National Emergency Resource Group

04/12/2026

https://pubmed.ncbi.nlm.nih.gov/40162706/

Paramedics were successful in 88% of i-gel® insertion attempts with the most common complication being regurgitation/emesis. Paramedics rated the ease of placement and ease of ventilation of the i-gel® device as "very easy" or "somewhat easy" in the vast majority of cases.

04/12/2026

https://pubmed.ncbi.nlm.nih.gov/39889233/

Epinephrine was not associated with improved survival following traumatic cardiac arrest, and in multiple subanalyses, it was associated with inferior outcomes. These results may inform prehospital traumatic arrest protocols.

04/12/2026

https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2636956

The most common invasive procedure performed in the prehospital setting by emergency medical services (EMS) clinicians is intravenous (IV) cannula insertion. We aimed to characterize first attempt ...

04/09/2026

https://www.facebook.com/share/1DfAFcbN8h/?mibextid=wwXIfr

Anaphylaxes can occur without a known trigger and upon first exposure to a trigger.

04/07/2026

https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2645140

Pediatric medication dosing errors are common in the prehospital setting, particularly during high-acuity, low-frequency events requiring weight-based calculations. Evidence-based guidelines recomm...

04/07/2026

https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2651924

Short-haul rescue involves evacuating a patient from a backcountry environment while suspended beneath a helicopter. Airway management may be required for head injuries or other critical transports...

03/31/2026

Every shift provides a wonderful opportunity for a Clinician to make a meaningful difference in the lives of others. Your dedication to service defines true success and brings hope to those you meet. Have a bright and beautiful Motivation Monday!

_________

03/30/2026

The Edge Between Distress and Failure: https://ow.ly/Y2Jk50YAMCw

Every respiratory call has that moment: the point where the patient’s effort stops compensating and collapse is seconds away.

As prehospital clinicians, especially in flight or rural 911 settings, we operate in that thin gray zone where airway management becomes a race against physiology.

Key Red Flags:
Tachypnea >20
Cyanosis (especially perioral/fingertips)
Grunting = self‑PEEP
Nasal flaring & retractions
Diaphoresis from catecholamine overload
Tripoding = you’re already behind

CPAP/BiPAP can buy time, but only if you recognize distress before it becomes failure.
Respiratory failure isn’t subtle: AMS, cyanosis, agitation, somnolence, or quiet hypercapnia are warning lights you can’t ignore.

Ask yourself:
👉 “Can this patient maintain their own airway for the next 5 minutes?”
If the answer is no, your path is already set.

03/30/2026

https://www.facebook.com/share/p/187khYonWV/?mibextid=wwXIfr

EMS AIRWAY
Between Breath and Breakdown: Recognizing and Managing Respiratory Distress Before It Fails: https://ow.ly/Y2Jk50YAMCw

Respiratory distress is often reversible, but only if caught early. Whether it’s asthma, pneumonia, toxic inhalation, or sepsis, the approach remains the same: oxygenate, ventilate, and identify the underlying cause.

CPAP or BiPAP can often bridge the gap between support and intubation, buying critical time during transport. But this requires situational awareness, knowing your distance to definitive care, the patient’s tolerance, and your protocols.

03/30/2026

The study in this post was conducted in southern Gaza, where attacks continue. If you want to want to support medics in the region, consider donating to Doctors Worldwide. Last […]

03/29/2026

💬 Editor's Note by JAMA Cardiology Associate Editor Gregg C. Fonarow, MD: A post hoc analysis of the FINEARTS-HF trial examined clinical and biomarker trajectories preceding sudden death in patients with with mildly reduced or preserved ejection fraction (HFmrEF/HFpEF).

Modest but detectable functional and symptom deterioration, as well as rising natriuretic peptide levels, were noted in the months before sudden death, but changes were similar to those preceding non-sudden fatal outcomes.

Dynamic clinical worsening often occurs before sudden death, yet lacks specificity for risk stratification, highlighting the need for more refined predictive tools.



https://ja.ma/4dfjP2I

03/29/2026

https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2643297

Emergency medical services (EMS) treatment protocols are traditionally static and often complex documents that are not easily accessed during patient care. To optimize medical decision-making and r...