The Skeptics' Guide to EM

NOVEMBER 30, 2024

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004. Reference: Couper et al.

Epinephrine 215

Epinephrine OR CPR Paramedic 215

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. Paramedics note that he is only responsive to deep painful stimuli with shallow ventilations. After TCP, the paramedics attempt to intubate.

Paramedic 230

Paramedic EMT EMT EMS 230

Pulsara

NOVEMBER 13, 2024

Editor's Note: In August 2024, EMS1 and Fitch & Associates released their annual EMS trend survey, What Paramedics Want, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog.

Paramedic 83

Paramedic EMS Emergency Medical Services 83

High Performance EMS

AUGUST 9, 2024

Given the time, a BLS crew can begin life-sustaining measures or conduct an assessment for proper hand-off to the paramedics upon arrival. Beyond that, the recommendation can consider if there is another paramedic significantly closer that could attend and begin care prior to arrival of the transport unit.

BLS 264

BLS CAD Advanced Life Support Life Support 264

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Before attending medical school, he was a New York City Paramedic. Case: You are working as a paramedic, and you respond to a cardiac arrest. Chris completed his emergency medicine residency and EMS fellowship at UNM.

Naloxone 239

Naloxone NARCAN Overdose CPR 239

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. This was a weekend late evening, and so it took time the cath team to get in to the hospital.

Paramedic 115

Paramedic Critical Care STEMI EMS 115

Paramedic Chiefs of Canada

DECEMBER 19, 2024

Paramedic Chiefs of Canada (PCC) E-bulletin December 2024 PCC Leadership Summit June 10 th -12 th ,2025 Winnipeg, Manitoba Planning for the annual PCC Leadership Summit is well underway. Paramedic representatives attending will augment support within the DRDC towards Paramedic related studies.

Paramedic 52

Paramedic Paramedicine Paramedicine Public Safety 52

The Skeptics' Guide to EM

JULY 2, 2023

Case: A 48-year-old man involved in a motor vehicle collision (MVC) is being evaluated by paramedics. He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of research to bedside clinical practice ( [link] ).

Emergency Medical Services 297

Emergency Medical Services EMS Paramedic 297

International Journal of Paramedicine

SEPTEMBER 3, 2024

This concept paper explores if there is a role for paramedics in crime identification. A scoping review highlighted a lack of adequate awareness of paramedics in identifying this emerging subset of criminal activity. The review found no studies that focused on preparing paramedics to identify emerging crimes.

Paramedic 52

Paramedic Paramedicine Paramedicine OR 52

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

Paramedic Chiefs of Canada

NOVEMBER 14, 2024

Violence against Paramedics – A National Study The PCC, with funding from Defence Research Development Canada (DRDC), and led by Dr. Renée MacPhee (Wilfrid Laurier University), are preparing to launch the Canadian Study of Violence Against Paramedics (CSVAP). The first webinar will take place December 5 th and will feature Dr.

Paramedic 52

Paramedic Public Safety Paramedicine Paramedicine 52

American Ambulance Association

JULY 23, 2024

Tamara Annette Robinson Moss Paramedic & Field Training Officer Richmond Ambulance Authority Richmond, VA Share on Facebook | LinkedIn | Instagram | X How did you come to be in […] The post EMS Profiles | Meet Tamara Moss appeared first on American Ambulance Association.

EMS 147

EMS Ambulance Paramedic 147

The Skeptics' Guide to EM

MARCH 2, 2024

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. Arrangements are made for him to be transferred stat to the tertiary hospital while he is still stable.

Operating Room 296

Operating Room Emergency Department ALS ED 296

Critical Care Scenarios

APRIL 10, 2024

We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!

Critical Care 130

Critical Care Ambulance Paramedic 130

The Skeptics' Guide to EM

OCTOBER 5, 2024

Clinical Question: Can a cranial accelerometry (CA) headset device be used by paramedics in the prehospital setting to accurately detect patients with a large vessel occlusion (LVO) stroke? These scales generally demonstrate high specificity but low sensitivity, often resulting in false negatives where LVO strokes are missed​ [11-13].

Emergency Medical Services 257

Emergency Medical Services ALS EMS Paramedic 257

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. February 2024. She […] The post SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location? February 2024.

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ICU Defibrillator CPR Paramedic 185

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

International Journal of Paramedicine

OCTOBER 8, 2024

One barrier to including children in such programs is a lack of evidence regarding whether paramedics and emergency medical technicians (EMTs) can accurately identify children with low-acuity complaints. Our primary objective was to compare the accuracy of EMTs to that of paramedics in identifying low-acuity pediatric encounters.

