EMS Avenger

01/03/2026

Could you cut into a patient suffering from maternal arrest and remove the fetus to save them? The chances of survival in maternal arrest are abysmal due to how blood is redirected to fetal circulation. Compressions simply aren't able to overcome that. Resuscitative Hysterotomy is a salvage operation that allows restoration of blood to maternal circulation by removing the fetus. And to be clear, while survival is actually decent for the baby once removed, this is not a delivery and the goal is to save the life of the mother.

https://www.sciencedirect.com/science/article/abs/pii/S0300957224008542?dgcid=rss_sd_all&utm_campaign=buffer&utm_content=buffer904b4&utm_medium=social&utm_source=twitter.com

01/02/2026

There is no precedent for rejecting technology that improves performance and in turn contributes to better outcomes simply to prevent skill deterioration.

01/02/2026

Pacing may be one of the most challenging interventions we perform in EMS. It's high skill, low frequency, involves discomfort for a patient, and has serious consequences if not performed correctly. It's also a skill we don't threaten to take away from EMS as we do with intubation despite there being less proficiency with the skill and higher costs associated with poor performance. This new paper demonstrates how challenging it is to assure oneself of successful pacing.

https://www.sciencedirect.com/science/article/abs/pii/S0300957225009463?dgcid=author

01/01/2026

You have been banging the drum louder and louder. Keep banging, because the message is starting to become clear: The EMS provieer needs more support, more competitive earnings, and a more sustainable career. EMS1

https://youtu.be/BT_j_jRVNZk?si=VzH8dGGZn-rw1JoY

12/31/2025

There will be some great speakers here this year! Come see me and the whole gang!

🚑🔥 READY. SET. ENGAGE. 🔥🚑

The MAEMSC Pre-Conference Airway Olympics is approaching— and registration is OPEN!

Think you’ve got what it takes to dominate the airway? 🫁💪
Test your skills & sharpen your lifesaving techniques in a fast-paced, high-energy competition designed for EMS professionals who thrive under pressure.

🏆 Bragging rights
🤝 Networking with top EMS talent
🧠 Hands-on airway mastery

🔗 Register now and claim your place on the airway podium.

Tag your partner, your crew, and your toughest competition 👇

12/31/2025

See you in Nebraska!

Nebraska Statewide EMS Conference -

12/31/2025

Let's revisit a deep dive into the pathophysiology of atrial fibrillation. This is a look into the dysrhythmia as a disease, not as a pathological response to disease.

12/30/2025

I've learned that when I am afraid of opportunity or an option, that embracing that fear and jumping in with both feet and no parachute leads to success. Do it! Do the thing! Have the courage to suck!

12/30/2025

Check out my return appearance on the EMS One-Stop podcast where Rob Lawrence and I recap 2025's EMS noteworthy topics.

As the year wraps, Rob Lawrence welcomes back the “EMS Avenger” Jimmy Apple for a fast-moving, end-of-year pulse check on the EMS universe — through the lens...

12/30/2025

It should be noted that a paper like this is the BEGINNING of the discussion on a topic and not the final word. Further, more comprehensive research is needed. That being said, it's important to recognize that pediatrics often get sub-optimal care when they are critically ill or injured because of provider fear, and recognition of when children need immediate stabilization and resuscitate efforts is vital. This paper shows an association between resuscitative on-scene efforts and decreased likelihood of DOA at the ED.

https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2605648?fbclid=IwY2xjawO3YlxleHRuA2FlbQIxMQBzcnRjBmFwcF9pZBAyMjIwMzkxNzg4MjAwODkyAAEe99UL2bigPKx_PgwMPsQW_ncll-hRE0KyrRBtl4jWtjGLJd81McxFQc1CPrs_aem_ZUtnDD1gWqfFJKbm2IpBCA

12/29/2025

12/29/2025

Paper of the Year! One of the most consistent outputs on my channels are the papers I cover, so it make sense to have a Paper of the Year, and this one goes to this deep dive into spinal immobilization and spinal motion restriction. No surprises here, we already knew it was a practice that treats the provider rather than the patient. But if you want to change people's minds we need data, and they sorted through a LOT of it before coming to this conclusion. To those who fear judgement, fear not. There is no precedent for it. For those that fear the unicorn patient who was non-symptomatic and then suddenly paralyzed for life, fear not. This unicorn is a fairy tale.

https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2541258?src=exp-la&fbclid=IwQ0xDSwL44ztjbGNrAvjjImV4dG4DYWVtAjExAAEeZ3G9HpLAVlmCLndaiuPatwRxyMPEKe79vmuskUn1BftUpSlRgsQSmmjY30k_aem_98EMRXEEVP5hmZxzcNzlow