EMS and OR - Paramedicine Now

House Reintroduces Vital Medicare Extender and EMS Workforce Bills

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. (..)

EMS

EMS Ambulance ALS OR

EM@3AM: Murine Typhus

EMDocs

DECEMBER 1, 2024

We’ll keep it short, while you keep that EM brain sharp. A 52-year-old male with a history of essential hypertension presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. .:

EMS

EMS E-9-1-1 OR ED

EMS Wellness: Program Uptake and Roadblocks [2024 EMS Trend Survey]

Pulsara

NOVEMBER 7, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. The question becomes: are we using them?

EMS

EMS Paramedic OR

EM@3AM: Stercoral Colitis

EMDocs

JANUARY 11, 2025

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. She has felt bloated and nauseous for approximately 6 days and suddenly worsened last night. Up to 1/3 of adults over 60 suffer from chronic constipation.

E-9-1-1

E-9-1-1 EMS Emergency Department OR

SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?

The Skeptics' Guide to EM

OCTOBER 19, 2024

Annals of EM 2024. Annals of EM 2024. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. A bedside sonogram shows no significant hydronephrosis. mg/kg nebulized or 0.3

OR

OR Emergency Department ED ALS

Classic EM: GRACE – 3 Guidelines

Core EM

JANUARY 25, 2024

EM physicians should receive training in the HINTS exam, Epley, and Dix-Hallpike maneuvers. Studies have shown that patients’ descriptions of their symptoms can frequently switch between these categories every few minutes. This framework assesses literature and provides a systematic review and recommendations on a clinical subject.

EMS

EMS Emergency Department OR ED

Classic EM:

Core EM

JANUARY 25, 2024

Population This study occurred in an urban academic hospital with over 90,000 annual visits. Of these, 177 were mild-to-moderate DKA patients, defined as evidence of DKA (hyperglycemia, ketosis, and an anion gap) without severe features (HCO3 < 10 or arterial pH < 7.0).

EMS

EMS ICU ED OR

SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Background: There are many ways to define artificial intelligence.

ICU

ICU Emergency Department ALS EMS

TXA (Tranexamic Acid) in Pediatrics

Pediatric EM Morsels

MARCH 7, 2025

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.

E-9-1-1

E-9-1-1 ALS OR EMS

EM Match Advice 45: 2024 MyERAS Updates– What EM Applicants Need to Know

ALiEM

AUGUST 19, 2024

Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take a listen to this short 14-minute, high-yield episode before submitting your application.

EMS

EMS OR

Paramedic Chiefs of Canada – The Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers

FirstWatch

JANUARY 2, 2025

February 6th, 2025 | 9:00 am PST (12:00 pm EST) Join us for an in-depth exploration of the innovative Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers. Key Takeaways: Insights into the characteristics of EMS workers most vulnerable to compromised mental wellness.

Paramedic

Paramedic EMD Emergency Medical Dispatch EMS

Trauma Stewardship: Caring for the Caregivers in EMS

The EMS Educator

JANUARY 3, 2025

How do EMS clincians process the trauma they witness dailyand how can they be better supported? In this episode of The EMS Educator podcast, hosts Rob Lawrence, Hilary Gates and Maia Dorsett explore the critical topic of trauma stewardship with guest Ronit Reguer, the first behavioral health coordinator for DC Fire and EMS.

Organ Donor

Organ Donor EMS First Responder OR

EM Match Advice 42: Mid Interview Season Check-In

ALiEM

JANUARY 5, 2024

Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Have there been any surprises or changes during interview season? What should students think about in the post-interview stage? Association of American Medical Colleges. PMID: 31913827 ; PMCID: PMC6948692.

EMS

EMS ALS OR

Additional Grant Funding Available to EMS Agencies

American Ambulance Association

MARCH 19, 2025

The post Additional Grant Funding Available to EMS Agencies appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Upon EMS arrival, they find the patient is sweaty with normal vital signs. AEM November 2023. AEM November 2023.

Heart Attack

Heart Attack STEMI Emergency Medical Services Coronary

The Role of EMS in Palliative Extubation

NAEMSP

JANUARY 19, 2025

Literature Review Few case studies have touched on the subject of terminal extubation performed by EMS providers during the initial patient contact. EMS providers are equipped with the skill to intubate patients, and could be taught to extubate and provide palliative care. So what do you do?

