June, 2025

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SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc

The Skeptics' Guide to EM

Date: June 2, 2025 Dr. Andrew Tagg Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV and Movies).

EMS 289
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The Silent Struggle: Addressing the Mental Health Epidemic in EMS

JEMS

Let’s shed light on the mental health crisis among EMS providers, emphasizing the high rates of PTSD, depression, anxiety and suicide within the profession.

EMS 130
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AAA Letter to CMS- Reducing Regulatory Burdens on Ground Ambulance Providers

American Ambulance Association

On June 9, the AAA submitted to CMS a letter on ways the Administration can reduce regulatory burdens on ground ambulance service organizations. The AAA requested that CMS eliminate the […] The post AAA Letter to CMS- Reducing Regulatory Burdens on Ground Ambulance Providers appeared first on American Ambulance Association.

Ambulance 130
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US Probe: Assessing Venous Congestion – The VExUS Approach

EMDocs

Author: Jonathan Warren, MD (Clinical Ultrasound and EMS Fellow, Department of Emergency Medicine , Harbor-UCLA Medical Center) // Reviewed By: Steven Field, MD; Brit Long, MD (@long_brit) Case: A 56-year-old male with past medical history of CHF and ESRD presents to your hospital with respiratory distress in the setting of cough for the past four days.

E-9-1-1 107
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Toward a Better Understanding of “Availability”

High Performance EMS

Many agencies simply default units that are on duty with a general “available” status whenever they are not in some active phase of a specific response. The common impression is that this is an unproductive time embodying only the cost of preparedness. Increasing pressure on limited EMS resources suggests benefits to a more detailed appreciation of the precise nature of any unit or crew in this generic status.

UHU 100
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When Every Second Counts

Pulsara

How Metropolitan EMS and Baptist Health Medical Center worked together to achieve a remarkable outcome for one stroke patient When a woman in Little Rock, Arkansas, began showing signs of a severe stroke on her birthday, what followed was a powerful example of how early recognition, coordinated teamwork, and real-time communication can lead to an extraordinary outcome.

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EMCrit 401 – Pediatric Tracheotomy / FONA with Cliff Reid [Primer Ep]

EMCrit Project

Pediatric front-of-neck-access is something we all dread to even think about. We might think we can retreat to the cognitive ease of needle based techniques, but they fail!! And if the kiddo is EMCrit Project by Scott Weingart, MD FCCM.

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More Trending

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Life-Assist partners with Taylor Healthcare to offer the Titan Rapid Cooling Bag, a revolutionary prehospital emergency response to heat-related illness

American Ambulance Association

As heat rises during summer months, so does the risk of heatstroke. Taylor Titan Rapid Cooling Bags provide a critical tool for First Responders to combat dangerous body temperatures. These […] The post Life-Assist partners with Taylor Healthcare to offer the Titan Rapid Cooling Bag, a revolutionary prehospital emergency response to heat-related illness appeared first on American Ambulance Association.

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Lightning rounds 53: GI Q&A with Elliot Tapper

Critical Care Scenarios

From constipation to hepatorenal syndrome. Fan favorite Elliot Tapper (@ebtapper, @ebtapper), gastroenterologist, transplant hepatologist, academic chief of hepatology, and director of the cirrhosis program at the University of Michigan, returns to answer a grab-bag of GI questions. Learn more at the Intensive Care Academy! Takeaway lessons From constipation to hepatorenal syndrome.

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A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke her from sleep and radiated to her back. She described it as "stabbing", 8/10, constant, and associated with nausea. She denied preceding symptoms or recent illnesses. Here is her triage ECG during active pain: What do you think?

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The Urgent & Emergency Care Plan 2025/26: Evolution, Promise & Challenges

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Analysis of NHS UEC plan 2025/26: key changes from previous iterations, strengths and weaknesses, plus core strategies for successful implementation The post The Urgent & Emergency Care Plan 2025/26: Evolution, Promise & Challenges appeared first on St.Emlyn's.

