By-the-Book Deaths: When Following Medical Control Still Puts Your License at Risk

Disclaimer:This article is not a call for paramedics to ignore or override written protocols. Protocols are critical tools that guide safe, evidence-based care. Providers must always follow the clinical guidelines…

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Hemorrhagic Shock and Fluid Resuscitation in Trauma Patients: A Call to Action for Blood-Based Resuscitation

Introduction Hemorrhagic shock is a life-threatening condition that remains a leading cause of preventable deaths in trauma patients, particularly in the prehospital setting (1). Defined by a critical loss of…

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Replacing Needle Decompression with Simple Thoracostomy: A Paradigm Shift in EMS Chest Trauma Management

Trauma is a leading cause of death across various age groups, accounting for a substantial number of fatalities annually. Chest injuries, in particular, significantly contribute to this toll and are…

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The Critical Role of Proper Ventilation: Challenges of Using a BVM with an ETT Tube

In the pre-hospital environment, paramedics often face the challenging task of managing a patient's airway under less-than-ideal conditions. Among the various tools at their disposal, the bag-valve-mask (BVM) connected to…

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Safe Transfer of Patients with Suspected Myocardial Infarction to Facilities with Cath Labs

The transfer of patients with a suspected myocardial infarction (MI) from hospitals without catheterization laboratories (cath labs) to those equipped with such facilities is a critical process that demands precise…

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