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ECG Pointers: Blocks

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, APD, Geisinger Wyoming Valley, PA) // 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. Please check it out.

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Enter Now: Final Week for our DASH Glove Giveaway!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Enter Now: Final Week for our DASH Glove Giveaway! appeared first on American Ambulance Association.

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Prehospital Extra-Corporeal Cardiopulmonary Resuscitation

International Journal of Paramedicine

Introduction Out-of-hospital cardiac arrest remains a global health problem. There is emerging evidence that the use of extra-corporeal membrane oxygenation during resuscitation [ECPR], may help to improve outcomes. Several prehospital services around the world are now able to provide on-scene ECPR. However, the early identification of patients is a key factor in enabling this level of response to OOHCA.

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Agitated with a head injury: Will Ketamine make it worse?

NAEMSP

Author : Katie Stuart MD; Washington University Emergency Medicine Residency Editors : Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a safe landing place near where the ambulance is staged.

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ECG of the week 23/4/25

EMergucate

The following 66yr old man went to the GP for a health check up, the GP found him to be bradycardic and referred him to ED.

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From Ambulance to Admission

International Journal of Paramedicine

OBJECTIVE: Vasopressors are critical for patients experiencing shock. This observational study aims to describe the usage of vasopressors by EMS, and to assess how vasopressor usage differs between transport and hospital environments. The information gathered in this study can help determine which vasopressors should be available in an EMS system and guide the management of patients requiring vasopressors during EMS transport.

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No, I Say

Peter Canning

“We need a lot more naloxone than ever before. Some people need 20 milligrams” I hear this or versions of it in many of the opioid task force meetings I attend around the state. No, I say. The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. Which is not to say some people arent getting 20 milligrams.

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Savvik is Giving Away Gloves from DASH Medical!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Savvik is Giving Away Gloves from DASH Medical! appeared first on American Ambulance Association.

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Emergency Evidence Updates – March 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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EMS Drone Initiative Trials Set for Summer in PA

JEMS

An initiative using aerial drones to deliver defibrillators, EpiPens and other medical supplies to local emergency scenes has been cleared for a test run.

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EMCrit 399 – Serotonin Syndrome (SS) and Neuroleptic Malignant Syndrome (NMS) – Primer Episode

EMCrit Project

Neuroleptic Malignant Syndrome (NMS) and Serotonin Syndrome (SS) are relucatantly covered on this week's show EMCrit Project by Scott Weingart, MD FCCM.

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Special Edition: Crafting a Plan

EMS 20/20

Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM! Chris is given the mother of all scenarios where a pediatric patients takes. well, all the medications.

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U.S. Department of Transportation (DOT) published a Request for Information (RFI) – Input Requested!

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post U.S. Department of Transportation (DOT) published a Request for Information (RFI) Input Requested! appeared first on American Ambulance Association.

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Critical Care Evidence Updates – March 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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A Bad Partner Can Derail Not Just Your Finances but Also Your Ability to Serve the Community

JEMS

A bad partnership can do more than hurt an organizations bottom line, it can put entire communities at risk.

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Multi-Agency Response: FirstNet at U.S. Army’s Redstone Arsenal

FirstNet Authority

Multi-Agency Response: FirstNet at U.S. Armys Redstone Arsenal Blog michelle.fordi Wed, 04/23/2025 - 12:29 By Charlotte Whitacre, Director of Government Engagement, FirstNet Authority Federal agencies can learn more about how FirstNet can benefit their operations by contacting GovernmentEngagement@FirstNet.gov.

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3 Common Medical Events That Require Emergency Suction

SSCOR

Many medical situations require emergency suction. And when you have a patient with an obstructed airway, be it from sputum, blood, vomitus, or tissue, you had better have the suction handy, for there is no other way to return the airway to patency.

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How Long Does It Take to Get A BLS Certification?

NHCPS Save a Life

You can earn your Basic Life Support (BLS) certification in as little as four hours, entirely online and at your own pace. Unlike traditional in-person courses that require scheduled class time and commuting, getting certified online is a flexible, convenient option that can better fit your busy schedule. The process is simple: enroll in the […] The post How Long Does It Take to Get A BLS Certification?

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Pediatric transfusion dosing

First 10 EM

This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.

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WV First Responders Push to Save EMS Training Program

JEMS

TheMonongalia County Technical Education Center is considering eliminating the emergency medical services program.

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Episode 86: EEGs in the ICU with Carolina Maciel

Critical Care Scenarios

We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your Continue reading "Episode 86: EEGs in the ICU with Carolina Maciel" We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and

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When to Perform Nasotracheal Suctioning

SSCOR

We all know the important role suctioning plays in airway management. Imagine treating a respiratory, trauma, or cardiac arrest patient without the aid of suction. Impossible, right? Effective nasotracheal suctioning can mean the difference between a patent and a non-patent airway. It can also mean the difference between life and death for your patient.

