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Can Negativity be a Good thing? The Impedance Threshold Device in CPR.

by Zachary Hafez MD & Melissa Kroll MD expert reviewed by Hawnwan Philip Moy MD (@pecpodcast) It\’s a slow Saturday morning and you as the medical director are riding out enjoying the unusually warm 60 degree weather…in February no less!  To celebrate, you decide to visit your favorite coffee shop and get the world\’s best latte. …

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The ER system is a sinking ship, EMS can be part of the solution.

By Clayton Kazan, MD, MS, FACEP (@clayton_kazan) The ER system is a sinking ship, EMS can be part of the solution. In the late 1960\’s, most pre-hospital care was provided by primary care physicians.  As hospital care became more sophisticated and Emergency Medicine began to develop, the focus began to shift to transporting patients to …

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Time to Stop Beating a Dead Horse: Termination of Resuscitation in the Field

by Al Lulla, MD (@al_lulla) and Bridgette Svancarek, MD Expert/Peer Reviewed by J. Brent Myers, MD, MPH    (@bmyersmd) You arrive on scene to a cardiac arrest.  Your patient is a 64 yo male found pulseless by his wife when she returned from walking the family dog.  The patient’s initial rhythm was a narrow complex PEA.  …

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Should EMS providers administer Ondansetron for pregnancy-related vomiting?

Summary and analysis by Maia Dorsett, MD, PhD     @maiadorsett Framing the Problem Nausea and vomiting in pregnancy is not rare, occurring in about 50% of all pregnant women. [1]  Symptom onset typically occurs within four weeks of the last menstrual period and peaks at nine weeks of gestation, with the vast majority of cases …

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Medicine in Public: Messaging is a Core Skill in EMS Education

Sabina Braithwaite, MD, MPH, NRP, FACEP The current EMS Fellowship curriculum emphasizes clinical skills needed to be a competent EMS physician.  In addition to medical knowledge, prehospital patient care, and systems-based practice, there are milestones for team and patient centered communication. These milestones focus on communication between EMS physician and EMS providers, EMS physician and patient, …

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How the books we read inspire change in our EMS world — A Fresh Perspective

Melody Glenn, MD One by one, people start to arrive at Greasebox, a local diner in Oakland, CA, for our inaugural multidisciplinary book club session.  Only a few of the faces are familiar to me — my colleagues in emergency medicine and EMS, but the rest introduce themselves as students and practitioners working in sociology …

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