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ECG of the week 18/6/25

EMergucate

An 88yr male who presented with syncope and diaphoresis. In ED he is alert and not complaining of dizziness, chest pain or palpitations. Here is his ECG: What is your management?

ED 130
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Take My Pulse, Please! But Follow the Trend

JEMS

Heres why its important to palpate pulses and follow vital sign trends.

EMT 110
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EMS & Public Safety Agencies Must Reevaluate Marijuana Use Policies In Light of Florida Court Ruling in Firefighter Medical Marijuana Employment Case

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post EMS & Public Safety Agencies Must Reevaluate Marijuana Use Policies In Light of Florida Court Ruling in Firefighter Medical Marijuana Employment Case appeared first on American Ambulance Association.

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Congrats to our Spring 2025 Class!

Chicago EMT Training

We're about a month into our Summer 2025 course and we're starting to receive word that our Spring cohort is passing the NREMT. Woohoo!It was a humbling semester for some and myself. During one particular office hours session, a student came in to retake their first practical [airway, respiratory, and cardiac]. About halfway through the first scenario, I had to stop the student due to poor performance.

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ACEP4U: Reinventing Research Education

ACEP Now

ACEP leaders and emergency medicine researchers knew in the late 1990s that the specialty lacked the respect and recognition afforded to other specialties in peer-reviewed medical education and research. Emergency physician, researcher, and instructor Edward Panacek, MD, FACEP, decided to do something about it with help from the College and his research colleagues.

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EMCrit 1:1 Nursing Podcast 002 – Post-Intubation Sedation (Pain, Agitation, & Delirium)

EMCrit Project

Home EMCrit PulmCrit IBCC ODR About About EMCrit PulmCrit – The Full Story EMCrit FAQ Subscribe to the Newsletter Contact Join Why Should I Become a Member? Questions Before Joining (FAQ) Join Now! EMCrit Project Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation EMCrit Archives EDICUs Show Types ▿ Foundational Stabilization (FoundStab) Project RACC-Lit CV-EMCrit Mind of the Resuscitationist Procedures Outside Shows You are here: Home / EMCrit / 1:1 Nu

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ECG of the week 11/06/2025

EMergucate

The following 85yr male presents from home with central chest tightness, he is independent and has a good functional baseline.

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Women’s Health Challenges in EMS and Fire Service Culture

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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Budget Reconciliation Update- Health & Small Business Provisions

American Ambulance Association

On June 16 the Senate Committee on Finance released legislative text within the committee’s jurisdiction for inclusion in the Senate Republican’s budget reconciliation bill. The following summaries include updates on […] The post Budget Reconciliation Update- Health & Small Business Provisions appeared first on American Ambulance Association.

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Fitness for Busy Nurses

California Casualty

You spend your days caring for others—rushing from room to room, charting notes, and squeezing in quick sips of coffee between patient calls. As a nurse, your schedule is anything but predictable and finding time for fitness can feel like one more thing on an already overflowing to-do list.

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Case Report: Rapid Diagnosis of Acute Aortic Dissection with POCUS

ACEP Now

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. She arrived via emergency medical services and was noted to be hypotensive with several blood pressure readings in the 60s/40s mm Hg range en route.

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Symptomatic Bradycardia: The Epinephrine Era Ends

Handtevy

It’s official: the 2025 ILCOR Pediatric Life Support guidelines have removed the recommendation to administer cardiac arrest dose epinephrine for symptomatic bradycardia in children. Hallelujah For years, the use of epinephrine in bradycardic pediatric patients receiving CPR has been embedded in resuscitation algorithms. But as many of you have long recognized, evidence—not tradition—should guide our protocols.

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Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.

Dr. Smith's ECG Blog

Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain, nausea, dyspnea, and diaphoresis. He was brought in by EMS. His first ECG is shown: ECG 1 Obvious STEMI (+) OMI. What would you guess is the culprit? There is STE in V1 and V2 with lateral STD, a pattern known as precordial swirl , so.it should be LAD, right?

