Interfacility transports (IFTs) are critical for the care of pediatric patients in the United States (US), particularly in rural areas that may have limited pediatric specialty resources. Given the...

Emergency medical services (EMS) demand is increasing, with a growing proportion of low-acuity encounters. Prior studies are limited by regional sampling, inconsistent definitions, narrow observati...

Evidence-based guidelines (EBGs) are widely regarded as a valuable means of translating scientific evidence to clinical practice. Efforts continue to promote the development and implementation of n...

Asthma exacerbations constitute 10-15% of all pediatric emergency medical services (EMS) calls. There are several validated scoring tools to assess acute asthma severity, which have good inter-rate...

Paramedic services remain organized around rapid response, time-sensitive events, and hospital conveyance despite increasing 9-1-1 use for lower-acuity and undifferentiated presentations. There is ...

Pediatric medication safety is a priority area for research and quality improvement in emergency medical services (EMS). While medication errors may occur due to active failures, latent drivers of ...

Prehospital pleural decompression is life-saving in patients with suspected tension pneumothorax or other life-threatening thoracic pressure pathology after major trauma. Although prehospital minit...

Pediatric non-transport by emergency medical services (EMS) is common but there are limited data assessing patient outcomes. Our primary objective was to determine the proportion of children not tr...

To evaluate whether the implementation of a region-wide pit-crew cardiopulmonary resuscitation (CPR) initiative was associated with improved survival to hospital discharge with good neurological fu...

Observational estimates of bystander automated external defibrillator (AED) effectiveness are inconsistent in settings with mature public-access defibrillation infrastructure but low utilization, p...

To map and critically synthesize international evidence on the use of teleassistance and artificial intelligence to support emergency nurses in prehospital triage.

Many emergency medical services (EMS) 9-1-1 activations result in patients declining evaluation, treatment, or transport to the emergency department (ED). Assessment of a patient’s decision-making ...

Optimal analgesic in acute coronary syndrome (ACS) remains debated, particularly in the prehospital setting. Opioids, particularly morphine, are widely used despite concerns over adverse effects an...

We aimed to identify the abstract-to-manuscript conversion rate of abstracts presented at the National Association of Emergency Medical Services Physicians (NAEMSP) conference by year, abstract num...

Intimate partner violence (IPV) is increasingly being recognized as a clinical circumstance to which Emergency Medical Services (EMS) clinicians attend. IPV refers to the use of physical, sexual, p...

Community Paramedics (CPs) have not yet been engaged in pediatric concussion management. This study aimed to assess the feasibility and acceptability of building and delivering HeadStrong Community...

Prehospital recognition of upper versus lower airway disease in infants or young children is critical as management strategies differ. A minimal amount is known regarding how well these distinction...

A previous single center study suggested that both law enforcement officers (LEO) and emergency medical services (EMS) clinicians over-utilize tourniquets (TQs), which has the potential to result i...

Trauma patients are a high volume and morbidity population, showing the importance of their prehospital care. This study aimed to evaluate the current status and consistency of prehospital trauma t...

Injury mechanisms play a critical role in determining the need for advanced airway management during prehospital trauma care. While prior studies have examined airway interventions in the context o...

Out-of-hospital cardiac arrest (OHCA) remains a major public health challenge, associated with substantial mortality and significant costs for health care system. This systematic review aimed to (i...

In patients who experience out-of-hospital cardiac arrest (OHCA), high quality cardiopulmonary resuscitation (CPR) is associated with improved outcomes. The transition of care from paramedic servic...

Pediatric medication safety is a priority area for research and quality improvement in emergency medical services (EMS). While medication errors may occur due to active failures, latent drivers of ...

Emergency medical services activate ST-segment elevation myocardial infarction (STEMI) pathways before biomarkers, imaging, or angiography are available. We sought to describe final hospital diagnoses...

In out-of-hospital cardiac arrest (OHCA), the probability of initial survival is highly time-sensitive, as early recognition, rapid initiation of resuscitation, and prompt defibrillation are all criti...

Out-of-hospital cardiac arrest (OHCA) remains a condition associated with extremely poor prognosis, even in modern healthcare systems with advanced medical resources.1–4 Early and accurate prognostic ...

The initial management of a critically ill burn patient sets the trajectory for their entire hospital course. Understanding standards of care is essential, but moving beyond rote formulas for airway m...

Emergency airway management in acute brain injury carries unique physiologic risks, such as hypotension, hypoxia, hypercarbia, and sympathetic surges can precipitate secondary brain injury. This revie...

Objective To identify evidence-based factors leading to the global challenge of hospital access block and inform strategies to improve emergency access performance. Methods A mixed methods approach.....

To the Editor:

OBJECTIVES: Although preoxygenation with a non-rebreather (NRB) mask at flush rate (≥ 50 L/min) is an effective and straightforward technique, it is not always feasible in situations where airway m...

To evaluate whether the implementation of a region-wide pit-crew cardiopulmonary resuscitation (CPR) initiative was associated with improved survival to hospital discharge with good neurological fu...

Background: Preceptorship is relatively new in paramedic education. It is intended to ease transition from theory to practice, reduce transition shock for students and support professional identity. However, it can be limited by time constraints and ...

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Background: Alcohol use is a significant public health problem. Paramedics' perceptions of patients' alcohol use and their role in alcohol-related public health need to be understood to inform practice, improve public health and potentially reduce ...