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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 17/05/2026

May 17 to 23 is Paramedic Services Week! CPER is proud to celebrate our paramedics and the skill, compassion, professionalism, and heart you bring to our communities every day. Thank you for everything you do.

To those who answer every call, thank you.

Centre for Paramedic Education and Research, Hamilton

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 26/11/2025

Bleeding, bleeding, and more bleeding. Our quarterly AskMED streaming Q&A with a big hemorrhage control theme this time around, plus a bit about ketamine because, well, ketamine. www.youtube.com/live/RIHhV6c...

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AskMED November 25, 2025

YouTube video by Centre for Paramedic Education and Research

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 21/08/2025

On the latest AskMED: CPAP in palliative lung Ca dyspnea • suction & iGels • amio for VT • DNRs vs reversibility • and what ALS-PCS 5.4 does (and doesn’t) say on opioid switching in the analgesia directive. www.youtube.com/live/P1vh8fF...

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AskMED August 19, 2025

YouTube video by Centre for Paramedic Education and Research

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 14/08/2025

Tune in to AskMED on the CPER YouTube Channel. Streaming live on Tuesday, August 19th at 3:30pm. You've sent us your questions; we'll come up with some answers! youtube.com/@CPER_HHS

Logotext. CPER AskMED on Youtube, Tuesday August 19th at 15:30.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

That wraps it up for #MedTalk2024 from CPER. Thanks for following along online. We look forward to your thoughts on the subjects covered today. Got questions for AskMED? Hit us up at askmed@cper.ca

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

The 2024 Western Trauma Association indications for resuscitative thoracotomy: - Penetrating Thoracic Trauma: prehospital CPR for <15 min - Blunt Trauma: signs of life upon initial eval, prehospital CPR <10 min - Penetrating Neck or Extremity Injury: prehospital CPR <5 minutes.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Pericardial tamponade -> Thoracotomy/needle pericardiocentesis Tension pneumothorax -> Thoracostomy Thoracic hemorrhage -> Thoracotomy Abdominal hemorrhage -> Thoracotomy/REBOA Extremity hemorrhage -> Tourniquet Application Hypoxia -> Definitive airway management #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Why do trauma patients arrest? - Exsanguination. - Brain Injury - Tension/pressure conditions of the chest. - High-spinal cord injury. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

"Witnessed prehospital traumatic arrest: predictors of survival to hospital discharge." For EMS witnessed arrests, 10% survived to hospital discharge, 22% with ROSC but did not leave hospital, 68% pronounced deceased on arrival or within the ED. #MedTalk buff.ly/3Z3JuUr

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Next a talk from Dr. Paul Engels, from the Trauma Program at Hamilton Health Sciences. "Traumatic Cardiac Arrest" #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

In pediatric resuscitation, what do paramedics do well? A smattering of feedback from some other medical professionals. Be comfortable that paramedics are good at this stuff. You have the skills you need. #MedTalk2024

What do paramedic do well? What needs to improve? What is the priority? FOCUS ON THE BASICS BECAUSE THEY MATTER

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

The PRIME Study is looking at whether IM epinephrine added to the standard of care will improve outcomes in pediatric cardiac arrest patients. Some of our CPER services are participants in this important research study. #MedTalk2024 buff.ly/3UPzpIq

The PRIME Trial (Prehospital Administration of IM Epinephrine in Pediatric Cardiac Arrest) is a study that will gather date over a 5 year period, looking at the effect of early administration of IM epinephrine in pediatric cardiac arrest patients.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Don't cut your care to expedite transport. #MedTalk2024 ' "Survival After Intra-Arrest Transport vs On-Scene Cardiopulmonary Resuscitation in Children" Paper: buff.ly/48QQgjx

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

"Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival." Don't forget. As paramedics, you have what these kids need. #MedTalk2024

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Redirecting

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

"Advanced airway management for pediatric out-of-hospital cardiac arrest: A systematic review and network meta-analysis." #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Remember that intubation is PART of airway management. It is not the same as airway management. - Johnathan Lee, #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

High quality CPR is one of the few things we do in resuscitation that has really good evidence to support that it makes a difference. Don't forget the basics. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Thanks, Jeff. Next up is the incomparable Jonathan Lee with his talk on' "Everything You Wanted To Know About Pediatric Arrest But Were Too Afraid To Ask" #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Work with law enforcement on as minimal restraint as possible, remember this is YOUR patient. Consider moving to chemical sedation rapidly, and monitor, monitor, monitor.#MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Chemical sedation doesn't come /after/ physical restraint. It's not sequential. Consider them concurrently, and with just enough physical restraint to get chemical sedation on board and expedite your patient to the definitive medical care they need. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

