Sat.Feb 08, 2025 - Fri.Feb 14, 2025

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2025 EMSNext Recipients Announced

American Ambulance Association

FOR IMMEDIATE RELEASE Contact: Samantha Hilker Sr. Director of Strategic Initiatives shilker@ambulance.org American Ambulance Association Announces 2025 EMSNext Winners Washington, D.C. The American Ambulance Association (AAA) is proud to […] The post 2025 EMSNext Recipients Announced appeared first on American Ambulance Association.

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Episode 165 Fish Tongue Parasite: Parasite Appreciation Hour

This Podcast Will Kill You

Okay everyone, think about your tongue. Maybe move it around a bit, check in with it, consider what it means to you. Now imagine that your tongue suddenly shriveled up and fell off and that in its place is a tongue-sized isopod aka rollie pollie aka pillbug. Just there, hanging out, forever. How are you feeling? Horrified? Disgusted? Hey, we get it.

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Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.

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Onboard Airway Suctioning: Staying Safe in an Ambulance

SSCOR

Modern, fully equipped ambulances with well-trained paramedics are marvels, providing services that save lives and maintain seriously injured or ailing patients status before they reach an appropriate medical facility. But that goal is only achieved when technicians aboard the ambulance practice safe procedures.

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NRHA | Community Paramedicine Framework

American Ambulance Association

National Rural Health Association December 2024 Policy Paper Bridging the gap: A policy framework for sustainable community paramedicine in rural America Authors: Katie Gorndt, Kimberly Haverly, Tom Syverson The post NRHA | Community Paramedicine Framework appeared first on American Ambulance Association.

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The Clock Is Ticking on Trauma Center Time to Transfer 

ESO

For the first time, the 2024 ESO Trauma Index took a deep dive into Time to Transfer data a critical, patient-centered metric that directly impacts survival rates and care outcomes. Defined by the National Trauma Data Bank (NTDB) as the time between when a transfer order is written and when the patient physically leaves the facility, this metric sheds light on how well trauma systems move patients to the right place for the right care.

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Ambulance History: A Journey Between England and America

Stem EMS

Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.

More Trending

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Clonidine

Life in the Fastlane

Chris Nickson Clonidine Critical Care Compendium entry for Clonidine (pharmacology)

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Rethinking EMS

High Performance EMS

Download the collaborative document created by several national professional organizations on “ Rethinking Emergency Medical Services.” There are several very quotable sections including, “The EMS staffing crisis highlights the need for reasonable, evidence-based and data driven system design and response changes to sustain these vital services while addressing the root causes of workforce shortages and economic challenges.

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New Study Shows Drop in Stroke Treatment Times with Pulsara and Viz.ai

Pulsara

A new study published by the AHA shows the use of AI and communication tools decreases treatment times between 43% and 53% for door-to-CT, door-to-needle, and door-to-puncture times A group of clinicians in Washington State implemented both Pulsara and Viz.ai , tracking treatment times for door-to-CT, door-to-needle, door-to-puncture, and length of stay.

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NICU graduation to PICU

Don't Forget the Bubbles

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

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3 Neurological Emergencies Requiring Suction

SSCOR

Neurological emergencies come in many forms, many of them life-threatening. Any pathological process or traumatic injury that impacts the patient's neurological system can have devastating consequences: paralysis, brain damage, or even death. As an emergency provider, you must be prepared to support your patient's vital functions. This includes ensuring adequate circulationby maintaining blood pressure and pulsealong with oxygenation, through oxygen therapy, intubation, and, most importantly, su

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‘NSTEMI’ or reperfused OMI? And which lesion is the culprit?

Dr. Smith's ECG Blog

Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.

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OPVEE and Opioid Epidemic Opportunists

Peter Canning

A pharmaceutical company is apparently targeting police departments to get them to carry OPVEE (nalfemene), a long-acting opioid antagonist that the two top toxicology organizations in the country say has significant risks and has not been studied in actual settings. In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, Th

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Snooze Control: Procedural Sedation 101

EMOttawa

Procedural sedation (PS) is a cornerstone of Emergency Medicine, frequently employed in the Emergency Department (ED) to facilitate painful or anxiety-provoking procedures while ensuring patient comfort. The goal is to achieve optimal sedation while allowing for rapid recovery and minimizing complications. Despite its routine use, PS requires meticulous preparation, risk stratification, and vigilance for potential […] The post Snooze Control: Procedural Sedation 101 appeared first on EMOtt

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emDOCs Podcast – Episode 114: Airway/Intubation Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a

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No Lifeguard on Duty: Managing Drowning in the ED

EM Board Bombs

–Case– It’s a hot summer afternoon when EMS rushes in with an 8-year-old boy who was pulled from a community pool after being underwater for an unknown amount of time. Bystanders report he was initially unresponsive but had spontaneous respirations after CPR was started. Now in the ED, he’s tachypneic, mildly cyanotic, and lethargic.

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Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent. He was notably diaphoretic, tachycardic, and severely agitated, requiring physical restraint by multiple security and medical team members for patient and staff s

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Stockton Fire Dept. Delivers Customer Service through Data

FirstWatch

How this busy agency supports its neighbors and keeps up with demand with FirstWatch The real advantage of FirstWatch, Says Michele Godina Machado, Administrative Analyst II at Stockton (Calif.) Fire Department , is that I know the numbers are right. We say in this business that if its garbage in, then its garbage out. FirstWatch allows us to verify the accuracy of our data.

