The answers were brilliant and useful for seasoned veterans of the profession as well.
The National Highway Traffic Safety Administration’s (NHTSA) Office of EMS would like to make EMS leadership and clinicians aware of a new emerging synthetic opioid threat: cychlorphine, which has been linked to at least 55 deaths nationally.
Highlighted in the Office of National Drug Control Policy (ONDCP) Drug Threat Notice, cychlorphine’s overdose risk, potency and detection challenges pose several serious hazards to EMS clinicians and their patients. Important cychlorphine considerations for EMS include:
The war in Ukraine has generated significant insights into trauma care under conditions of prolonged evacuation, persistent threat, and constrained resources. These conditions have forced a redefinition of prehospital care, emphasizing adaptability, prolonged management, and decentralized capability. While civilian EMS systems operate in different environments, they increasingly encounter similar constraints during rural operations, disasters, and system overload. This article expands on key lessons identified from first-person experience in Ukraine and provides detailed analysis of their implications for civilian EMS systems. Practical recommendations are offered to improve resilience, clinical performance, and patient outcomes in austere, low-resource, and high-demand settings.
There are clinicians who talk about emergency medicine. And then there are those who have lived it across three time zones, at altitudes above 4,000 meters, in blizzards and on mountain slopes, in tactical operations and at the finish lines of hundred-mile races through the Rockies.
Nick Nudell is the second kind.
The Prehospital Journal Club for Evidence-Based Practices started out from my experiences in research where it is commonplace for labs to meet monthly to discuss literature in the field of study. I wanted to translate that to the field of prehospital medicine and provide prehospital providers with the information necessary to ensure we consistently provide high-quality evidence-based care. We meet once a month on the first Wednesday from 1700-1800 addressing a wide variety of different topics in prehospital medicine.
Some notable topics we have discussed include prehospital blood administration, POCUS for cardiac arrest care and for differentiating CHF vs. COPD exacerbation, REBOA for non-extremity hemorrhage, the debate between supraglottic airways vs. endotracheal intubation, as well as a whole host of other new innovative ideas being studied in the prehospital field.
High school EMT student/leadership intern attends EMSAC conference
By Kaylee Gardner
Middle Park High School EMT Student/GCEMS Clinical Leadership Intern.
