JEMS
banner
jemsmedics.bsky.social
JEMS
@jemsmedics.bsky.social
Journal of Emergency Medical Services - the Conscience of EMS

www.JEMS.com
Airway success is more than getting the tube on the first try. It means first pass without hypoxia, hypotension, or harm. Rethink RSI and focus on resuscitation, not just rapid. Read more: https://ow.ly/kuau50XQ28e
Redefining Success in RSI: Prioritizing Resuscitation over Rapid in EMS
Emergency medical services have redefined airway management success to include avoiding adverse events like hypoxia and hypotension, using the DASH-1A metric for better patient outcomes.
ow.ly
December 29, 2025 at 4:02 PM
Communication shouldn’t be an afterthought in EMS. It shapes trust, culture, and how our teams function on the street. Dr. Anthony Minge breaks down what intentional communication really looks like in real EMS systems.
🎧 Full episode: https://ow.ly/flO150XP7rR
December 27, 2025 at 7:14 PM
’Twas the night before Christmas… and the rigs were still rolling.
Low pay. Short staffing. Burnout on repeat.
Still, EMS showed up like it always does.

Read the full piece here: https://ow.ly/NHPo50XNS5v
December 24, 2025 at 12:25 PM
EMS is in crisis, but crisis is leverage. We can keep tolerating a system that burns people out, or do the uncomfortable work of building a culture worth staying in. This isn’t martyrdom. It’s ownership. https://ow.ly/J8Nl50XNeS9

Sailing into the Storm: Building Culture When the System Sounds the Alarm
The article critiques EMS culture, highlighting chronic burnout affecting 76% of providers due to fragmentation and underfunding, advocating for a mobile integrated health model.
ow.ly
December 22, 2025 at 3:47 PM
Report: Not Enough Staff, Services Available in NY County for Mental Health Crises:
https://ow.ly/Pa2i50XNccf
December 22, 2025 at 2:56 PM
Prehospital airway care shouldn’t be about earning a badge. New research from 2024 and 2025 shows supraglottic airways often match or outperform ETI in cardiac arrest + trauma because they’re faster & cause fewer complications. Pick the tool for the patient, not the patch.

https://ow.ly/3Kq250XMNou
December 20, 2025 at 12:00 PM
Status eptilepticus that won’t quit after benzos is where ketamine earns its keep.

Different mechanism.
IM or IV.
Doesn’t nuke respirations.
Field data shows seizure control in ~67% of refractory cases.

Full article here: https://ow.ly/HW4F50XMF8P
Ketamine for Status Epilepticus: An Emerging Hero in Hospital and Prehospital Care
Ketamine is increasingly used for refractory status epilepticus, showing seizure control in 50-60% of cases, according to recent studies. It acts on NMDA receptors and offers cardiovascular stability.
ow.ly
December 19, 2025 at 6:04 PM
EMS doesn’t need another feel good resilience talk.

This podcast with Dr. Richard Janka digs into what resilience actually looks like for first responders and telecommunicators, why leadership matters, and why so many programs miss the mark.

Listen here:
https://ow.ly/l1nF50XLCU2
December 18, 2025 at 7:02 PM
“If it isn’t documented, it didn’t happen” isn’t just about liability.
Your PCR is real time clinical evidence.
It shows how you think, what you saw, and why you acted.

Good documentation is part of being a healthcare professional: https://ow.ly/E9Mu50XL6jw
Documentation: A Regulator’s Perspective on EMS Professionalism, Accountability, and the Future
Documentation in EMS is essential for credibility and continuity of care. Accurate patient care reports protect patients and clinicians, impacting billing and quality assurance.
ow.ly
December 17, 2025 at 7:45 PM
On scene ROSC. Mechanical CPR questions. IV over IO.
Jimmy Apple weighs in on what the 2025 AHA guidelines mean for real EMS crews.
Full episode here: https://ow.ly/QTLB50XKxmr
December 16, 2025 at 7:40 PM
Your license isn’t the whole story. 🩺
State EMS sets the rules. Local/regional bodies make them work where you live. Know both. Operate smarter. Save lives.

#EMS #ParamedicLife #EMSTraining #PrehospitalCare #KnowYourSystem
🔗 https://ow.ly/7UOV50XJOoJ
December 15, 2025 at 6:02 PM
Ground-level falls, frequent flyers, calls that feel like a waste… they aren’t. Every patient deserves an ambulance. Your skills, your patience, your kindness make the difference. Read more: https://ow.ly/5h2r50XIJ1u
Everyone Deserves an Ambulance
Paramedics experience burnout due to trauma exposure, inadequate resources, and frustrating calls. They are encouraged to focus on kindness and patient care rather than frustration.
ow.ly
December 14, 2025 at 8:00 PM
New Type 1 for Española Fire/Rescue.
F-450 4x4, Liquid Spring, insulated box, CoolBar, four-point harnesses and PowerLOAD.
Solid setup for EMS crews working heat and rough terrain.

Full story: https://ow.ly/aHrG50XIGBy
Espanola (NM) Fire/Rescue Puts Wheeled Coach Ambulance in Service - EMS Rig
By Alan M. Petrillo Espanola (NM) Fire/Rescue Department provides fire, rescue, and emergency medical services (EMS) response to the 10,500 residents of the eight-square-mile city of Espanola in Rio Arriba County, New Mexico, from three stations by 15 full-time paid firefighter/emergency medical technicians (EMTs), and a paid chief, assistant chief, and fire inspector/investigator. Espanola Fire […]
ow.ly
December 13, 2025 at 1:20 PM
Rescue squad garages aren’t classrooms. But we keep teaching like they are. Flexible spaces help students stay engaged and retain lifesaving skills. See the research pushing EMS ed forward: https://ow.ly/rl7U50XIsUK
The Effects of Physical Learning Environments in Paramedic Education
This review examines the impact of physical learning environments on paramedic education, highlighting their importance for student engagement and learning outcomes.
ow.ly
December 12, 2025 at 4:25 PM
🎓🚑 EMS Week Spotlight: How one son turned loss into legacy.

The Bryant Gladney Foundation gives scholarships to future paramedics and hosts the All Star EMS Conference—all in memory of a heroic EMS provider.

Full episode: ow.ly/7ymt50VV4P1

#EMSWeek2025
@acepnation.bsky.social
May 19, 2025 at 3:42 PM
It just so "happens" that today is also National Pizza Party Day, so....

ow.ly/1Vbc50VTWMB
May 16, 2025 at 2:41 PM
🧠 TBI care starts with EMS.

Avoid hypoxia & hypotension
ETCO₂: 30–35 mmHg
Elevate head 30° (if safe)
Know your protocol for Keppra® & hypertonic saline.

Your actions save brains (and lives!).
👉 www.jems.com/patient-care...

#EMS #TBI #PrehospitalCare #ParamedicLife #BlueEMS
An Overview of Traumatic Brain Injury Management in the Prehospital Environment
Essential EMS strategies for traumatic brain injury include airway, hemodynamics and seizure management to improve prehospital TBI outcomes.
www.jems.com
May 15, 2025 at 3:22 PM
Service animals play a critical role in patient care, but outdated EMS policies can create confusion and risk in the field. This article challenges the status quo and offers a better path forward for both patients and providers.
🔗 www.jems.com/patient-care...
#EMS #PrehospitalCare #ServiceAnimals
May 9, 2025 at 2:24 PM