Emergency Medical Technician 52

Emergency Medical Technician EMT EMT Paramedic 52

International Journal of Paramedicine

OCTOBER 8, 2024

The purpose of this paper is to provide a literature supported pathway to incorporating effective simulated learning experiences (SLE) into paramedic precertification courses. The literature is sparse on simulation incorporation into paramedic programs; however, it demonstrates extensive benefit in medicine and nursing.

Paramedic 52

Paramedic 52

Chicago EMT Training

NOVEMBER 8, 2023

We occasionally get an inquiry asking to become a paramedic. A good paramedic is a good basic first. After gaining about 6 months of experience as an EMT-B, those experiences can help determine if paramedic school would be the next logical step. It's encouraging to hear that there is still interest in becoming first responders!

BLS 130

BLS Advanced Life Support EMT EMT 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

The Skeptics' Guide to EM

JANUARY 13, 2024

Prior to earning his MD, he worked as a paramedic in the New York City 911 system. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. He is also a flight physician with UNM’s aeromedical service, Lifeguard Air Emergency Services.

CPR 219

CPR Defibrillator First Responder Epinephrine 219

International Journal of Paramedicine

OCTOBER 8, 2024

Background: Paramedics are allied health professionals, registered with the Health and Care Professions Council (HCPC). A sample of UK paramedics have their CPD audited ever two years as part of their re-registration process. Compared to other allied health professionals very little is known about paramedics’ engagement with CPD.

Paramedic 52

Paramedic 52

The Skeptics' Guide to EM

JUNE 3, 2023

Our usual go to guest skeptic for airway has been paramedic and PA Missy Carter ( SGEM#247 , SGEM#271 and SGEM#396 ). There was an episode with Physician Assistant (PA) Chip Lange on the use of POCUS to confirm tube placement ( SGEM#249 ). This got some feedback from our friend Scott Weingart over at EMcrit.

Critical Care 243

Critical Care ALS Paramedic 243

EMergucate

APRIL 6, 2022

There is limited history from the paramedics. A 67 year old female is BIBA as a priority 1 OHCA. They report the husband found the patient unresponsive. They think the patient might have ingested a…

Paramedic 130

Paramedic EMS 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. Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. Howie also has a Master of Public Health. Reference: Grotta JC et al.

Emergency Medical Services 130

Emergency Medical Services Firefighter Paramedic ALS 130

EMergucate

DECEMBER 5, 2022

Paramedics ring through to say that they are 10 minutes away with a 65 year old man who has a heart rate of approximately 170 with a thready pulse and a systolic blood pressure of 90. This is the f…

Paramedic 130

Paramedic EMS 130

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

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

OCTOBER 9, 2023

Now Accepting Applications for Site Visitors The CoAEMSP is increasing its site visitor cadre and is seeking Paramedic educators and physicians to […] The post CoAEMSP Accepting Applications for Site Visitors appeared first on American Ambulance Association. CoAEMSP is Adding to its Site Visitor Cadre!

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Ambulance Paramedic Emergency Medical Services 130

The Skeptics' Guide to EM

MARCH 11, 2023

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. He is also a flight physician with UNM’s air medical service, Lifeguard.

CPR 130

CPR Defibrillator BLS Paramedic 130

International Journal of Paramedicine

JULY 22, 2024

Paramedic work can be stressful. Encountering clinically unwell patients, long shift hours and dealing with the unknown expose paramedics to mental, physical and emotional stress. In the learning environment, these types of stresses are difficult for educators to replicate.

Paramedicine 111

Paramedicine Paramedicine OR Paramedic 111

SSCOR

APRIL 20, 2024

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. From preventing aspiration pneumonia to clearing the airway of a drowning victim, the right suction machine is an integral part of your EMS toolkit.

EMS 111

EMS EMT EMT First Responder 111

Medic Mindset

NOVEMBER 13, 2024

He wants paramedics to ask the same question he asks: Is the rapid A-fib the primary problem or secondary to another critical condition like sepsis, PE, DKA, hypovolemia, etc? Casey Patrick is the EMS medical director of Montgomery County Hospital District (Texas).

Paramedic 98

Paramedic Emergency Department EMS ED 98

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?

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The EMS Educator

FEBRUARY 9, 2024

Hosts Rob Lawrence and Hilary Gates interview the impressive cast of characters. We discuss the logistics, the education, the paperwork, and of course, the accents. Jimmy Pierson, President & COO at Medic Ambulance Service jpierson@medicambulance.net This podcast is sponsored by EMS Gives Life.

Organ Donor 98

Organ Donor EMS EMT EMT 98

The Skeptics' Guide to EM

JULY 3, 2021

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. When paramedics arrived, they found him to be in cardiac arrest, with ventricular fibrillation on the monitor.

Paramedic 130

Paramedic Defibrillator ALS OR 130