The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program.

ICU 233

ICU Defibrillator Paramedic CPR 233

The Skeptics' Guide to EM

JUNE 3, 2023

Date: June3, 2023 Reference: Kotani et al. Date: June3, 2023 Reference: Kotani et al. Our usual go to guest skeptic for airway has been paramedic and PA Missy Carter ( SGEM#247 , SGEM#271 and SGEM#396 ). Reference: Kotani et al. first appeared on The Skeptics Guide to Emergency Medicine.

Critical Care 279

Critical Care ALS Paramedic 279

The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. Reference: Gibbons et al. You wonder if a quick POCUS examination looking for three sonographic findings while waiting for the paramedics could help determine the likelihood of this being an AoD. AEM February 2024. AEM February 2024.

Operating Room 332

Operating Room Emergency Department ALS ED 332

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Prior to earning his MD, he worked as a paramedic in the New York City 911 system. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023.

CPR 274

CPR Defibrillator First Responder Epinephrine 274

The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Date: December 6th , 2018 Reference: Perkins et al. JAMA 2009, Hagihara et al.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Date: February 22nd, 2019 Reference: Lane et al. Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. JAMA 2018 Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Reference: Lane et al.

Paramedic 130

Paramedic ALS Ambulance EMS 130

Chicago EMT Training

NOVEMBER 8, 2023

We occasionally get an inquiry asking to become a paramedic. A quick breakdown on the differences between an EMT-B(asic) and an EMT-P(aramedic) Basic Life Support (BLS) vs Advanced Life Support (ALS) So there it is. A good paramedic is a good basic first. Most of the 911 calls are BLS rather than ALS.

BLS 130

BLS Advanced Life Support EMT EMT 130

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. Date: March 8, 2023 Reference: Smida et al. He is a former New York City paramedic and this summer will be starting fellowship training in EMS medicine at UNM. Case: A paramedic crew responds to a 54-year-old male in cardiac arrest at a private residence.

CPR 130

CPR Defibrillator BLS Paramedic 130

The Skeptics' Guide to EM

JANUARY 1, 2022

Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. Reference: Grotta JC et al. Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. Reference: Grotta JC et al.

Emergency Medical Services 130

Emergency Medical Services Firefighter Paramedic ALS 130

Paramedics Unlimited

APRIL 19, 2018

What is the difference between ALS and BLS Medical Care? In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care. Paramedic treatment can, in many cases of severe medical and traumatic injuries, prevent death. Paramedics provide pain management treatment in the field.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

The Skeptics' Guide to EM

MARCH 2, 2019

Date: February 26th, 2019 Reference: Benger et al. JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?

CPR 130

CPR Firefighter Paramedic Epinephrine 130

The Skeptics' Guide to EM

OCTOBER 19, 2019

Date: October 17th, 2019 Reference: Driver et al. JAMA May 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the […] The post SGEM#271: Bougie Wonderland for First Pass Success first appeared on The Skeptics Guide to Emergency Medicine.

Firefighter 130

Firefighter Emergency Department Paramedic ALS 130

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

Pediatric EM Morsels

OCTOBER 27, 2023

link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. Accuracy of paramedic Broselow tape use in the prehospital setting. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. and Seaver, M. Available at: [link] (Accessed: 27 October 2023).

E-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

The Skeptics' Guide to EM

JULY 3, 2021

Reference: Dankiewicz et al: TTM2 Trial Investigators. When paramedics arrived, they found him to be in […] The post SGEM#336: You Can’t Always Get What You Want – TTM2 Trial first appeared on The Skeptics Guide to Emergency Medicine. Reference: Dankiewicz et al: TTM2 Trial Investigators.

Paramedic 130

Paramedic Defibrillator ALS OR 130

The Overrun Podcast

MARCH 4, 2019

The gang discusses the controversies and challenges over paramedic degrees. link] Percentage of EMS responses by FDNY in 2017 [link] Caffrey, et al. on the value of a degree h [link] IAFC position statement on paramedic degrees The gang discusses the controversies and challenges over paramedic degrees.

Paramedic 52

Paramedic Paramedicine Paramedicine ALS 52

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. Date: August 12th, 2021 Reference: Daya et al. Reference: Daya et al.

BLS 130

BLS CPR Paramedic ALS 130

High Performance EMS

JUNE 12, 2023

This shortage has disproportionally impacted paramedics, as evidenced in the NAEMT survey results published in May of 2022. As more agencies move from exclusive ALS capabilities to tiered responses, there must also be a growing concern with ensuring the most appropriate resources are responding to each call.

BLS 130

BLS UHU Paramedic ALS 130

The Skeptics' Guide to EM

OCTOBER 22, 2022

Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR 130

CPR Epinephrine Defibrillator Firefighter 130

The Overrun Podcast

OCTOBER 21, 2018

The gang welcomes Mike DeFillippo, MS3 and Paramedic to the team, and we jump into the controversy surrounding prehospital intubation. Bossers et al. DoBetter The gang welcomes Mike DeFillippo, MS3 and Paramedic to the team, and we jump into the controversy surrounding prehospital intubation. Who should do it?

