May, 2025

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SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants?

The Skeptics' Guide to EM

Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study.eClinicalMedicine Lancet December 2024 Date: March 6, 2025 Dr. Demetris Athanasiou Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London.

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Episode 209: Blast Crisis

Core EM

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Hematology , Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow.

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AAA Advocates for Student Loan Forgiveness for All EMS Personnel

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post AAA Advocates for Student Loan Forgiveness for All EMS Personnel appeared first on American Ambulance Association.

EMS 130
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Thoracic Aortic Emergencies on Ultrasound: Recognizing Aneurysms and Dissections

Core Ultrasound

In this video, Dr. Jailyn Avila walks you through how to diagnose thoracic aortic aneurysms and thoracic aortic dissection using bedside ultrasound. While the abdominal aorta often gets the most attention, aortic disease above the diaphragm is just as criticaland often harder to recognize. Early detection of thoracic aortic pathology can be life-saving, and ultrasound can play a key role in raising suspicion quickly.

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ECG of the week 14/5/2025

EMergucate

A 33yr old male presents with exertional chest pain, his ECG is below: What is the specific finding and concern … Continue reading →

EMS 130
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FDNY EMS Members Celebrate 50 Years of Serving New York City

JEMS

New York City salutes the service and protection provided by the citys street doctors.

EMS 111
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6 Ways To Lose DKA Style Points

FOAMfrat

I think most clinicians enjoy getting as much information as possible before getting on scene. It gives your mind time to start working through various scenarios, cross-check guidelines, and develop a game plan with your partner. I want you to read the following dispatch information and let your brain do a little premature future-telling.

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A snapshot of the 2024 PEM MSc dissertations

Don't Forget the Bubbles

In 2021, we welcomed our first cohort of doctors, nurses, and paramedics from across the world onto the PEM MSc. This online MSc is undertaken over three years and covers the full range of PEM presentations. In the final year, students use the skills they have learned in knowledge translation and evidence appraisal to undertake their own study for their dissertation.

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Hilo Benioff Medical Center Improves Average Door-to-Needle Time by 41%

Pulsara

After implementing Pulsara, the Island of Hawaii's Hilo Benioff Medical Center achieved a 24-minute reduction in average door-to-needle time for stroke patients. Hilo Benioff Medical Center, the largest facility in the Hawaii Health System Corporation and the leading provider of inpatient and outpatient care on Hawaii Island, is a Level III Trauma Center and Primary Stroke Center that faces unique challenges in delivering timely stroke care.

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Unique Airway Considerations and Risks When Treating Pregnant Patients

SSCOR

Pregnant patients exhibit various unique characteristics that first responders must account for during treatment. A significant challenge responders encounter when treating pregnant women is navigating difficult airway anatomy and possible risks during airway management. The rate of failed intubation in pregnant patients is four to eight times higher than in nonpregnant patients, and this is largely due to anatomical changes , hormone production, and aspiration risks that occur during pregnancy.

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Is It Time for Midlevel Providers to Staff EMS Vehicles?

JEMS

Nurse practitioners and physician assistants might be the future of prehospital care amid rising acuity, demand and workforce shortages.

EMS 97
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ESO Auto-Generated Narratives: Tech that follows your lead

ESO

Cut documentation time up to 80% and stay in control At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together. – Dr. Brent Myers, Chief Medical Officer at ESO Filling out patient care reports has always been an important, yet time-consuming, part of an EMS providers shift.

EMS 52
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Anaphylaxis in the ED: Epinephrine First, Questions Later

EM Board Bombs

-Case- A 31-year-old woman rushes into the ED with her lips swelling and a rapidly spreading rash. She was stung by a bee while jogging, and within minutes developed hives, throat tightness, and shortness of breath. On arrival, her vitals are notable for HR of 118 bpm, a BP 82/50 mmHg, and she’s wheezing audibly. She’s anxious, flushed, and says, “I feel like I can’t breathe.

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FirstNet deployables provide on-demand coverage for public safety

FirstNet Authority

FirstNet deployables provide on-demand coverage for public safety Blog joseph.rey@fir Fri, 05/09/2025 - 10:44 By First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters. Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates.