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PALS vs ACLS

NHCPS Save a Life

For healt hcare professionals, fast decision-making and knowledge of first aid can save lives. Pediatric Advanced Life Support (PALS) and Advanced Cardiovascular Life Support (ACLS) are two essential certifications that prepare providers to respond to life-threatening emergencies. While both focus on evidence-based emergency care, they serve different patient age groups: PALS is for health care […] The post PALS vs ACLS appeared first on SaveaLife.com.

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An Assessment of Prehospital Provider Education and Sequelae Around the Experience of Breaking Bad News

International Journal of Paramedicine

Objectives Emergency Medical Services clinicians are often tasked with the delivery of bad news including making death notifications and informing loved ones about the termination of resuscitations. Existing trainings for breaking bad news are based around palliative care conversations in dramatically different clinic or hospital settings. We hypothesize that pre-hospital clinicians are not receiving formal training in the skill of breaking bad news and the delivery of bad news can have harmful

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Player, Coach Killed After WA Community College Softball Team Bus Involved in Head-On Crash

JEMS

A player and coach on theUmpqua Community Collegesoftball team were killed Friday after the team's van was involved in head-on crash inCoos County, Ore., theOregon State Policereported.

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Intranasal!

Peter Canning

The call is for a seizure. A 9-year-old boy with epilepsy falls off the couch and is observed seizing, with full tonic-clonic activity. His mom shouts for the boys older sister to call 911, and then she goes to her purse and takes out the medicine his doctor prescribed for him. She sticks the nozzle of the device in the boy’s nose and pushes the plunder.

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SGEM#472: Together In Electric Dreams – Or Is It Reality?

The Skeptics' Guide to EM

Reference: Kareemi et al Artificial intelligence-based clinical decision support in the emergency department: a scoping review.AEM April 2025. Date: April 15, 2025 Guest Skeptic:Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case:It may be April, but as you sit in your departmental meeting with your emergency physician colleagues, you all note that the winter surge of patients hasnt stopped.

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EM Quick Hits 64 Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation.

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Dual Sequential Defibrillation

Core EM

Definition: Refractory Ventricular Arrhythmias Persistent ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) despite 3 shocks, appropriate CPR, vasopressors, and anti-arrhythmics. Epidemiology Refractory VF occurs in roughly 1025% of out-of-hospital cardiac arrest (OHCA) cases. Linked with extremely poor outcomes: survival to discharge ~212%.

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Medic Charged in VA Ambulance Crash

JEMS

The driver of a Bloxom ambulance that collided with a tractor-trailer earlier this month has been charged with reckless driving, according to the Virginia State Police.

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The Power of Talking Plainly

Don't Forget the Bubbles

Take a moment to appreciate the irony. We spend so much time learning a new language during medical training that it grants us access to an exclusive club. That language gets fine-tuned through more training and further specialization. At the same time, as we sit through standardized patient or observed structured clinical examinations, we are often evaluated and critiqued based on the clarity of the language we use to communicate with our patients.

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An elderly patient with shortness of breath and near syncope

Dr. Smith's ECG Blog

Written by Pendell Meyers An elderly patient experienced a week of shortness of breath on exertion, with acute worsening including near syncope and severe fatigue. She called EMS, who recorded this ECG on the way to the hospital: What do you think? On arrival at the Emergency Department, she appeared critically ill, and had severe hypotension but was alert and oriented and able to follow commands.

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ECG Cases 55 The Art of Occlusion MI Part 3 – Impression

Emergency Medicine Cases

In this ECG Cases blog Dr. Jesse McLaren guides us through 6 illustrative cases delving into overall impression in identifying occlusion MI. He discusses how using multiple OMI findings such as acute Q wave, subtle STE, reciprocal STD, hyperacute T waves, and reciprocal TWI to contribute to your overall impression, can double the sensitivity of STEMI criteria for acute coronary occlusion.

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Public Safety Answering Points: The Backbone of Emergency Communications

FirstNet Authority

Public Safety Answering Points: The Backbone of Emergency Communications Blog michelle.fordi Thu, 04/17/2025 - 12:48 By Jennifer McIntyre, 9-1-1/Emergency Communications Subject Matter Expert, First Responder Network Authority Learn more about how FirstNet is transforming public safety communications contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

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EMS Leaders: Why Do We Eat Our Young?

JEMS

Chief Dan Kramer examines the systemic lack of leadership development in EMS and its consequences.

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Law and Disorder: Navigating medicolegal Issues (Part 1)

EMOttawa

On October 17, 2013, 27-year-old Philisha Sutherland was found at home by her parentslethargic, weak, and slurring her speech. EMS transported her to Sault Area Hospital, where she was assessed by the attending emergency physician, Dr. Booth. Dr. Booth performed a neurological assessment. She checked motor function, coordination, and speechfinding no ataxia, no facial droop, […] The post Law and Disorder: Navigating medicolegal Issues (Part 1) appeared first on EMOttawa Blog.

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The Purge

Peter Canning

A mayor in California has proposed giving free fentanyl to his city’s homeless to kill them off. California mayor wants to give homeless people ‘all the fentanyl they want’: ‘Need to purge these people’ “Quite frankly, I wish that the president would give us a purge. Because we do need to purge these people,” Lancaster Mayor R.

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