EMS

EMS Emergency Department CPR ED

Helpful Resources for Protecting EMS

American Ambulance Association

DECEMBER 18, 2024

The post Helpful Resources for Protecting EMS appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

emDOCs Revamp: Alcohol Withdrawal

EMDocs

DECEMBER 18, 2024

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

E-9-1-1

E-9-1-1 Emergency Department ICU ED

Submit Comments: EMS Compact Draft Rules

American Ambulance Association

DECEMBER 20, 2024

The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?

Dr. Smith's ECG Blog

MARCH 28, 2024

Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB. On EMS arrival, patient's oxygen saturation was in the high 80s and improved on 4L O2 via nasal cannula. He states that he maybe missed a dose or two during recent illness.

OR

OR Emergency Department Ambulance EMS

REMINDER: Register Now: EMS Focus Webinar

American Ambulance Association

DECEMBER 17, 2024

The post REMINDER: Register Now: EMS Focus Webinar appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

Recruiters: Can You Answer These Common Volunteer Firefighter & EMS Questions?

NVFC

FEBRUARY 18, 2025

By Walter Campbell Recruiting in the volunteer fire and EMS world is no small task. While youre asking your prospective recruits about their motivations, time commitments, and whether they can tell the difference between a Halligan bar and a crowbar, theyre interviewing you just as much. How much time do I really need to commit?

Firefighter

Firefighter EMS EMT EMT

Thinking: Rapid A-fib

Medic Mindset

NOVEMBER 13, 2024

Dr. Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas). As an EM physician, he shares how he decides to care for his own patients in the ED who present with rapid atrial fibrillation. Here’s how. He shares with listeners how he came to the decision to remove Diltiazem from his service.

Paramedic

Paramedic Emergency Department EMS ED

State Snap Shots to Support EMS Advocacy

American Ambulance Association

JANUARY 13, 2025

The post State Snap Shots to Support EMS Advocacy appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

Change Healthcare Next Steps for EMS Providers

American Ambulance Association

MAY 24, 2024

The post Change Healthcare Next Steps for EMS Providers appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

Now Available: Materials from October EMS Focus Webinar

American Ambulance Association

NOVEMBER 18, 2024

The post Now Available: Materials from October EMS Focus Webinar appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

EM@3AM: Amniotic Fluid Embolism

EMDocs

JUNE 22, 2024

We’ll keep it short, while you keep that EM brain sharp. A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in.

EMS

EMS Ambulance FFP ICU

DHS Updates the Resource Typing EMS Resources Under NIMS

American Ambulance Association

MAY 6, 2024

The post DHS Updates the Resource Typing EMS Resources Under NIMS appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

EM@3AM: Bacterial Tracheitis

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. A 3-year-old male with no previous past medical history, born full term, and unvaccinated presents after 6 days of cough, fever, myalgias, and rhinorrhea. Question: What’s the next step in your evaluation and treatment, and what is the potentially life-threatening diagnosis?

EMS

EMS E-9-1-1 Epinephrine OR

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Before attending medical school, he was a New York City Paramedic. Your partner asks if you want to administer naloxone as well.

Naloxone

Naloxone NARCAN Overdose CPR

EM@3AM: Brainstem Strokes

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3,

EMS

EMS E-9-1-1 ALS OR

The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

REBEL EM

MAY 27, 2024

What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy. This absence of detail leaves the study open to bias. Evidence suggests that a weight-based dosing approach (0.1

OR

OR E-9-1-1 ED ALS

EM@3AM: Pneumocephalus

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea. The patient denies any trauma to the head, fevers, nuchal rigidity, changes in vision, focal weakness, paresthesia, or anticoagulation use.

EMS

EMS E-9-1-1 OR ED

Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

NAEMSP

OCTOBER 9, 2024

However, a recent survey revealed that many patients with adrenal insufficiency are hesitant to give themselves their injections, and many Emergency Medicine and EMS Clinicians are unaware of the appropriate treatment for this condition. She had oral hydrocortisone available and handed EMS a sheet explaining her condition.

EMS

EMS Crisis Prevention Emergency Department BLS

SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke

The Skeptics' Guide to EM

APRIL 13, 2024

Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. A CT angiogram shows a proximal middle cerebral artery occlusion.

ALS

ALS Emergency Department EMS OR

JEMS | Adapting to Survive EMS Workplace Shortages, Part I

American Ambulance Association

FEBRUARY 7, 2024

From the Journal of Emergency Medical Services on February 1, 2024 Why are females and individuals who identify as Black, indigenous and/or People of Color underrepresented in EMS? Knolan Rawlins, […] The post JEMS | Adapting to Survive EMS Workplace Shortages, Part I appeared first on American Ambulance Association.

