, MD; Emergency Medicine Resident Physician, WashU School of Medicine Editors : Alex Blau, DO, EMS Physician Fellow – ChristianaCare / Delaware Division of Public Health; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Editors’ Introduction: Accurate and timely pulse detection during cardiac arrest is critical for both guiding resuscitation efforts and minimizing interruptions in chest compressions.

ALS
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Practical Insights for Out-of-Hospital Birth Challenges

JEMS

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

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Ep 206 Massive Hemorrhage Protocols 2.0 – Update on the 7 Ts

Emergency Medicine Cases

In this update to the 7 T’s of Massive Hemorrhage Protocols with Dr. Jeannie Callum and Dr. Andrew Petrosoniak, we explore the most current, evidence-informed strategies for bleeding patients, from polytrauma to obstetrical, drawing on the latest clinical trial data and real-world experience. We answer the questions: What is the evidence based alternative to FFP in EDs where FFP is not readily available?

FFP
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3 Critical Paramedic Airway  Management Steps You Can't Miss

SSCOR

The most critical treatment you provide is airway management. Whether intubating the patient in cardiac arrest, dislodging an obstruction, or simply assisting respirations, the speed and effectiveness of your treatment as a paramedic can mean the difference between life and death for your patients. So, let’s review three critical airway management steps you can’t afford to miss: assessment, equipment, and intervention.

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10 Ways Pulsara Helps During Time-Sensitive Emergencies

Pulsara

Time-sensitive emergencies are demanding events. Rapid response, coordinated teams, and extensive resources are crucial for patients whose conditions deteriorate quickly. Whether it's a STEMI, stroke, trauma incident—or even a mass casualty incident like a hurricane or multi vehicle accident—treatment time is often a dominant factor when determining the post-treatment wellbeing of a patient.

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Mind the Gaps: What Simulation Reveals About Pediatric Readiness in EMS

The EMS Educator

How well do EMS teams manage critically ill pediatric patients—and how do we know? In this episode of the EMS Educator Podcast, hosts Rob Lawrence and Maia Dorsett speak with Mark Cicero, lead author of a landmark study published in Prehospital Emergency Care. The study used simulation to assess EMS performance in pediatric emergencies. From medication dosing errors to missed fundamentals like cap refill checks, Dr.

EMS
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New Prehospital Blood Transfusion Guideline and Standards for EMS

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post New Prehospital Blood Transfusion Guideline and Standards for EMS appeared first on American Ambulance Association.

EMS

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ToxCard: Nitrous Oxide Use in the ED

EMDocs

Authors: Nicholas S. Imperato DO, MPH (@nickimperato14, Emergency Medicine Resident, Rutgers New Jersey Medical School), Cynthia Santos MD (Associate Professor, Emergency Medicine, Medical Toxicology, Addiction Medicine, Rutgers New Jersey Medical School) // Reviewed by: Ann-Jeannette Geib, MD (Associate Professor, Emergency Medicine, Medical Toxicology, Wake Forest University School of Medicine, Carolinas Medical Center); Brit Long, MD (@long_brit) Case: A 25-year-old male presents to the Emerg

ED
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The 93rd Bubblewrap x Southampton Children’s Paediatric ED

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. This month, the team from Southampton Children’s PED showcase the latest research on common presentations and use of technology in ED that you really want to know about! Southampton Children’s Hospital is a tertiary and major trauma centre. The emergency department sees over 35000 children a year and is the single front door for all ill and injured infants, children and young people at the trust.

ED
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(Q2/2025) ESO Updates: Quarterly Product Enhancements

ESO

Welcome to the Q2 ESO quarterly product updates, where we take a look at the latest changes from this past quarter, along with the exciting things to come in Q3. We’ve already made a ton of progress in 2025, most of which was made possible by feedback submitted by the ESO community through our Ideas Portal. Thank you for all your suggestions, and check out how we’re bringing your incredible ideas to life below: Content applicability by product Building Blocks EMS Fire Hospital State

EMS
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Management of ED Crowding versus Mass Casualty Incidents: Is There an Ethical Difference?

