American Ambulance Association
MARCH 19, 2025
Medicare Ambulance Extender Bill Introduced in House Yesterday, March 18, Representatives Claudia Tenney (R-NY), Terry Sewell (D-AL), Cliff Bentz (R-OR), Paul Tonko (D-NY), Mike Carey (R-OH), Danny Davis (D-IL), Carol […] The post House Reintroduces Vital Medicare Extender and EMS Workforce Bills appeared first on American Ambulance Association.
Paramedic Chiefs of Canada
MARCH 19, 2025
PCC Members, Further to the bulletin issued on March 6, 2025 Member Messages regarding the impact of tariffs and counter-tariffs on equipment, supplies and services used to provide paramedic services across Canada, we want to provide an update on our advocacy activities and share resources to members as our messaging is expanding across government and the public.
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American Ambulance Association
MARCH 15, 2025
Yesterday evening, March 14, the United States Senate by a vote of 54 to 46 passed the Full-Year Continuining Appropriations and Extensions Act, 2025 (H.R. 1968) to fund the federal […] The post Congress Extends Ambulance Add-On Payments Through September 30 appeared first on American Ambulance Association.
Don't Forget the Bubbles
MARCH 21, 2025
We already know that nasal high-flow (NHF) apnoeic oxygenation is safe and effective in the controlled environment of elective theatre intubation and that it improves first-attempt success rates in neonates. But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergen
EMergucate
MARCH 18, 2025
The following ECG is from a 40yr old male patient: What is your diagnosis and management of this patient?
International Journal of Paramedicine
MARCH 15, 2025
Objective: To describe the program and associated outcomes of an innovative medication safety and opioid risk screening program delivered by community paramedics Methods: The study was conducted within a health system community paramedic program in North America. Community paramedics employed a medication safety questionnaire and opioid risk assessment tool during home visits, offering tailored interventions based on individual patient risks.
Critical Care Scenarios
MARCH 19, 2025
A roundup from members of the SCCMs ICU Liberation committee, recorded at SCCM Congress 2025. Included: A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Emergency Medicine Education
MARCH 21, 2025
We often tend to spend more time on pediatric resuscitation and CPR compared to adults. However, the question remains: what is the optimal duration of resuscitation efforts in these patients before considering termination? A recent retrospective study from Japan addressed this issue and found that fewer than 1% of children achieved favorable neurological outcomes (defined as moderate disability or better at one month) when CPR exceeded 64 minutes.
International Journal of Paramedicine
MARCH 15, 2025
Background : Paramedicine education faces challenges in aligning curricula with evolving practice. Despite updates, our study reveals minimal change since 2018, especially post-transition from the Council of Ambulance Authorities to Paramedicine Board of Australia accreditation. Updates in cultural competency and interprofessional education are noted, but primary healthcare integration remains inadequate, showing a critical gap between education and practice needs.
American Ambulance Association
MARCH 20, 2025
This content is for AAA members only. Please either Log In or Join! The post EEOC and Justice Department Issue Joint Statement on Workplace Discrimination and DEI Programs appeared first on American Ambulance Association.
First 10 EM
MARCH 17, 2025
I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […] The post I have been doing this for 10 years appeared first on First10EM.
EMS 20/20
MARCH 19, 2025
Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble? Vote on our Instagram at @ems2020podcast! Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble?
SSCOR
MARCH 20, 2025
Aspiration pneumonia is a life-threatening complication resulting from the inhalation of airway contaminants and pathogen overgrowth. Multiple substances are directly toxic to the lungs or can stimulate an inflammatory response when aspirated gastric acid from vomiting is the most common aspirated substance.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
American Ambulance Association
MARCH 19, 2025
This content is for AAA members only. Please either Log In or Join! The post Additional Grant Funding Available to EMS Agencies appeared first on American Ambulance Association.
Paramedic Chiefs of Canada
MARCH 21, 2025
PCC President Kevin Smith spoke with @powerstim on @VOCMNEWS about how the ongoing tariff disputes are causing critical delays in medical supplies, directly impacting paramedic services and patient care.
SSCOR
MARCH 15, 2025
While it may seem like a minor consideration to some, EMS providers know that patient positioning plays a crucial role in the quality, safety and effectiveness of medical treatment. An article from the Anesthesia Patient Safety Foundation states that patient positioning is 90% of the airway management battle.
The Bottom Line
MARCH 21, 2025
Whats new in the Critical Care literature monthly updates
The Skeptics' Guide to EM
MARCH 15, 2025
Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nicks career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke Universitys new campus in China, where he earned a masters degree in global health.
