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. Before attending medical school, he was a New York City Paramedic. Chris completed his emergency medicine residency and EMS fellowship at UNM. There is drug paraphernalia scattered around the room.

Naloxone 260

Naloxone NARCAN Overdose CPR 260

EMS 12-Lead

SEPTEMBER 8, 2024

We will be using information from different cases where paramedics attempted TCP in the field. Paramedics arrived at a home to find an elderly male with profound altered mental status. He was hospitalized one week prior to EMS arrival for a seizure with no other recent illnesses or injuries. Rhonchi are auscultated bilaterally.

Paramedic 230

Paramedic EMT EMT EMS 230

American Ambulance Association

OCTOBER 6, 2023

Elissa Schilmeister Paramedic Westchester EMS Chappaqua, New York Share on: Facebook | Instagram | X/Twitter | LinkedIn How did you come to be in EMS? I have always been interested […] The post EMS Profiles | Meet Elissa Schilmeister appeared first on American Ambulance Association.

EMS 130

EMS Ambulance Paramedic 130

American Ambulance Association

JANUARY 3, 2024

Maryam Boyd Paramedic Crew Chief Mecklenburg EMS Agency (Medic 911) Charlotte, NC Share on Facebook | X | Instagram | LinkedIn How did you come to be in EMS? I’ve […] The post EMS Profiles | Meet Maryam Boyd appeared first on American Ambulance Association.

EMS 130

EMS Ambulance Paramedic 130

EMS 12-Lead

MAY 15, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). The paramedics initially set the current at 60mA.

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Epinephrine Paramedic CPR EMT 331

American Ambulance Association

SEPTEMBER 29, 2023

Jarlicia Islandriana Scott Paramedic Pafford Emergency Medical Services Clarksdale, MS Share on Instagram | Facebook | Twitter | LinkedIn How did you come to be in EMS? I found myself […] The post EMS Profiles | Meet Jarlicia Islandriana Scott appeared first on American Ambulance Association.

EMS 130

EMS Emergency Medical Services Ambulance Paramedic 130

EMS 12-Lead

MARCH 30, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Notice how the paramedic relied on manual pulse palpation.

CPR 312

CPR Paramedic Ambulance Epinephrine 312

Unitek EMT

FEBRUARY 28, 2024

By extending the traditional role of emergency medical services (EMS) personnel, Community Paramedics are instrumental in bridging gaps within the healthcare system, […] The post How to Become a Community Paramedic appeared first on Unitek EMT.

Community Paramedicine 99

Community Paramedicine Paramedic Paramedicine Paramedicine 99

The Skeptics' Guide to EM

OCTOBER 5, 2024

Case: The family of a 69-year-old woman activated emergency medical services (EMS) for slurred speech that they noticed when she woke up a couple of hours before. Prehospital identification of LVO stroke remains a significant challenge for emergency medical services (EMS) [6]. Reference: Paxton et al.

Emergency Medical Services 288

Emergency Medical Services ALS EMS Paramedic 288

Peter Canning

JANUARY 27, 2025

When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. Paramedics didnt do 12-lead ECGs then. Many paramedics worked for multiple services and is could be confusing for them to have to follow three different chest pain protocols. There was no CPAP, no capnography, no IOs.

Allergic Reaction 90

Allergic Reaction Naloxone Paramedic STEMI 90

The Skeptics' Guide to EM

APRIL 27, 2024

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. She is also the local director of the difficult airway EMS course at Washington State. February 2024. Prehospital Emergency Care. February 2024. tibial & 2.3%

ICU 231

ICU Defibrillator Paramedic CPR 231

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 273

CPR Defibrillator First Responder Epinephrine 273

High Performance EMS

AUGUST 9, 2024

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. Given the time, a BLS crew can begin life-sustaining measures or conduct an assessment for proper hand-off to the paramedics upon arrival. If found, it should be dispatched.

BLS 264

BLS CAD Advanced Life Support Life Support 264

The Skeptics' Guide to EM

JANUARY 9, 2021

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? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

Pulsara

OCTOBER 23, 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. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. com and FireRescue1.com. Increase pay.

EMS 91

EMS Paramedic 91

ESO

APRIL 19, 2024

From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Data impacts every aspect of duties, from shifts start to end.

MIH 105

MIH EMS Paramedic Firefighter 105

SSCOR

APRIL 20, 2024

From preventing aspiration pneumonia to clearing the airway of a drowning victim, the right suction machine is an integral part of your EMS toolkit. Yet many paramedics, EMTs, and other first responders avoid suctioning the airway unless they absolutely have to. Airway suctioning is a routine part of a first responder’s job.