Paramedic 52

Paramedic ALS OR 52

The Skeptics' Guide to EM

OCTOBER 5, 2019

Date: September 25th, 2019 Reference: Bath PM et al. Guest Skeptic: Clay Odell is a Paramedic/RN for New London Hospital EMS in New Hampshire, USA which provides 9-1-1 coverage and Mobile Integrated Healthcare […] The post SGEM#269: Pre-Hospital Nitroglycerin for Acute Stroke Patients? The Lancet March 2019. The Lancet March 2019.

Ambulance 130

Ambulance Paramedic EMS ALS 130

The Skeptics' Guide to EM

JANUARY 15, 2022

Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Date: January 16th, 2022 Reference: Matchett, G. Reference: Matchett, G.

Emergency Medical Services 109

Emergency Medical Services Critical Care Firefighter Paramedic 109

The Skeptics' Guide to EM

FEBRUARY 17, 2018

[display_podcast] Date: February 14th, 2018 Reference: Alam N et al. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. display_podcast] Date: February 14th, 2018 Reference: Alam N et al.

Paramedic 100

Paramedic Ambulance Emergency Medical Services ALS 100

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

BLS 130

BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Coronary Defibrillator Life Support 130

Dr. Smith's ECG Blog

NOVEMBER 2, 2015

Hildebrandt et al have proven that prehospital 12 Lead ECGs followed by an immediate call for reperfusion team mobilization reduce door to balloon times.We Paramedics managing a possible myocardial infarction patient were instructed to obtain rapidly an ECG prior to treatment with NTG. Hypothesis.

Paramedic 52

Paramedic STEMI ACS Ambulance 52

Irish College of Paramedics

FEBRUARY 15, 2025

MethodsWorld Cafs were hosted regionally, with 63 participants from the three practitioner levels (31 EMTs, 22 paramedics, 10 advanced paramedics). The regulator may have missed an opportunity to provide the basis for a future robust system of CPD for paramedics and advanced paramedics. MethodsWillis, et al.

Paramedic 40

Paramedic EMT EMT ALS 40

The Skeptics' Guide to EM

JUNE 24, 2017

[display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London. display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London.

CPR 100

CPR Epinephrine ALS Paramedic 100

The Skeptics' Guide to EM

OCTOBER 24, 2020

Reference: Derkenne et al. Reference: Derkenne et al. After the paramedics take over, you wonder about the evidence for this seemingly miraculous intervention. Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience. AEM Oct 2020.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

The Skeptics' Guide to EM

JANUARY 8, 2022

Date: December 28th, 2021 Reference: Kulvatunyou et al. Date: December 28th, 2021 Reference: Kulvatunyou et al. Prior to earning his MD, he worked as a paramedic in the New York City 911 system. Reference: Kulvatunyou et al. J Trauma and Acute Care Surgery. November 2021. J Trauma and Acute Care Surgery.

ALS 130

ALS Emergency Department Paramedic OR 130

EMS 12-Lead

APRIL 14, 2022

Madden, Paramedic. An interesting comment provided by Paramedic Madden is that a few team members initially interpreted the T wave presentation as hyperkalemia, as opposed to occlusive hyperacuity. Let's revisit the deWinter occlusion provided by Paramedic Madden. link] [1] Zachary et al. Many thanks for sharing!

ACS 130

ACS Paramedic Coronary ALS 130

ACEP Now

NOVEMBER 8, 2024

The guidelines, updated most recently in 2019, note that endotracheal intubation is reserved for paramedics. Extraglottic devices, however, are in the scope of practice for both advanced emergency medical technicians (AEMTs) and paramedics, making the devices more widely applicable. Benger JR, Kirby K, Black S, et al.

E-9-1-1 40

E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT 40

The Skeptics' Guide to EM

JULY 9, 2022

That is why we have had paramedics, nurses, physiotherapists, pharmacists and a wide spectrum of physician specialists on the SGEM. This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). The SGEM tries to include a wide variety of clinicians in this knowledge translation project.

ALS 130

ALS Emergency Department Paramedic EMS 130

The Skeptics' Guide to EM

JANUARY 25, 2020

Date: January 9th, 2020 Reference: Casey et al. NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. Date: January 9th, 2020 Reference: Casey et al. Reference: Casey et al.

EMS 100

EMS Critical Care Paramedic ALS 100

Pulsara

OCTOBER 9, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS t rend survey, What Paramedics Want, proudly sponsored by Pulsara. The survey gathers insights about “What Paramedics Want.” Paid roles account for 87% of the respondents, with 3% volunteers and 10% serving in both paid and volunteer roles.

EMS 98

EMS Paramedic ALS 98

Critical Care Scenarios

MARCH 27, 2024

patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management. References * The guideline: Howard J, Grusd E, Rice D, et al.

CPR 122

CPR Paramedicine Paramedicine Ambulance 122

The Skeptics' Guide to EM

JUNE 18, 2022

Date: June 18th, 2022 Reference: Crombie et al. Date: June 18th, 2022 Reference: Crombie et al. Case: You are working in the emergency department (ED) and receive a call from the Advanced Care Paramedics who are at the scene of a stabbing. Reference: Crombie et al.

Plasma 100

Plasma Critical Care Paramedic ALS 100