Dr. Smith's ECG Blog
MARCH 19, 2025
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a notable cardiac history (CABG, multiple stents) woke at 0500hrs with pressure in his chest, diaphoresis, and light-headedness. He presented to a rural ED at approximately 0630hrs. Since he was recovering from a recent bout of Influenza-like illness and said yes to several ILI screening questions at triage, his chest tightness and diaphoresis were initially attributed t
EMOttawa
MARCH 20, 2025
You are working in the low acuity zone of the ED when you encounter your first patient. Shes a 75-year-old female with a history of hypertension, diabetes and total right hip replacement 1.5 months ago presenting with left leg swelling and pain. You see the patient and calculate a Well’s score of 3. Your D-Dimer […] The post In the Shallow: An ED Approach to Superficial Vein Thrombosis appeared first on EMOttawa Blog.
NVFC
MARCH 18, 2025
The National Volunteer Fire Council (NVFC) is pleased to announce the winners of its annual fire service achievement awards. These awards recognize those who have gone above and beyond in service to their department and community. The 2025 recipients are: David Denniston, William J. Darley Lifetime Achievement Award, sponsored by Darley; Jeremy Sonenschein, Chief James P.
EMDocs
MARCH 20, 2025
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.
Pulsara
MARCH 14, 2025
Editor's Note: In October 2024, FireRescue1 released their annual digital edition, Fire Command Ready: Build Your Command Confidence , proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information.
Dr. Smith's ECG Blog
MARCH 14, 2025
Written by Magnus Nossen, with edits by Smith The patient in today's case is a 70-year-old farmer. He has a history of coronary artery disease and a STEMI two years prior that was treated with primary PCI. He contacted EMS due to acute onset chest pain and feeling unwell and fatigued. He was given ASA and sublingual NTG and taken to the ED. At the time of this initial ED ECG, his symptoms were improving ECG #1 on admission to the ED The patient was not seen quickly in the ED as it was a busy shi
Unitek EMT
MARCH 20, 2025
Learn about the duties, responsibilities, requirements, certifications, and salary Emergency Medical Services (EMS) volunteers are the unsung heroes of their communities, stepping up in times of crisis to provide critical, life-saving care. Whether responding to accidents, natural disasters, or medical emergencies, these dedicated individuals play a vital role in ensuring public safety and well-being.
St. Emlyn's
MARCH 20, 2025
St.Emlyn's - Emergency Medicine #FOAMed Should ketamine be used for opioid-dependent patients in acute pain? A recent randomized controlled trial explores the effectiveness of low-dose ketamine (LDK) as an adjunct to morphine in emergency settings. Results show significant short-term pain reduction and reduced opioid requirements, with manageable side effects.
EMDocs
MARCH 18, 2025
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the literature on evaluation and management of massive hemoptysis. Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours.
FOAMcast
MARCH 20, 2025
Apple Podcasts , Spotify , Listen Here Summary in ACEPNow can be found here Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis. JAMA. 2025 Jan 14;333(2):143-152. doi: 10.1001/jama.2024.22700. PMID: 39465893; PMCID: PMC11519786. Rayner DG et al. Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis.
Dr. Smith's ECG Blog
MARCH 17, 2025
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. His ECG obtained around 8 AM is shown: ECG 1 My guess is most blog readers will make this diagnosis without too much difficulty.
Pulsara
MARCH 19, 2025
Editor's Note: In October 2024, FireRescue1 released their annual digital edition, Fire Command Ready: Build Your Command Confidence , proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information.
Don't Forget the Bubbles
MARCH 17, 2025
Which first-line treatment protocol is most likely to be successful? Our most commonly used scabicides in the UK are topical Permethrin 5% cream and oral Ivermectin. This is represented in the guidance given by NICE (National Institute of Clinical Excellence) and BSPAD (British Society for Paediatric and Adolescent Dermatology). Despite multiple systematic reviews , there has long been a debate about which of these is best as the first line and in what protocol (e.g., single dose, repeated dose)
FOAMfrat
MARCH 14, 2025
MCI Collaboration w/ ATECMS & Travis County Star FlightMass casualty incidents (MCIs) are challenging scenarios that require precise coordination, rapid response, and strategic thinking. Austin, Texas, presents a unique case study in handling such emergencies, blending urban preparedness with rural responsiveness.
FOAMcast
MARCH 21, 2025
Apple Podcasts , Spotify , Listen Here Historically, care of patients in the emergency department (ED) in the first trimester with any kind of abortion (e.g. spontaneous “miscarriage”) underwent blood type and Rh testing followed by RhD immunoglobulin prophylaxis if Rh+. However, many guidelines now recommend foregoing this process in first trimester abortion (spontaneous or induced).
ACEP Now
MARCH 21, 2025
A record number of medical students matched into emergency medicine, according to results released Friday, March 21, 2025, by the National Resident Matching Program. More than 3,000 applicants matched into the specialty. Out of 3,068 positions, just 65 positions went unfilled, a 97.9 percent fill rate. The number of available positions increased by 42 from 2024.
EM Board Bombs
MARCH 20, 2025
-Case- A 62-year-old man presents to the ED with severe right-sided eye pain, headache, and a rash along his forehead. He noticed tingling and burning in the area two days ago, followed by redness and fluid-filled blisters. His vision is slightly blurred, and you spot a vesicle on the tip of his nose.
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