EMS 111

EMS EMT EMT First Responder 111

FOAMfrat

OCTOBER 28, 2024

In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies.

Ambulance 52

Ambulance Paramedic EMS 52

The EMS Educator

FEBRUARY 9, 2024

Working to solve the ongoing staffing shortage, a group of innovative EMS leaders in California and Australia are thinking differently: bringing well-trained EMS clinicians from Australia to join the U.S. For more info visit www.emsgiveslife.org Check out the Prodigy EMS Bounty Program ! How do they do it? How do they do it?

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Organ Donor EMS EMT EMT 98

EMT Training Station

FEBRUARY 11, 2024

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

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.

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EMS Crisis Prevention Emergency Department BLS 122

The Skeptics' Guide to EM

MARCH 2, 2024

He will need to be transferred to the tertiary care center which is 35 minutes away by ground EMS if it is a dissection. 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. You suspect an acute aortic dissection (AoD).

Operating Room 329

Operating Room Emergency Department ALS ED 329

FOAMfrat

APRIL 25, 2024

In this episode, we discuss a recent paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. Prehosp Emerg Care. 2024 Mar 15:1-9. doi: 10.1080/10903127.2024.2321287.

Paramedic 128

Paramedic ACS EMS ED 128

Dr. Smith's ECG Blog

JULY 23, 2024

A prehospital activation would have save a lot of time and would have been possible if the paramedics were using the Queen of Hearts PMCardio AI app. The Initial ECG in Figure-1: The patient in today's case is a 65-year old man with CP ( C hest P ain ) over the previous 12 hours before contacting EMS.

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Paramedic Critical Care STEMI EMS 116

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. He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS).

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Emergency Medical Services Firefighter Paramedic ALS 130

Peter Canning

MARCH 25, 2025

At one of the hospitals, while my partner finished up the run form in the passenger seat –shed teched the call–I announced I was going back into the ED to the EMS room to see if they had any pizza. They had more food in the EMS room, but I wasnt in the mood for Oreos or ice cream or browning bananas. Hopefully.

Paramedic 52

Paramedic Ambulance EMS OR 52

Chicago EMT Training

AUGUST 6, 2021

The majority of our students come from a premedical background but there are a few with other career choices such as firefighter, paramedic, law enforcement, etc. You get the benefit of working with a paramedic without going to medic school. This is a position that is also sought after by nursing assistants as well as paramedics.

EMT 130

EMT EMT Paramedic Plasma 130

The Skeptics' Guide to EM

DECEMBER 7, 2018

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. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Reference: Perkins et al.

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Epinephrine Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

JANUARY 25, 2020

NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. Case: A 60-year-old male is […] The post SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial first appeared on The Skeptics Guide to Emergency Medicine.

EMS 100

EMS Critical Care Paramedic ALS 100

EMT Training Station

JANUARY 12, 2024

Updated for 2024 A good pair of pants is essential in order for EMTs and Paramedics to perform at their best while on the job. Table of Contents Top 10 Best EMS Pants for EMTs and Paramedic Shortlist We know your time is valuable. Think of this as a TL:DR on the Best EMS Pants for EMTs and Paramedics.

EMT 52

EMT EMT Paramedic EMS 52

Peter Canning

DECEMBER 21, 2024

Last night, I watched Asphalt City , a movie about paramedics in New York City starring Sean Penn as a burnt out medic with a failed family life and Tye Sheriden as the young rookie medic studying at night for his medical school entrance exams. The EMS scenes are realistic, if unrelenting in their grimness.

Paramedic 52

Paramedic EMS Ambulance OR 52

The Skeptics' Guide to EM

FEBRUARY 23, 2019

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. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service.

Paramedic 130

Paramedic ALS Ambulance EMS 130

Paramedic Training Spot

JANUARY 20, 2022

In this article, you’ll learn how to become a paramedic in Massachusetts successfully, from early level education to paramedic certification and finding a job. Paramedic Training in Massachusetts So you’ve obtained your certification as an emergency medical technician? That’s great—but this article is about paramedics , right?

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

The Skeptics' Guide to EM

OCTOBER 22, 2022

Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

CPR 130

CPR Defibrillator Epinephrine Firefighter 130

The Skeptics' Guide to EM

OCTOBER 5, 2019

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

EMT City

JANUARY 18, 2025

Hello, Let me start by saying that I am not an EMT or Paramedic, although I would love to be one. Although I am not an EMT or paramedic, I do consider myself and my company as part of the EMS family. I enjoy this line of work because I take part in saving lives.

EMT 40

EMT EMT Paramedic OR 40

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

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. 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.

BLS 130

BLS Defibrillator Critical Care CPR 130