ACEP Now

It is a busy Saturday evening in your emergency department (ED). Every bed is filled, including those in the hallways. The waiting room is packed, with some of the wait times exceeding six to eight hours. A stricken nurse hands over the phone, and a pressured voice comes through saying, “There was a bombing at a music festival. We don’t know how many, but ready the ED.

ED
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Thoracic Aortic Dissection: ACEP Clinical Policy Update

FOAMcast

Apple Podcasts , Spotify , Listen Here In this episode, we review a new clinical policy from the American College of Emergency Physicians (ACEP) on the use of risk stratification tools ( ADD-RS ) and D-dimer to exclude non-traumatic thoracic aortic dissection. [link] Promes SB, Westafer L, Byyny R, Diercks DB et al Critical Issues in the Evaluation and Management of Adult Patients With Suspected Acute Nontraumatic Thoracic Aortic Dissection.

ALS
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EMS Frontline Fatigue in Focus: A Profile of Intervention Strategies Driving Change

JEMS

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

EMS
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Arterial Line Placement During Cardiac Arrest: The ED experience.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Ourt review of a small Feasibility study on arterial line placement during ED cardiac arrest shows high success and improved ROSC. Is it time to rethink resuscitation monitoring? The post Arterial Line Placement During Cardiac Arrest: The ED experience. appeared first on St.Emlyn's.

ED
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Crash Cart Preparedness: Must-Have Features and Medications

SSCOR

A crash cart is an integral component of emergency patient care. Although most emergency departments use these carts to treat cardiac arrest , they can also treat other emergency conditions and ensure that providers can promptly attend to patients at a high risk of serious morbidities and mortality.

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SGEM#481: Shot Through the Chart And You’re to Blame – But Can We Intervene?

The Skeptics' Guide to EM

Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025 Date: July 28, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She's a seasoned knowledge translator with her wonderful PaperinaPic infographics. Case: Your non-US emergency department (ED) has recently been shaken by the attendance of a teenager with a gunshot injury.

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Should we throw away our pelvic binders? w/ Dr. John Lyng

FOAMfrat

Should we throw away our pelvic binders?Pelvic binders have long been considered a standard intervention in the management of suspected pelvic fractures in the prehospital setting. However, recent guidance from the National Association of EMS Physicians (NAEMSP) challenges some of the long-standing assumptions surrounding their use. In a recent FOAMfrat podcast episode, I spoke with Dr.

EMS
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Tailoring Minute Ventilation for Acidotic Patients: Why “One-Size-Fits-All” Vent Protocols Fail

The FllightBridge ED

Introduction In the prehospital critical care environment, clinicians often face acidotic patients whose survival hinges on the precise management of minute ventilation.

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AmeriPro Health Inks New Emergency Services Agreement With Terrell County (GA)

JEMS

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

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REBEL Core Cast 138.0: A Simple Bedside Approach to Shock

REBEL EM

🧭 REBEL Rundown 📌 Key Points 🧠 Shock is a Clinical Diagnosis — Not Just a Number Patients can be in compensated shock with normal BP. Look for signs like AMS, cool extremities, ↓ UOP, and ↑ HR/RR. 🖐️ Start with the 4 L’s Lucid (mental status), Limbs (warm/cold), Leak (urine output), and Lactate give you rapid bedside insight into perfusion status.

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What’s in The Drug Pipeline These Days?

ACEP Now

A unique aspect of emergency medicine is being on the front lines of clinical care. We are fortunate to be among the first to be exposed to all things, from novel respiratory pathogens to newly approved pharmaceuticals. Here are a few of the new approvals potentially relevant to emergency medicine practice. Neffy First off the rack is Neffy (epinephrine), whose name is more reminiscent of a child’s plush toy than a pharmaceutical.

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New Book

Peter Canning

My new book The Friends and Family Guide to the Opioid Overdose Epidemic: Including How to Recognize and Treat an Overdose is going to be released on August 26, 2025. In 2021 Johns Hopkins University Press published my last book, Killing Season: A Paramedic’s Dispatches from the Front Lines of the Opioid Epidemic. It was selected by Amazon as one of the best books of the month, and described my journey from a medic who believed people who used drugs had a character flaw that was going to

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Why Your EMS Squad Should Care About Portable Suction

SSCOR

Emergency medical responders are responsible for saving lives every day. Their knowledge and skills enable them to quickly assess and treat patients who may be unconscious, unable to communicate, or located in remote terrain.

