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Can Kids Have Strokes??

FOAMfrat

When you think about strokes, you probably picture a slurred speech, middle-aged hypertensive smoker with half their face drooping. You dont picture atoddler in a car seat or a baby in a crib. But the reality is that strokes happen to kids, too.As paramedics, we thrive on pattern recognition, but pediatric strokes are theultimate zebra in the room. They dont present like adult strokes; theyre incredibly rare,and the clock is still ticking as fast.

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Alcohol Use and Trauma in First Responders 

First Responder Wellness

By Stephen Odom, PhD, Founder and Chief Clinical Officer, FR Health Family of Companies As we recognize Alcohol Awareness Month this April, its an important time to shine a light on the complex relationship between alcohol use and trauma in first responders. These are the men and women on the front lineslaw enforcement officers, firefighters, correctional officers, EMS personnel, 911 dispatcherswho routinely witness tragedy and stress in their work.

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One Strategy for Addressing the EMS Workforce Shortage

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post One Strategy for Addressing the EMS Workforce Shortage appeared first on American Ambulance Association.

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Baltimore Mayor Proposes Ambulance Fee Hike, Other Changes to Close $85M Deficit

JEMS

The mayors proposal seeks to fill the gap between revenues and expenditures by increasing fees on EMS, landfill use, and ride-sharing/taxi trips.

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The Museum of Modern Airway: How the Protected Airway Collaborative Cultivates Joy in Learning

The EMS Educator

Does your classroom have a joyful buzz? Jonathan St. George has it figured out--as the founder of the Protected Airway Collaborative (PAC), Jonathan was inspired by a museum visit to create a learning environment like no other. Join us as we dive into his innovative world of airway management education. Prodigy EMS team members Maia Dorsett and Shane O'Donnell report from the PAC as they experienced the self-directed learning approach firsthand.

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EMCrit 398 – NeuroEMCrit – NeuroMuscular Emergencies

EMCrit Project

NeuroMuscular Emergencies are tough without neurology, but you can do it and do it well! Casey Albin is here to help. EMCrit Project by Scott Weingart, MD FCCM.

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Pulsara Introduces New ‘Secure-ish’ Messaging Feature

Pulsara

For Those Who Love a Good "Oopsie!" At Pulsara, we pride ourselves on enabling secure, HIPAA-compliant communication for healthcare teams. But lets be honestsometimes, people just love the thrill of an accidental message mishap. Were excited to announce our latest (and definitely not HIPAA-compliant) feature: Secure-ish Messaging.

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Lawsuit Over 911 Sending Armed Officers to Mental Health Calls Can Go Forward

JEMS

Disability Rights Oregonscasecan proceed against Washington County, alleging that 911 dispatchers fail to send trained mental health clinicians to calls involving people in crisis.

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RCEM Conference 2025: Reflections from Day 3

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed RCEM 2025 Day 3 explored mental health, autism, palliative care, high-intensity users, and modern transfusion and diabetes management in the ED. The post RCEM Conference 2025: Reflections from Day 3 appeared first on St.Emlyn's.

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EMCrit RACC-Lit Review – March 2025

EMCrit Project

All the lit goodness for March 2025 EMCrit Project by Scott Weingart, MD FCCM.

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3 Tips for Successfully Monitoring Your Patient’s Airway

SSCOR

The ABCs of patient care begin with the airway. Does your patient have airway patency? Can your patient maintain their airway? Are there any obstructions or contaminants obstructing the airway? Questions like these are likely second nature to you, and you probably dont even realize you are asking them when caring for your patients.

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Savvik Spring Glove Giveaway is Here!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik Spring Glove Giveaway is Here! appeared first on American Ambulance Association.

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Emergency Medical Services: What Makes Students Successful?

JEMS

Paramedic students show the importance of social support, time management, preparation and grit in the face of academic rigor.

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Mental Shortcuts That Hijack Good Instructors

The FllightBridge ED

Logic doesnt give a s**t about your feelings Mark Manson It is my opinion that the most dangerous place a paramedic will ever operate is…

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EMCrit Q&A – Episode 001

EMCrit Project

You've got questions, I've got answers (maybe??)! EMCrit Project by Scott Weingart, MD FCCM.

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Helpful Steps When Hooking Up Your Suction Machine

SSCOR

Quickly and efficiently hooking up your portable suction machine can save precious seconds, preventing hypoxia and reducing the risk of serious respiratory complications. It should only take a few seconds, but if youve never done it before, the process can feel overwhelming and frustrating.

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Special Edition: Bled Too Much? Is That A Thing?

EMS 20/20

SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel! SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!

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International Prehospital Medicine Institute Literature Review, April 2025

JEMS

This literature review keeps you up to date with current EMS publications and studies.

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Stop and Think: Tube Confirmation

The FllightBridge ED

Over the years I have come to understand that there are a few phrases that should make you STOP and THINK before you do anything…

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SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients

The Skeptics' Guide to EM

Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr.

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Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm

Emergency Medicine Cases

How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider catheter-directed or surgical interventions? This podcast focuses us to think critically about risk stratification, early interventions and escalation in care in PE.

