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Congress Extends Ambulance Add-On Payments Through September 30

American Ambulance Association

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.

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Medication Safety and Opioid Risk Screening Program Delivered by Community Paramedics

International Journal of Paramedicine

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.

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

Kids get hurt. And they get sick. Its inevitable. Whether their fingers get caught accidentally in a car door or bedroom door slamming closed, or they trip and fall while running on their uncooperative little toddler legs , or catching all the germs as their immune systems slowly struggle to fight off every known virus to mankind. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i

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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

EMOttawa

Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.

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Posttraumatic Stress Disorder (PTSD) and Police Officers

First Responder Wellness

by: Nancy Ryba Panza, PhD, ABPP At First Responder Wellness we specialize in the treatment of Posttraumatic Stress Disorder (PTSD). PTSD is diagnosed when someone has been exposed to an incident (or incidents) that involve actual or threatened death, injury, or sexual violence and then develops impairing symptoms after that exposure. Given the high propensity for police officers to be exposed to such events, it is not surprising that we see a higher rate of PTSD in officers than in the general p

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[Paramedic Chiefs of Canada] Tariffs and the Impacts to Paramedic Services

Paramedic Chiefs of Canada

PCC Members, As Canadians face the disruption and uncertainty of our countrys financial stability as a result of the trade war initiated earlier this week, we collectively have concerns impacting our personal situations as well as our professional role as leaders delivering critical health services to Canadians. With the true impact of the current and any future tariffs and counter-tariffs notyetclearly understood, what is certain is that the downstream effect will significantly challengeparamed

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The 5 Basic Steps of CPR

Unitek EMT

A complete guide to life-saving CPR on adults, children, and infants Every second counts when someone experiences cardiac arrest, and the actions of a bystander can make all the difference. CPR or cardiopulmonary resuscitation can double or triple a persons chance of survival. According to a September 2018 article by the American Heart […] The post The 5 Basic Steps of CPR appeared first on Unitek EMT.

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New Toolkit to Advance the Development of Partnerships between GEDs and Value-Based Care Organizations

GEDC

A new toolkit from the West Health Institute aims to equip clinical and operational leaders with the tools to partner with local value-based care organizations (VBCOs) in order to provide additional dispositions for older adults. Traditional paths of admission, discharge, or observation limit the scope of disposition choices to those that may not be optimal to address the patients acute needs and goals of care.

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Looking Back at AAAM’s 2024 Webinars

AAAM

By: Valentina Graci, PhD – Chair of the Education Program Subcommittee 2024 was a strong year for our AAAM webinar series. We hosted seven online webinars, which were highly rated and, in some cases, reached up to 200 registrants. AAAMs Scientific Program Committees Education Program Subcommittee hosted these interactive and educational events not just for members but for all those interested in automotive safety.

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Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This epiode of the St Emlyns Podcast features Dr. Dan Dworkis discussing high-performance teams, excellence in crisis, and how emergency clinicians can continuously improve under pressure. The post Podcast – High Performing Teams with Dan Dworkis at Tactical Trauma 24 appeared first on St.Emlyn's.

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31 State Ambulance Associations Request Support of EMS Supplemental Payments

American Ambulance Association

March 7, 2025 Re: Medicaid Supplemental Payments for Ground Ambulance Services Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette, On behalf of 31 state ambulance and […] The post 31 State Ambulance Associations Request Support of EMS Supplemental Payments appeared first on American Ambulance Association.

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Mapping the Evolution of Paramedicine Education

International Journal of Paramedicine

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.

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Diagnosing and Managing Preeclampsia in the ED: Pressure’s Rising

EM Board Bombs

-Case- A 30-year-old woman at 34 weeks gestation arrives at the ED complaining of a pounding headache, blurry vision, and swelling in her hands and face over the past few days. Her blood pressure reads 168/102 mmHg, has bilateral 2+ pitting edema of the lower extremities, and she has 3+ proteinuria on urine dipstick.

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Apply for Drinking Water to Keep Volunteer Firefighters Hydrated During Wildfires and Emergency Response

NVFC

Proper hydration is critical to the health and safety of firefighters when responding to wildfires and other emergencies. Yet many volunteer fire departments have limited budgets, forcing them to choose between needed resources. To help combat this issue and free up department funds for other necessities, Anheuser-Busch is partnering with the National Volunteer Fire Council (NVFC) for the seventh consecutive year to donate emergency drinking water to volunteer fire departments across the country

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Ep. 147 Freedom House with Chief Moon and Dr. Haamid

Prehospital Emergency Care Podcast

Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom House and Dr.

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President Jamie Pafford-Gresham on the Ambulance Medicare Extenders

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post President Jamie Pafford-Gresham on the Ambulance Medicare Extenders appeared first on American Ambulance Association.

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Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules

Stem EMS

Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.

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PulmCrit Wee: Michelin Chest Syndrome

EMCrit Project

I've seen the following sequence of events several times. I can't prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […] EMCrit Project by Josh Farkas.

