March, 2025

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

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. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i

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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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The Kids THRIVE study: high-flow apnoeic oxygenation for intubation

Don't Forget the Bubbles

We already know that nasal high-flow (NHF) apnoeic oxygenation is safe and effective in the controlled environment of elective theatre intubation and that it improves first-attempt success rates in neonates. But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergen

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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.

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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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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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[Paramedic Chiefs of Canada] Tariffs and the Impacts to Paramedic Services

Paramedic Chiefs of Canada

PCC Members, As Canadians face the disruption and uncertainty of our countrys financial stability as a result of the trade war initiated earlier this week, we collectively have concerns impacting our personal situations as well as our professional role as leaders delivering critical health services to Canadians. With the true impact of the current and any future tariffs and counter-tariffs notyetclearly understood, what is certain is that the downstream effect will significantly challengeparamed

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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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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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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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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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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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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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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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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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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.

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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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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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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.

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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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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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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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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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Critical Care Evidence Updates – February 2025

The Bottom Line

Whats new in the Critical Care literature monthly updates

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Aspiration Pneumonia Treatment Guidelines

SSCOR

Aspiration pneumonia is a life-threatening complication resulting from the inhalation of airway contaminants and pathogen overgrowth. Multiple substances are directly toxic to the lungs or can stimulate an inflammatory response when aspirated gastric acid from vomiting is the most common aspirated substance.

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PCC President talks with VOCM host Tim Powers on Tariffs & Impact to Paramedic Services

Paramedic Chiefs of Canada

PCC President Kevin Smith spoke with @powerstim on @VOCMNEWS about how the ongoing tariff disputes are causing critical delays in medical supplies, directly impacting paramedic services and patient care.

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Additional Grant Funding Available to EMS Agencies

American Ambulance Association

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

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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her symptoms began while getting off the bus. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. On day of presentation, the pain returned and was very severe with associated dyspnea and vomiting.

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Lab Value Rush (Game)

FOAMfrat

Free Lab Value Rush Game

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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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How To Use SSCOR's Free Medical Aspirator Test Kit

SSCOR

A medical aspirator that fails to function does serious harm. Even if the device doesnt harm patients, it delays treatment, which increases morbidity. Additionally, inadequate suction is a major factor in aspiration and hypoxia. SSCORs free medical aspirator test kit offers a cost-effective and efficient way to end the problem of non-functioning suction devices.

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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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31 State Ambulance Associations Request Support of EMS Supplemental Payments

American Ambulance Association

March 7, 2025 Re: Medicaid Supplemental Payments for Ground Ambulance Services Dear Chair Guthrie, Ranking Member Pallone, Chair Carter, and Ranking Member DeGette, On behalf of 31 state ambulance and […] The post 31 State Ambulance Associations Request Support of EMS Supplemental Payments appeared first on American Ambulance Association.

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