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ToxCard: Radiation-Induced Skin Injury

EMDocs

Authors: Ahmed Mashal (Emergency Medicine Resident, Atrium Healths Carolinas Medical Center); Ann-Jeannette Geib, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Healths Carolinas Medical Center) // Reviewed by: Christopher Counts, MD (Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A

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Enter the STEPRâ„¢ Health & Safety Giveaway to Enhance Fire Department Fitness

NVFC

Three STEPR PRO+ stair climbers will be awarded to volunteer fire departments Responding to emergencies is a physically demanding job, and fitness and health are essential for volunteer firefighters, EMS providers, and rescue personnel to perform at their best. To support these dedicated first responders, STEPR has partnered with the National Volunteer Fire Council (NVFC) to give away three STEPR PRO+ stair climbers in 2025 through the STEPR Health & Safety Giveaway.

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Death by 1,000 Medicare Cuts

ACEP Now

Medicare was initially developed to provide health insurance to address the health care needs of Americans aged 65 and older, many of whom lacked adequate insurance coverage and the capacity to keep up with general workforce requirements. Medicare has long been the cornerstone of health care for millions of Americans and, therefore, often sets the benchmark for health care reimbursement.

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Mary Meeks Reflects on a Year as the 2024 Jack Stout EMS Fellow

FirstWatch

Serving the People Behind the Data How do we add value to our community? That has been stuck in my head as a huge and fundamental question, says Mary E. Meeks, the 2024 Jack Stout EMS Fellow. As district chief at Chatham Emergency Services (CES), headquartered in Savannah, Ga., she saw the relevance of this question daily in her work. What do we as an EMS agency do to add value to the community of Savannah?

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Closing the Deal: Mastering Suturing and Wound Closure in the ED

EM Board Bombs

-Case- A 28-year-old bartender walks into your ED with a deep laceration on her forearm after an unfortunate run-in with broken glass while working. The wound is actively bleeding, but the edges are clean. She’s concerned about scarring and whether she’ll be able to use her arm without issues in the future.

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How to Enjoy Pancake Day Without a First Aid Injury (And What to Do If One Happens!)

EMT First Aid

Pancake Day (Shrove Tuesday 4th March ) is all about flipping, topping, and indulging in delicious pancakes. But while the day is full of fun, the kitchen can also be a hotspot for accidentsburns, cuts, and even pancake-flipping disasters! Heres how to enjoy the daysafelyand what to do if a mishap occurs.Common Pancake Day Injuries (And How to Prevent Them!

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The Business Aspects of Establishing a Novel Service Line in the Emergency Department

ACEP Now

Around the world, acute pain is the most common reason for patients to present to the emergency department (ED). 1 Regional anesthesia services are typically provided by anesthesiologists; however, there are various reasons why not all hospital models can support a dedicated service line run by anesthesiologists including physician shortage. 2 As the ACEP considers ultrasound guided regional anesthesia a core skill, this leaves a unique opportunity for hospital systems to leverage emergency phys

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Rocko's Modern Wreck

EMS 20/20

Oh no. apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos. do they achieve this goal? Listen and find out! Oh no. apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos. do they achieve this goal?

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Potassium 6.2 with narrow QRS: any indication for calcium?

Dr. Smith's ECG Blog

Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/ cirrhosis had a recent increase in candesartan for their hypertension, and was also on spirolactone and nadolol. They presented to a hospital clinic for routine paracentesis, after which they developed nausea and syncope attributed to a vasovagal episode from the procedure. Labs showed a non-hemolyzed potassium of 6.2, normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the fo

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Valentine’s Day First Aid: Staying Safe While Celebrating Love

EMT First Aid

Valentines Day is all about love, friendship, romance, and celebration, but amidst the chocolates, candles, and dinner dates, accidents can still happen. Whether youre cooking a special meal, lighting candles for ambiance, or indulging in sweet treats, its important to stay safe. Heres how to avoid common Valentines Day mishapsand what to do if an accident happens.1.

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February 2025 News from the College

ACEP Now

Journal Research Looks at Physician Coverage in the ED A new study published in JACEP Open , one of ACEPs peer-reviewed publications, asked the question, Is at least one attending physician (not resident) on duty in the ED 24 h/d? The research found that approximately 1 in 13 EDs in the U.S. lack 24 hour, seven-day-per-week physician coverage. The absence of 24/7 attending physician coverage was more common in low-volume EDs and CAHs.

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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED

EMDocs

Authors: Rahul Ramraj, MD (Emergency Medicine Resident Physician, Zucker School of Medicine/Northwell); Daniel Jafari, MD MPH (Assistant Professor of Emergency Medicine and Surgery, Zucker School of Medicine, Hofstra Northwell) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providin

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** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?

Dr. Smith's ECG Blog

Written by Willy Frick I was reviewing our institutional PMcardio account which we are using to improve early identification of patients with electrocardiographically subtle OMI. I came across this ECG: What do you think? Even before we have clinical context, this ECG simply does not appear concerning for OMI, notwithstanding the machine's interpretation ** ** ACUTE MI / STEMI ** **.

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Officer Wellness Research

First Responders Wellness Center

Public safety personnel were found to have a higher rate of psychological health problems. One in every seven police officers worldwide suffered from post-traumatic stress disorder (PTSD) or depression, and one in every ten struggled from other mental illnesses. When compared to the general population, police personnel have approximately twice the prevalence of PTSD and depression (20% vs 7% to 9%), and are associated with a lower quality of life.

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ACEP4U: Physicians, Entrepreneurs Pioneer Innovation in Emergency Medicine

ACEP Now

At ACEP 2024 in Las Vegas, the Emergency Medicine Innovation Collaborative (EMIC) joined forces at HackED!, an event bringing together innovators, entrepreneurs, and emergency physicians committed to shape the future of emergency medicine for three days of ideation to develop hardware or software solutions to a pressing acute care problem. More than simply a hackathon, HackED!