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Lightning rounds 51: Hemodynamic interfaces with Philippe Rola

Critical Care Scenarios

Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, were not sponsored, just a cool event.

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TX Legislature Considers Rural EMS Funding Bill

JEMS

The Texas Legislature is weighing a proposal to establish a grant program for rural EMS providers.

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Episode 207: Smoke Inhalation Injury

Core EM

We discuss the injuries sustained from smoke inhalation. Hosts: Sarah Fetterolf, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Environmental , Toxicology Show Notes Table of Contents 00:37 Overview of Smoke Inhalation Injury 00:55 Three Key Pathophysiologic Processes 01:41 Physical Exam Findings to Watch For 02:12 Airway Management and Early Intervention 03:23 Carbon Monoxide Toxicity 04:24 Workup and Initial Treatment of CO Poisoning 06:14 Cyanide Toxicity 07:19 Treatment

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SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients?

The Skeptics' Guide to EM

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's.

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Empowering Heroes: State Farm® and NVFC Team Up to Give $1 Million to Volunteer Firefighters

NVFC

Program will expand in 2025 to $1.5 million State Farm and the National Volunteer Fire Council (NVFC) teamed up to launch the Good Neighbor Firefighter Safety Program in 2024. In the inaugural year, 100 volunteer fire departments were each awarded $10,000 grants, for a total of $1 million provided to help local departments increase safety and efficiency and better serve their communities.

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5 Min Sono – Interfascial Shoulder Plane Block

Core Ultrasound

In this video, we demonstrate the technique for performing an ultrasound-guided interfascial shoulder plane block (IPB) a simple, effective, and motor-sparing alternative to the interscalene block for treating shoulder pain in the Emergency Department. Non-Rotator Cuff Exam Rotator Cuff Exam Courses The post 5 Min Sono Interfascial Shoulder Plane Block first appeared on Core Ultrasound.

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Troy (NY) Reduces Overnight Ambulance Service as Grant Funds Dry Up

JEMS

The City of Troy is scaling back ambulance services, reducing overnight coverage due to financial constraints.

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ECG Pointers: Slow and Steady Wins the … Pacemaker?

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA); Christian Daniello, MD (Staff Physician, Geisinger Wyoming Valley) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.

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Street Medicine: Compassionate Care for the Unhoused

REBEL EM

Introduction: In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hockman and Kim Baldino, delve into the practice and importance of street medicinethe direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O’Connell, a pioneer of street medicine, and Dr. Ed Egan, a recent street medicine fellowship graduate, share their experiences and insights on serving this vulnerable population.

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NVFC Supported Bill Re-introduced to Increase State Pension Access to Nonprofit Fire Departments

NVFC

Last week Rep. Greg Murphy (R-NC) reintroduced a bill (H.R. 2382) to amend both the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code to allow paid firefighters in nonprofit fire departments access to a states public pension system. The National Volunteer Fire Council (NVFC) strongly supports this legislation. This bill would especially impact North Carolina, where the states General Assembly passed legislation in 1999 which allowed paid firefighters in nonprofit depa

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Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Dr. Smith's ECG Blog

This was written by one of our really fine 3rd year residents, Katie Buerk. This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He had last been seen 3-7 days ago. For the medics, he was bradycardic in the 20-30s. They were unable to obtain a blood pressure. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch.

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Need 35 New Ambulances? Santa Barbara (CA) Can Help You Out

JEMS

The Santa Barbara County Fire Department is selling 35 new ambulances after failing to secure an emergency medical services contract for the county.

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emDOCs Podcast – Episode 117: Cavernous Sinus Thrombosis

EMDocs

Today on the emDOCs cast with Brit Long ( @long_brit) , we cover cavernous sinus thrombosis (CST). Episode 117: Cavernous Sinus Thrombosis What is CST? Thrombophlebitic disease of the cavernous sinuses with clot formation. Most commonly begins with a sinus or facial infection, which may spread to the cavernous sinus, but it may be associated with other conditions (aseptic).

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Baker to Vegas: Leveraging Pulsara to Manage a Planned Event

Pulsara

Although they have the advantage of prior awareness and preparation, large-scale planned events pose unique challenges for emergency management teams. High patient volume, dispersed resources, and disjointed communication can make providing medical service for major events particularly difficult. Now imagine that your event has over 10,000 attendees spread across a 120-mile road through Death Valley, the hottest national park in the United States.

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Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE)

First 10 EM

Pulmonary embolism is probably discussed far more than is truly necessary. It receives more attention than almost any other pathology. We endlessly debate the best algorithms for diagnosis. We add new decision tools almost yearly. However, if there is one aspect of pulmonary embolism that might be under-discussed it is the management of massive and […] The post Management of intermediate and high risk pulmonary embolism (aka submassive/massive PE) appeared first on First10EM.

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What is Wellens' syndrome? And what conditions mimic it?

Dr. Smith's ECG Blog

A 30 year old African American Male presented to the ED with chest pain that occurred the day before. It had been 6-7/10 in intensity and lasted for about 10 minutes, and was associated with strenuous activity. It radiated to the left arm and was associated with SOB. There was no pain on the day of presentation. Here is the ED ECG: What do you think?

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