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How Memphis Fire Department Cracked the Code on Recruitment and Retention

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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New volume on geriatric emergency medicine, edited by GEDC Core Faculty Member, available now

GEDC

GEDC is pleased to announce the release of Geriatric Emergency Medicine, An Issue of Emergency Medicine Clinics of North America. Edited by GEDC Faculty Member Dr. Christina Shenvi (University of North Carolina at Chapel Hill) and Dr. Brittany Ellis (University of Saskatchewan), this comprehensive volume offers in-depth clinical reviews on geriatric emergency medicine, providing actionable insights for clinical practice.

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Teacher-Approved Summer Activities for Curious Minds

California Casualty

Summer break doesn’t have to mean a break from learning—especially when the world becomes your classroom! From baking up a math lesson in the kitchen to planning a dream vacation that sneaks in budgeting and geography, these teacher-approved activities turn everyday adventures into brain-boosting fun.

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Suctioning 101: Special Considerations for Assessing the Pediatric Patient

SSCOR

We all know that treating pediatric patients is nothing like treating adults. For one thing, young patients tend to add even more stress to any emergency. The infrequency with which emergency personnel treat pediatrics usually equates to less assurance and more anxiety. Children also require a separate set of drug dosages, which can be difficult to memorize when used so infrequently.

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When things get exciting: Thoughts on the recent EMCRIT episode on serotonin syndromes.

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed In this emergency medicine toxicology blog, Gregory Yates reflects on a recent EMCRIT podcast episode discussing serotonin syndrome, neuroleptic malignant syndrome (NMS), and other hyperthermic drug reactions. The post highlights the diagnostic importance of neuromuscular findings such as clonus, tremor, and hyperreflexia, as outlined in the Hunter criteria.

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60-something with h/o Coronary Bypass has acute chest pain

Dr. Smith's ECG Blog

A 60-something with h/o Coronary Bypass called 911 for acute chest pain. Here is the first prehospital ECG: What do you think? There is minimal ST Elevation in inferior leads which could easily be normal. However, aVL has minimal STD supportive of the diagnosis of OMI. More importantly, the ST depression in V2-4 is diagnostic of posterior OMI. There is a hyperacute T-wave in V6, which is the lateral part of the posterior wall and a common supportive finding in posterior OMI.

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Retention is Recruitment

JEMS

Here's how cultivating a positive culture within your agency can help heal staffing shortfalls and foster a growing staffing pool and environment.

EMT 98
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Case Report: When Syncope Gets Hairy

ACEP Now

School picture day is often dreaded by children and their parents. Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.

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Road Trips Inspired by Our Favorite Shows

California Casualty

Ever dreamed of snapping a selfie in front of Dunder Mifflin in Scranton or standing where Walter White once stood in Albuquerque? With a little imagination (and a full tank of gas), a road trip inspired by your favorite TV show can feel like stepping straight into the screen.

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7 Factors to Consider When Purchasing A Medical Suction Machine

SSCOR

A suction machine is a key component of any medical toolkit. In hospital settings, it prevents aspiration and protects the airway during medical procedures ranging from routine to revolutionary. SSCOR offers a range of suction devices for every agency and in every need.

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Introducing the OneDose and ESO EHR integration

ESO

Great news for EMS agencies: ESO EHR and Hinckley Medical’s OneDose are now fully integrated, streamlining the dosing and documentation process for pre-hospital providers across the country. Through streamlined data transfer between the two apps that eliminates tedious reentry, this easier workflow will reduce risk of error while improving overall efficiency and patient outcomes.

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What Happened to You? Trauma-Informed Care for EMS Clinicians

The EMS Educator

What if we began asking patients “what happened to you?” instead of “what’s wrong with you?” This mindset shift exemplifies the principles behind trauma-informed care. DCFEMS Behavioral Health Coordinator Ronit Reguer once again joins hosts Maia Dorsett, Hilary Gates and Rob Lawrence for a powerful, practical conversation on trauma-informed care. They discuss how this approach can improve both patient outcomes and provider wellness.

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Establishing A Culture of Gender Equality in EMS

JEMS

By addressing institutional biases and empowering leaders to foster inclusivity, this study provides actionable insights for improving gender equality in EMS settings.

EMS 94