A very difficult look at what went wrong in the 2022 in-custody death of Ladamonyon “DeeDee” Hall. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

This is the Physicians for Human Rights report (PDF) mentioned by Jeff Bilyk in the current talk. Physical restraint plays the major role in in-custody deaths. #MedTalk2024 buff.ly/4fMC5ye

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Hyperactive delirium is a syndrome of severe agitation. It is not a diagnosis. Make sure to assess for underlying causes: CNS/neuro, tox, psychiatric and mental health crisis, traumatic, metabolic, etc. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Defining "Hyperactive Delirium." See also the recent statement from ACEP that provides their definition. #MedTalk2024

The American College of Emergency Physicians (ACEP) recognizes the existence of hyperactive delirium syndrome with severe agitation, a potentially life threatening clinical condition characterized by a combination of vital sign abnormalities (e.g., elevated temperature and blood pressure), pronounced agitation, altered mental status, and metabolic derangements...

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

The portrayal of "excited delirium" in the media certainly hasn't helped. #MedTalk2024

Sensationalized reporting, misinformation challenges, expert communication, and ethical reporting guidelines.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

"ACEP’s 2009 White Paper Report on Excited Delirium Syndrome is outdated and does not align with the College’s position based on the most recent science and better understanding of the issues surrounding hyperactive delirium." #MedTalk2024

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ACEP Reaffirms Positions on Hyperactive Delirium

Today, the American College of Emergency Physicians (ACEP) reaffirmed several positions regarding the use of the term “excited delirium.”

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

How do you define "excited delirium?" You don't. Because it doesn't exist. Let's talk about Hyperactive Delirium with Severe Agitation instead. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Jeff Bilyk leading up the afternoon with his talk "The Curious Case of Bruce Banner: A New Lens for Severe Agitation." #MedTalk

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

The same prehospital actions that optimize resuscitative outcomes can also give a chance for a downstream conversation about organ donation that otherwise might not have happened. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Dr, Andrew Healey up next, with a talk on Organ and Tissue Donation and Transplantation. #MedTalk2024

Dr. Healey steps out from behind the lectern and off the podium for his talk on Organ and Tissue donation and Transplantation.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Fail it until you nail it. Repeat it until you beat it. Face it until you ace it. Learn it until you earn it. Practice it until you master it. #MedTalk2024

Embrace failing. Commit to repeating. Facing challenges. Welcome learning. Encourage practicing.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

“The normal curve is a distribution most appropriate to chance and random activity. Education is a purposeful activity and we seek to have students learn what we would teach. Therefore, if we are effective, the distribution of grades will be anything but a normal curve." #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

"Repeat it until you beat it." "Face it until you ace it." Inadequately practiced skills don't manifest the neural connections we need to store that learning. You need to embrace practice and making mistakes. #MedTalk2024

The domains that feed in to the retention of skills. Learning phase. Repetition and practice. Automatization. Feedback and adjustment. Retention and recall. Challenges and adaptation. It all matters.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Does the phrase "fake it until you make it" obscure our anxieties and mistakes? Is there a better way to frame failure as a pathway to success? What about "fail it until you nail it" instead. #MedTalk2024

Stephen Fryer's talk as it appears on today's agenda.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Kai is tweeting too. We'll get him on Bluesky eventually. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Up next on the #MedTalk2024 roster is Stephen Freyers and his talk "Failing to Success."

Title slide for the "Failing to Success" talk.

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Comment from the audience reinforces a point made in the talk: many paramedics feel that the onus for their mental wellness lies with them, and feel that's not necessarily met by an organizational responsibility to address recurrent workplace related trauma. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Thank you for a very thought provoking talk, Dr. Ritchie! #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

Stoicism, where public service personnel feel the need to keep their "game face" on when working, can make it very hard to identify someone who is struggling with their mental health. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

A lack of specialized mental health supports is often seen as a major barrier to attending to the specific mental health needs of paramedics and other public service personnel. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

A major barrier to paramedics seeking mental health treatment is worrying that their concerns and experiences won't be believed by their mental health providers. Cultural competence matters. #MedTalk2024

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Centre for Paramedic Education and Research @cper-hhs.bsky.social · 13/11/2024

All the videos in Dr. Ritchie's Moral Injury talk can be found on the website of the McKinnon Trauma and Recovery Lab linked belowl #MedTalk2024

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Team | The McKinnon Trauma and Recovery Lab

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