EMS, meet community health services. Your future self.

Is it an admirable goal to get everyone in your state nationally registered? Absolutely! We need to get unified as a profession. Has North Carolina introduced a good bill to make it happen? Only if you like paying twice to be able to work as an EMS provider there.

Deep-Ish dive into the Delta wave associated with WPW, and why that's not relevant to your re-entry rhythms associated with WPW. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8jHe2cT/

Not me sitting here as a Paramedic under the DOT while our entire health care and research system is being converted to a peddler wagon selling tarot card readings under HHS.

If you're an EMS service without a sepsis protocol...you're not an EMS service. How could you not have a protocol for something that affects 1.7 million people in the US every year and strikes down 350,000 of them. What the French, toast?! #EMSsky #Prehospitalsky

In almost all cases where students say they couldn't find or didn't have the time to study, the time is there. It just wasn't taken advantage of.

In remembrance of those who didn't receive lifesaving interventions from being too close to the hospital...

Get them while they last! Limited quantities available!

The 20% promotion is over, but you can still get 10% off your ticket price using my code! EMSAVENGER10

Get 20% off tickets to @flightbridgeed.bsky.social 's #FAST25 conference in Lexington, KY with code EMSAVENGER10 until tomorrow at noon! flightbridgeed.com/fast25/

Blow-by is NOT an appropriate intervention for pediatrics and you should NOT be cutting the prongs off of a NC. #EMSsky #Prehospitalsky

As our care in traumatic out-of-hospital cardiac arrest gets more sophisticated, we're requiring more guidance on our approach to working it. Joint paper by NAEMSP/ACS-COT/ACEP. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP829pF7f/

If you're a bystander & someone collapses, is not conscious & not breathing normally- go straight to compressions. No pulse checks. If you're a responder, still have a high suspicion for cardiac arrest & don't delay CPR for PROLONGED pulse checks. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82f6cwC/

This is one of my most favorite videos that I've put together just because of how fun it was. Let's look back at a case study where triple-sequential defibrillation was performed. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82UAEhN/

A patient suffering from anaphylaxis/asthma exacerbation can't afford anything less than aggressive treatment possible once their airway is compromised. #AMAX4 was designed to lay a track for that treatment. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82AaKCD/

There is a difference between the hypoxic drive and the hypoxic drive theory. Your hypoxic drive is simply another smaller stimuli to breathe that does not become a primary stimuli. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82ranpm/

Review of how Lidocaine works when administered for VT/VF. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82jrGcx/

#EMSsky #Prehospitalsky

There isn't just one way to recognize an OMI in the presence of a LBBB on a 12-lead, and Sgarbossa doesn't catch all OMIs. Let's take a look at Barcelona criteria. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP828n3ag/

Don't be the person who attempted pacing, reported capture, reported improved pulses, but had no evidence of capture on the ECG or change in BP. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82RWxMn/

It's important to note that this was a secondary analysis of data and not a study powered to guide practice, but the paper found a significant association between an ALS response and lower mortality. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82R8Bn6/

Etiologies of in-hospital cardiac arrest are much more wife and varied than out-of-hospital cardiac arrest. Links in my bio. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP82JwPqd/

We talk a lot about skill creep in EMS. I don't see a problem with skill creep... BUT...I do want to acknowledge everyone who wants to be compensated more for this. Absolutely valid! www.tiktok.com/t/ZP82JNXf2/

Some institutions don't see the upside in ditching the long spine boards and rigid cervical collars. They only see the sea lions in the water. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Yotqw8/

I'm astounded to see a mindset like this with all we know about PTSD and mental injury today. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YKyeXx/

If you don't willingly embrace the possibility of failure, you may never experience success. I'm going to push you to fail safely. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YTvWFQ/

This waveform...is a lie! MelodyRT from IG teams up with me to break down why you shouldn't see this waveform outside of an operating room. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YcwHYP/

Are you working to resuscitate or working to terminate? www.tiktok.com/t/ZP8Yc8Knq/

KETAMINE! Sorry, I get excited. What's better as an induction agent when intubating a critically ill patient? Ketamine or Etomidate? This study applies the bayesian theorem to the data and you'll probably love the answer. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Yv6VST/

Great question! What's the difference between Wellen's Syndrome and Unstable Angina? And should we even be using the term unstable angina? #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YnBqcW/

Hey training officers! I've got your inexpensive solution to prevention of CPR skill deterioration! Save lives (And money) with tennis balls! #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YpaeWn/

Having trouble keeping shock together in your head? Remember "What Would Plumber Do." #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Ygkesy/

Let's look at a Chest X-Ray and look at atelactasis and how it effects the lung. This is a case study from a patient I treated. www.tiktok.com/t/ZP8YqAT9P/

DROP YOUR SOCKS AND GRAB YOUR...TUBES. It's time to compare first pass ETI success rates between Nurses and Paramedics. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YVcjqy/

Are we doing CPR wrong in PEA? What if instead of doing an unsynchronized 200 compressions/cycle we need. To sync those compressions up with the patient's cardiac activity? www.tiktok.com/t/ZP8YCYxoR/

It's not a stretch to say many, if not most EMS personnel are existing in a high intensity zone beyond what is healthy and have experience a personality change. The next zone...is a diagnosis. www.tiktok.com/t/ZP8YxVCek/

Here's a breakdown of Wellen's Syndrome. www.tiktok.com/t/ZP8Y9hdtB/

A common cause of cardiac arrest during sex? Sub-arachnoid hemorrhage. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Y5RkS6/

"I can't breathe" should never be dismissed. www.tiktok.com/t/ZP8Yf6oRe/

In Paramedic education, the atrial electrical system, the auricles, and the cardiac venous system do not exist. Here's the deal with the venous system and its potential for thromboses. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YDK1Hy/

If you don't put GOOD mentors in front of your people, then the bad ones will find them. If you don't build an environment around your people that they can thrive in, they will perish in the environment they're left in. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YAanuc/

Admitting you don't know something is one of the biggest indicators for me that you are teachable and care more about learning, about your patient, and about your job than about your pride. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YSjTPn/

Great case study I posted a year ago. A guy with an LVAD living in asystole. Like functioning with it. Wild! #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YhRpu2/

What would you see in an ECG with an LVAD patient, and can you do compressions on an LVAD patient? #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YMNLCF/

You want to get nerdy with me? Let's talk about aVR, Cardiology's most nerdiest lead! #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Y6Cyao/

As far as EMS is concerned, nothing of importance happens anywhere in the heart until you get to the AV node. But there's this whole electrical system up there, and it can cause problems too. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8YYpok7/

#onthisday The five stages of gas station food grief. A tragedy in 5 acts. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Y8Q4Vw/

I was someone who saw APRV as this ventilator mode that lacked shape or definition and was difficult to understand with all of its T-highs and P-lows. Until one day I understood it for what it actually was. #EMSsky #Prehospitalsky www.tiktok.com/t/ZP8Y1K8Ya/