EMS

EMS Emergency Medical Services Ambulance OR

ALiEM AIR Series | Procedures Module

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter? Please go to the above link.

EMS

EMS Emergency Department ED OR

Running Toward Disaster

High Performance EMS

JUNE 20, 2024

Sadly, this is not an adventure story of heroic first responder actions on the scene of an emergency incident but rather about how current EMS operations are failing us and their missions. Recent annual surveys also show that over 10% of EMS clinicians will leave the field entirely each year.

EMS

EMS First Responder Emergency Response OR

Journal Club 6 Which Older Patients Can Safely Forgo CT Head After a Fall? The Falls Decision Rule

Emergency Medicine Cases

JULY 9, 2024

Dr. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club. Rohit Mohindra reviews the latest evidence in this EM Cases Journal Club. The decision of whether or not to order a CT head for an older patient who falls is one I need to make on almost every shift. The Canadian CT Head Rule does not apply to older patients.

EMS

EMS OR

"Call HazMat Before Opening"

FOAMfrat

DECEMBER 26, 2024

WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT.

Epinephrine

Epinephrine First Responder OR CAD

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

JANUARY 13, 2024

Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Resuscitation 2023.

CPR

CPR Defibrillator First Responder Epinephrine

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

JANUARY 6, 2024

She is an executive lead for the EMS for Children Innovation and Improvement Center. She is the co-Principal Investigator for the EMS for Children Data Center. She is nationally known for her work as an EMS researcher and educator. July 2023 * Population: ED leadership across the United States.

Emergency Department

Emergency Department Emergency Medical Services ALS ED

EMS.gov | Leveraging DOT Grant Funds for EMS Crash Response Improvement

American Ambulance Association

JANUARY 3, 2024

The post EMS.gov | Leveraging DOT Grant Funds for EMS Crash Response Improvement appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

EMS

EMS Ambulance OR

EM@3AM: Retroperitoneal Hematoma

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. A 70-year-old female with a past medical history of hypertension, coronary artery disease s/p 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. Vital signs include BP 90/48, HR 122, T 98.3

EMS

EMS E-9-1-1 Operating Room OR

House Reintroduces Vital Medicare Extender and EMS Workforce Bills

EM@3AM: Murine Typhus

Trending Sources

EMS Wellness: Program Uptake and Roadblocks [2024 EMS Trend Survey]

EM@3AM: Stercoral Colitis

SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?

Classic EM: GRACE – 3 Guidelines

Classic EM:

SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

TXA (Tranexamic Acid) in Pediatrics

EM Match Advice 45: 2024 MyERAS Updates– What EM Applicants Need to Know

Paramedic Chiefs of Canada – The Preburn Project: Preventing Burnout by Predicting Compromised Wellness in EMS Workers

Trauma Stewardship: Caring for the Caregivers in EMS

EM Match Advice 42: Mid Interview Season Check-In

Additional Grant Funding Available to EMS Agencies

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Role of EMS in Palliative Extubation

Helpful Resources for Protecting EMS

emDOCs Revamp: Alcohol Withdrawal

Submit Comments: EMS Compact Draft Rules

Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?

REMINDER: Register Now: EMS Focus Webinar

Recruiters: Can You Answer These Common Volunteer Firefighter & EMS Questions?

Thinking: Rapid A-fib

State Snap Shots to Support EMS Advocacy

Change Healthcare Next Steps for EMS Providers

Now Available: Materials from October EMS Focus Webinar

EM@3AM: Amniotic Fluid Embolism

DHS Updates the Resource Typing EMS Resources Under NIMS

EM@3AM: Bacterial Tracheitis

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

EM@3AM: Brainstem Strokes

The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

EM@3AM: Pneumocephalus

Adrenal Crisis and Addison’s Disease: What EMS Needs to Know

SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke

JEMS | Adapting to Survive EMS Workplace Shortages, Part I

ALiEM AIR Series | Procedures Module

Running Toward Disaster

Journal Club 6 Which Older Patients Can Safely Forgo CT Head After a Fall? The Falls Decision Rule

"Call HazMat Before Opening"

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

EMS.gov | Leveraging DOT Grant Funds for EMS Crash Response Improvement

EM@3AM: Retroperitoneal Hematoma

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