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VBG of the week 14 May 25

EMergucate

The following patient was found collapsed outside a warehouse. What is his diagnosis and management? ph 7.

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The Fundamentals of Assessing Respiratory Status

SSCOR

About one in eight non-traumatic emergency visits were due to respiratory distress. Among patients with respiratory health issues or emergent trauma, the figure may have been even higher. Assessing respiratory status is a core component of emergency and trauma care, as well as medical intake. Even when respiratory distress is not the presenting issue, it may be a complicating factor.

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Service Animals and EMS: How Our Policies Miss the Mark in Advocating for Patients and Providers

JEMS

Here's how EMS policies fall short in protecting rights of patients with service animals.

EMS 105
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Paediatric Emergencies Update 2024 – Noosa Day 2 & 3

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed ENT emergencies, extended duty of care and the medicolegal implications of being vicariously injured, sodium balance and regulation, neuroradiology and disaster and counter-terrorism medicine The post Paediatric Emergencies Update 2024 – Noosa Day 2 & 3 appeared first on St.Emlyn's.

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Abstract: Paramedic Flourishing at Work: A Way Forward | 26 June 2025

Paramedic Chiefs of Canada

What will we be discussing? This session will outline a master’s thesis using an explanatory sequential mixed methods design to explore paramedic well-being with a strengths-based lens. At the Ottawa Paramedic Service, this study followed the thread of flourishing through a quantitative survey to semi-structured interviews utilizing narrative inquiry with an appreciative focus.

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Episode 151 Deep Dive: Decoding Pediatric Asthma in EMS Data

Prehospital Emergency Care Podcast

Today, hostRachel Stemerman sits down with two authors of a groundbreaking paper: Ira Harmon and Jennifer Fishe. Their research tackles a significant challenge in emergency medical services: accurately identifying prehospital pediatric asthma exacerbations from complex EMS data. Asthma exacerbations are a common reason for pediatric EMS encounters. Accurately identifying these encounters is crucial for research and quality improvement in prehospital care.

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Scan Artist Files – Navigating the Ultrasound Probe

FOAMfrat

Throughout the years, FOAMfrat has put on quite a few ultrasound workshops. One of the most interesting aspects of watching someone pick up the ultrasound probe for the first time is how they grip it. I believe that how the brain wants to hold something new is influenced by how you have gripped something similar. Most parents can relate to watching their children learn how to use utensils.

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Spotting Boerhaave Syndrome in the ED: Hamman’s Crunch Time

EM Board Bombs

-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing. On exam, you note subtle crepitus in his neck and chest wall.

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Optimizing Out-of-Hospital Cardiac Arrest Outcomes

JEMS

Heres how the latest research on amiodarone and lidocaine could influence EMS protocols.

EMS 98
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True EMS Competence: The Goal of Recertification

The EMS Educator

How should we best acquire medical knowledge and skills so that we can easily retrieve and effectively use them in the field? Now that we are past the stressful March 31st recert deadline, hosts Maia Dorsett, Hilary Gates, Rob Lawrence delve into the issues surrounding EMS recertification and continuing education. Special guest Ethan Setnik, Chief Technology Officer at Prodigy EMS, offers unique insights into the design of learning from his perspective as a system engineer.

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Wave 2025 Recap: Top 5 Topics in EMS and Fire  

ESO

Every April, first responders and data enthusiasts alike gather in Austin, Texas, for the annual leading EMS, fire, and hospital industry conference. For four days, top thought leaders from these industries meet to hear the latest trends, innovations, and research reshaping the industry, learn how to better support their teams to get ahead of the tide, and network with other data-driven leaders.

MIH 52
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FRWC supports Bank the Blue at their 5th Anniversary Gala

First Responders Wellness Center

On May 1st, 2025, Dr. Carrie Steinerrepresented the First Responders Wellness Centerat the Bank the Blue 5th anniversary gala where she was recognized during the program for her exceptional contributions to the well-being of those who serve on the front lines. The event brought together community members to celebrate and support the crucial work of police and first responders.

