March, 2025

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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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[Paramedic Chiefs of Canada] Impacts to Paramedic Services Amid Tariff Disputes

Paramedic Chiefs of Canada

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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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.

ALS 87
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Podcast – Excellence in Debriefing with Richard Lyon at LTC

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings. The post Podcast – Excellence in Debriefing with Richard Lyon at LTC appeared first on St.Emlyn's.

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ECG of the week 19/3/25

EMergucate

The following ECG is from a 40yr old male patient: What is your diagnosis and management of this patient?

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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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House Reintroduces Vital Medicare Extender and EMS Workforce Bills

American Ambulance Association

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.

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More Trending

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Are Paramedicine Students Experiencing Post-Traumatic Stress as a Result of a Clinical Rotation?

JEMS

The risk of PTSD in paramedicine is significantly higher than it is in the general population.

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Bend

Peter Canning

I started this blog over 20 years ago. At the time I wrote mainly about the interesting calls I was doing. Nowadays, besides writing about the opioid epidemic, it seems I write mostly about being an old medic trying to keep up, beating back father time. This is another one of those posts. I worked a 12-hour shift last Friday. All my patients were younger than me, even the old and infirm ones ones.

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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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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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Joint Position Statement on Criminal Liability for Alleged Deviations from Clinical Standards of Care in Emergency Medical Services

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Joint Position Statement on Criminal Liability for Alleged Deviations from Clinical Standards of Care in Emergency Medical Services appeared first on American Ambulance Association.

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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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Episode 88: ICU Liberation SCCM Congress 2025

Critical Care Scenarios

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.

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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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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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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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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.

Ambulance 130
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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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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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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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Duration of CPR in Children?

Emergency Medicine Education

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.

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The Fate of Addiction Treatment Hangs in the Balance With Kennedy’s HHS Overhaul

JEMS

InHealth Secretary Robert F. Kennedy Jr.'s plan, the $8 billion Substance Abuse and Mental Health Services Administration, or SAMHSA, would be absorbed into a new office.

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Ventura County Fire Department Alliance RFP Announcement

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Ventura County Fire Department Alliance RFP Announcement appeared first on American Ambulance Association.

Ambulance 130
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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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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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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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EMCrit 397 – Philosophy of Arterial Lines in the ED – A Debate in Absentia

EMCrit Project

A discussion of some arterial line philosophy, accuracy, and ease of placement. EMCrit Project by Scott Weingart, MD FCCM.

ED 88
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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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FOUO Critical Incident Report Regarding Unsubstantiated Threats to U.S. Hospitals

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post FOUO Critical Incident Report Regarding Unsubstantiated Threats to U.S. Hospitals appeared first on American Ambulance Association.

Ambulance 130
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RCEM Conference 2025: Reflections from Day 1

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Day 1 at RCEM Conference 2025 tackled identity, innovation, wellbeing, and risk in Emergency Medicine. Key insights from Joey Godfrey on St Emlyns. The post RCEM Conference 2025: Reflections from Day 1 appeared first on St.Emlyn's.

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Special Edition: Respiratory Kombat

EMS 20/20

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?

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Emergency Evidence Updates – February 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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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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Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of breath. Below is the first ECG, signed off by the over-reading cardiologist agreeing with the computer interpretation: ST elevation, consider early repolarization, pericarditis, or injury. What do you think? What do you think?

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EEOC and Justice Department Issue Joint Statement on Workplace Discrimination and DEI Programs

American Ambulance Association

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.

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Dallas Could Pay EMS Instructor $100,000 to Settle Lawsuit Over Stolen Training Videos

JEMS

Dallasplans to pay $100,000 to an emergency medical service instructor to settle a lawsuit claimingDallasfirefighters illegally downloaded and shared the trainers online instruction video.