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Becker’s Hospital Review: How Cleveland Clinic’s geriatric ED model reduced admissions 42%

GEDC

Cleveland Clinic’s Geriatric Emergency Department (GED) model has significantly reduced hospital admissions and improved care for older emergency department (ED) patients. The GED model involves dedicated units, specialized practitioners, and a focus on early delirium detection, care transitions, and geriatric education. It operates in all 13 Cleveland Clinic EDs, with positive results: 17% admission rate for those seen by the geriatric team, compared to 55% for those not seen.

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Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. What do you think? Theres normal sinus rhythm, first degree AV block, early R wave, normal voltages. Theres hyperacute T waves in I/aVL with reciprocal inferior ST depression, diagnostic of high lateral occlusion MI.

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MedPAC Commissioners Recognize Importance of Ground Ambulance Services and Complexities of AFS

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post MedPAC Commissioners Recognize Importance of Ground Ambulance Services and Complexities of AFS appeared first on American Ambulance Association.

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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.

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What to Include in Your Tactical Medical Kit

SSCOR

Each year, the number of active shooter incidents seems to climb. Hardly a week goes by without a broadcast reporting a gun-wielding assailant leaving behind a trail of victims. In 2023 alone, the Federal Bureau of Investigation designated 48 active shooter incidents. There were 50 in 2022.

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I have been doing this for 10 years

First 10 EM

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.

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Fading Away - Eating Disorders

FOAMfrat

You are called to a residence for a 22-year-old female patient who has just attempted suicide. You enter the residence to find an emaciated female lying on the bathroom floor with multiple lacerations to her anterior wrists and forearms. There is a man in the room who identifies himself as the patients father, and he is holding direct pressure on her wounds with bath towels.

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2025 Medicare Reference Manual Released

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post 2025 Medicare Reference Manual Released appeared first on American Ambulance Association.

Ambulance 130
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Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules

Stem EMS

Spyke, the self-loading stretcher from Stem EMS, is the ideal solution for transport trnsport, combining safety and practicality L'articolo Spyke: the Self-Loading Stretcher with predictive maintenance and intercheangeable modules proviene da Stem Ems.

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The Importance of Patient Positioning During Airway Management

SSCOR

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.

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BADGE OF HONOR

First Responders Wellness Center

Dr. Steiner was on the Badge of Honor Podcast.

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Episode 169 Pregnancy: Act 2

This Podcast Will Kill You

Content Warning: This episode includes mentions of miscarriage, pregnancy loss, pregnancy complications, traumatic birth experiences, and other potentially disturbing topics related to childbirth, pregnancy, and the postpartum period. The second episode in our pregnancy series kicks off with a tribute to one of the most amazing organs: the placenta.

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Stop Overpaying on Supplies – You’re a Savvik Member!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Stop Overpaying on Supplies You’re a Savvik Member! appeared first on American Ambulance Association.

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Special Edition: Frat House Fever

EMS 20/20

Can Spencer handle the heat? Or really. can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit? Vote now on our Instagram! Can Spencer handle the heat? Or really. can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit? Vote now on our Instagram!

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How To Use SSCOR's Free Medical Aspirator Test Kit

SSCOR

A medical aspirator that fails to function does serious harm. Even if the device doesnt harm patients, it delays treatment, which increases morbidity. Additionally, inadequate suction is a major factor in aspiration and hypoxia. SSCORs free medical aspirator test kit offers a cost-effective and efficient way to end the problem of non-functioning suction devices.

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100 Club

First Responders Wellness Center

100 Club Frontline Convention First Responders Wellness Center was present with intern Jesse Arvisu and VP Chicago FOP Mike Mette. 100 Club had some great speakers, and we all learned how to help first responders.

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Upcoming 2025 Conferences & Opportunities for Road Safety Professionals

AAAM

Join your road safety peers at these upcoming road safety events and conferences: April 2025 AAA Foundation for Traffic Safety 2025 Safe Mobility Conference April 79, 2025, in Madison, Wisconsin, USA May 2025 CARSP/ICTCT 2025 Road Safety Conference May 2023, 2025, in Qubec City, Qubec, Canada June 2025 2025 International Research Council on Biomechanics of Injury (IRCOBI) Asia June 2527, 2025, in Chennai, India July 2025 VIII International Conference on Traffic and Transportation Psychology

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EM Quick Hits 63 S-TEC and HUS, IM Epinephrine in OHCA, Dengue, Geriatric Trauma Imaging, TTP

Emergency Medicine Cases

On this month's EM Quick Hits podcast: Stephen Freedman on pediatric bloody diarrhea, S-TEC and hemolytic uremic syndrome, Justin Morgenstern on the evidence for IM epinephrine in out of hospital cardiac arrest, Matthew McArther on recognition and ED management of dengue fever, Andrew Petrosoniak on imaging decision making in trauma in older patients, Brit Long & Michael Gotlieb on recognition and management of TTP.Please consider a donation to EM Cases to help ensure continued Free Open Acc

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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients

The Skeptics' Guide to EM

Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies. AEM Feb 2025 Date: February 27, 2025 Guest Skeptic:Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School Baystate.