EMS
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JC: When helping hurts – moral injury and the erosion of trust for UK emergency responders

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed New UK research reveals 3 types of moral injury in emergency medicine: loss of trust in others, self & authority. St Emlyn's journal club review of key findings. The post JC: When helping hurts – moral injury and the erosion of trust for UK emergency responders appeared first on St.Emlyn's.

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International Prehospital Medicine Institute Literature Review, August 2025

JEMS

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

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Spotting Peritonsillar abscesses: Swollen Silence

EM Board Bombs

-Case- A 25-year-old man stumbles into the ED with a muffled voice and throat discomfort. He has a sore throat, trismus, drooling, and can barely open his mouth. When prompted, he points to the left side of his throat, where his uvula is pushed to the right, and he winces when you palpate his left tonsillar region.

ED
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What’s In Your Emergency Kit? Essentials for Every Household

First Responders Foundation

When disaster strikes, there’s rarely time to plan. Whether it’s a power outage, natural disaster, or unexpected emergency, having a well-stocked emergency kit can make all the difference. Think of it as your household’s lifeline—a way to stay safe, nourished, and informed until help arrives or conditions improve. But what exactly should go in your emergency kit?

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Novelty

Peter Canning

I am going to turn 67 this month. I am the oldest active paramedic in our division. Today I read an article in the Washington Post about a 76 year old EMT who started his career at 65 and only retired from active duty this year because the physical demands of the job became too much for him. He still works there though as an instructor/mentor. We have had employees here who have worked into their 70’s before.

EMT
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Bubble Wrap PLUS – August 2025

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

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Why Prioritizing Health and Safety Helps You Recruit and Keep Great People

NVFC

By Walter A. Campbell Reprinted from the 2025 issue of Firefighter Strong Every day, departments across the country struggle to answer one question: How do we get people to join and stay? Whether your department is entirely volunteer, paid, or somewhere in between, you’re asking individuals to step into one of the most demanding and selfless roles in public service.

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Boy Who Nearly Drowns Meets HEMS Crew Who Helped Save His Life

JEMS

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

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5 Minute Preceptor: CHF or COPD

The FllightBridge ED

Here is a common problem that your new kid will have difficulty with. Heart Failure (HF) vs. COPD in the patient with respiratory distress.

OR
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Authority for Ground Ambulance Providers to Receive Funds from the Rural Health Transformation Program Authorized by Public Law 119-21

American Ambulance Association

Advisory from Alston & Bird, Consultants to American Ambulance Association On July 4, 2025, H.R. 1, the One Big Beautiful Bill Act, was signed into law by the President.1 Section […] The post Authority for Ground Ambulance Providers to Receive Funds from the Rural Health Transformation Program Authorized by Public Law 119-21 appeared first on American Ambulance Association.

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Complicit

Peter Canning

You’re a new firefighter-paramedic and you are not fitting in. You are quiet, reserved. You lack the natural swagger of many of your co-workers. And you like the medic part of your job more than the fire. Your district mates give you a hard time about riding in calls they say you should have downgraded to the private ambulance crew. And you take too long to finish your charts.

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FirstNet is Transforming Communications for First Responders in Alamance County, North Carolina

FirstNet Authority

FirstNet is Transforming Communications for First Responders in Alamance County, North Carolina Press Releases michelle.

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August 2025 News from the College

ACEP Now

ACEP Webinar Series Discusses Effects of the One Big Beautiful Bill Act ACEP is strongly opposed to the drastic changes to Medicaid, including stricter eligibility rules, work requirements, and a $1 trillion reduction in spending over the next decade, that are part of the One Big Beautiful Bill Act (OBBBA), which was passed by Congress in late June and signed into law last month.

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NH Ambulance Providers Win Rate Relief; Triple Medicare Rate Guaranteed

JEMS

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