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Procedure: Nail bed repair

Life in the Fastlane

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure, instruction and discussion: nail bed repair - a deceptively simple injury that can lead to permanent nail deformity if managed incorrectly

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How Much Does CPR Training Cost?

NHCPS Save a Life

Every year, more than 436,000 Americans lose their lives to cardiac arrest. Globally, cardiac arrest claims more lives than colorectal cancer, breast cancer, prostate cancer, influenza, pneumonia, auto accidents, HIV, firearms, and house fires combined. In the United States alone, over 350,000 cardiac arrests happen outside of hospitals each year, with nearly three-quarters occurring at […] The post How Much Does CPR Training Cost?

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Groundbreaking Research Aims to Understand the Impact of Work-Related Stress in EMS Clinicians

JEMS

The National Registry of Emergency Medical Technicians is collaborating with investigators at the Dartmouth College Center for Technology and Behavioral Health.

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Abstract: Burden of Command: Leading Others at the Expense of Yourselves’ | 10 April 2025

Paramedic Chiefs of Canada

What will we be discussing? The concept of the burden of command, which has a historical legacy that pre-dates the Great Wars, is becoming a growing concern affecting our paramedic leaders. Join us as we seek to explore the burden of command that exists within the paramedic community. The session will feature research highlights as they pertain to the psychological health and well-being of paramedic leaders in Canada, and a showcasing of the results from a recent pilot study with paramedic leade

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Male Partner and Bacterial Vaginosis

Emergency Medicine Education

Bacterial vaginosis (BV) can sometimes be challenging to treat effectively. While standard oral antibiotics, such as metronidazole, are generally effective, some cases require switching to clindamycin for better outcomes. A recent open-label randomized controlled trial published in the New England Journal of Medicine in March 2025 evaluated the treatment of male partners with oral metronidazole and topical clindamycin cream.

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Checking the Status of Your Portable Suction Unit

SSCOR

Medical professionals must be sure that all lifesaving equipment is operational when needed, with protocols that dictate equipment inspections and checks. Some checks must be done at the beginning of each shift, and some are scheduled on a less frequent basis.

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Procedure: Nail bed repair

Life in the Fastlane

James Miers and Hasan Sarwar Procedure: Nail bed repair Emergency Procedure: nail bed lacerations - a deceptively simple injury that can lead to permanent nail deformity if not managed carefully

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How Long is ACLS Class?

NHCPS Save a Life

Every year, more than 300,000 people in the U.S. suffer a cardiac arrest outside of a hospital, and nearly 90% of those cases are fatal. With each passing minute, survival chances drop – unless someone trained to help can intervene. Thats why Advanced Cardiovascular Life Support (ACLS) training is so essential for healthcare professionals If […] The post How Long is ACLS Class?

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LA EMS Academy Slashes Tuition to Attract New EMTs

JEMS

In response to a growing shortage of emergency medical technicians, the National EMS Academy is slashing its tuition by 78% in an effort to attract more people into the field.

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Gordon Peckham

Paramedic Chiefs of Canada

Gordon Peckham, MSM, CD, MHS, RN, CHE Gordon joined the Canadian Forces in 1995 under a National Defense scholarship and completed his Bachelor of Science in Nursing Degree at Dalhousie University in 1999. Upon graduation he was posted to the hospital at Canadian Forces Bases Halifax. In Halifax, Gordon worked in various roles including Medical-Surgical Inpatients, Operations and Training, Immunization, and trained with the Disaster Assistance Response Team.

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Paramedic Chiefs of Canada – Paramedic Flourishing at Work: A Way Forward

FirstWatch

Instructions to join are below description and speakers. June 26, 2025 | 9:00 am PDT (12:00 pm EDT) This session will outline a masters thesis using an explanatory sequential mixed methods design to explore paramedic well-being with a strengths-based lens. At the Ottawa Paramedic Service, this study followed the thread of flourishing through a quantitative survey to semi-structured interviews utilizing narrative inquiry with an appreciative focus.