Matt King 🇮🇱 C. S. Dean, RN, NRP Tom Bouthillet Mitch Page I would argue that we should stop training EMS providers that older patients in shock are likely to be tachy. Even in the absence of beta blockers, older pts (this pt is 85) often cannot mount a tachy response to shock.

It’s a little surreal to see your first manuscript in publication. It was an incredible experience working with this amazing group of individuals on this project. The author accepted version is posted with the version of record to follow! tandfonline.com/doi/full/10.10…

May ‘24 Papers Podcast •Refractory or recurrent VF; the best defibrillation strategy? •Abdo pain in elderly patients; predictors of serious conditions •Neonatal face mask pressure; bradycardia & apnoea itunes.apple.com/gb/podcast/the… open.spotify.com/show/4pGoo1XFn… TheResusRoom.co.uk

this is a really easy & common trap to fall into. before going further, look at the ECG and see what you think...

Please, please, please shock this person before they die. Then if the QT is long give some mag.

I wonder what the response would be if this EMS based fire service had a chief who wasn’t a paramedic at all.

If you give a lecture on anaphylaxis management and spend more time on who not to give epinephrine to than on when and how to best give this lifesaving treatment you’re doing it wrong.

“For every one minute of scene time, mortality increases by one percent.” David Anderson and I discuss priorities in pentrating trauma. open.spotify.com/episode/0oEsao…

Calcium derangements in the combat setting... We analyzed ED data from almost 1000 US military, US contractors, and Coalition casualties. -22% had hypocalcemia -5% had hypercalcemia Hypocalcemia was associated with: -Elevated INR -Acidosis -Hypotension -Elevated SI -Low GCS

We recently highlighted 4 patient safety events related to the pressure-limiting valve on BVM resuscitators. Open access here 👇 authors.elsevier.com/sd/article/S26… Thanks Ambulance Victoria Paramedicine Monash University Resuscitation Plus Ben Meadley Chris Groombridge David Anderson Ziad Nehme Bart Cresswell

Early use of vasopressors is associated with shorter duration of use of vasopressors rather than the late administration. #esicm #lives2024

Sam Ghali, M.D. The diagnosis is "surprised clinician". Always worth remembering that Tension PTx is a *very* different disease in spontaneously breathing patients cf those having IPPV - and the classic physical signs of it (per ATLS) are shockingly unreliable. emcrit.org/wp-content/upl…

An analysis was performed using data from two large, double-blinded, randomized prehospital TXA trials. Prehospital TXA is safe & independently associated with a dose-dependent lower 28-day mortality risk & lower 24-hour red cell transfusion requirement. journals.lww.com/jtrauma/fullte…

Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED? hqmeded-ecg.blogspot.com/2024/11/prehos…

Great talk by Amal Mattu at NYGH's EM Update on cardiac emergencies, including Emre Aslanger pattern #EMU2025

Nina Friedman, MS, CCLS, a Child Life Specialist and member of the inaugural EMSC Scholars cohort, led a newly published study on quality of life for children experiencing mental and behavioral health emergencies in the ED. journals.lww.com/pec-online/pag… #EMSC #PediatricReadiness

We compared out-of-hospital cardiac arrest at US airports versus other public (non-residential settings) and found significant differences between locations. Joshua Kimbrell Jacob Stebel Out now in JAMA Network Open: jamanetwork.com/journals/jaman…