JEMS - EMS

JEMS is the source for emergency medical services professionals. An official Clarion Events, Inc. publication.

[JEMS - EMS @jemsconnect]

DKA patient. Severe metabolic acidosis. You take the airway.

Can your ventilator replace the patient's compensatory ventilation?

Mike Brown and Jesse Carroll from Hamilton Medical explain why minute ventilation matters, how to account for dead space, and why a rate of 20 doesn't mean much if your tidal volume isn't getting the job done.

They also break down driving pressure and the ICEBERG Study.

Watch here: https://t.co/uDpRdoIKGN

[JEMS - EMS @jemsconnect]

Blown pupil in a young patient ≠ always a neuro emergency. Anticholinergic exposure (Qbrexza wipes) can mimic serious signs. Know your differentials before EMS activation. Stay sharp, save resources. #EMS #PreHospitalCare https://t.co/LiKMAYjrpE

[JEMS - EMS @jemsconnect]

Your next paramedic partner could be a cockroach: https://t.co/gV3hjOyN09

Researchers in Australia are working on “cyborg” cockroaches that can be remotely guided into places that are too dangerous or inaccessible for rescuers, with the ability to potentially deliver medication or other emergency care.

[JEMS - EMS @jemsconnect]

Opioid crisis evolves with fentanyl & sedatives rising. Vermont’s PREVENT pilot empowers EMS to deliver buprenorphine prehospital, revolutionizing acute OUD care. Are you ready to lead this change? Read more: https://t.co/CzsyndRYru #EMS #OpioidCrisis #Buprenorphine

[JEMS - EMS @jemsconnect]

Meet Rom Duckworth, one of themembers of the JEMS Advisory Board. He brings more than 30 years of experience across career and volunteer fire departments, EMS, hospital healthcare systems, and private emergency medical services.

Rom brings a perspective shaped by frontline experience, education, and a commitment to advancing emergency services.

This is the next video in our series introducing the voices helping guide the future of JEMS and the EMS profession.

[JEMS - EMS @jemsconnect]

Are paramedics becoming desensitized to tense situations and the patients they treat?

The Mindset Shift Required for Community Paramedicine: https://t.co/qMfGkIfBQO

A 2024 U.S. survey of EMS clinicians found that 57.3% (393 of 686 respondents) were likely experiencing burnout; among those, 77.4% showed signs of compassion fatigue, and 75.1% exhibited indicators of vicarious trauma.1 This article explores the transition from paramedic to community paramedic–not just in practice but in mindset.

Being a community paramedic means thinking of your patients as more than nameless, featureless, interchangeable beings. Sometimes a community paramedic may be the only source of compassion in these people’s lives, and the attachment may last for long periods of time: accompanying them to healthcare visits, home repairs or refurbishments, and meeting their families.

Community paramedic responses require more than a transactional visit and mentality. Whether you’re like these Pennsylvanian trainees and are preparing to become a community paramedic, or you’re already working in the field, every responder can benefit by embracing a sense of compassion.

[JEMS - EMS @jemsconnect]

When to Stop, When to Go: Termination of Resuscitation in Pediatric Nontraumatic Arrests - https://t.co/zqg4VTIkL7

Pediatric out-of-hospital cardiac arrest (POHCA) is estimated at more than 23,000 annually, an incidence of 15.4 per 1,000 pediatric emergency medical services (EMS) responses. Infants have a tenfold higher incidence than children and adolescents, approaching the incidence of out-of-hospital cardiac arrest (OHCA) in adults.

[JEMS - EMS @jemsconnect]

When serious bleeding happens, the best piece of equipment is the one you actually have with you.

Multi T™ was designed around that idea.

It packs small enough for an everyday carry kit, medical pouch, range bag, backpack, or glove compartment, while offering more versatility than a traditional tourniquet alone.

Tourniquet. Compression. Securing dressings. Improvised solutions.

It was also designed to perform in wet and difficult environments, including rain, snow, mud, and even underwater conditions.

The technology behind Multi T™ grew out of more than two decades of solving medical challenges for Special Operations personnel.

Small enough to carry. Versatile enough to matter when the situation goes sideways.

Read the full story and learn more about Multi T™: https://t.co/0okic0YAwB

[JEMS - EMS @jemsconnect]

Emergency medical services (EMS) have spent years chasing retention as the primary, and, for some agencies, the only solution to a growing workforce crisis. Agencies raise wages where they can, adjust schedules, add incentives, and invest in wellness initiatives, all in hopes of keeping their providers longer.

While these efforts are important, they no longer address the root of the problem. Today, EMS is not a “stay forever” career for most providers.

The “originals” are retiring, and in most cases, there just isn’t anyone to take their place. Pretending that the career is lifelong in most cases has left agencies stuck in a cycle of constant hiring, burnout, and staffing instability.

If EMS leaders continue to build systems that assume long-term retention is the norm, staffing shortages will persist. Instead, if we design recruitment models that expect turnover and plan for it, EMS can become stable, predictable, and sustainable again: https://t.co/KL2cKOvAcc

[JEMS - EMS @jemsconnect]

U.K. ambulance & fire crews cut manual handling injuries & absenteeism by adopting targeted training & safer practices. Are you equipped to protect your team? Discover key strategies now: https://t.co/WwKpwFKzux #EMS #PreHospitalCare

[JEMS - EMS @jemsconnect]

Caffeine on Duty: Countermeasure or Cultural Crutch? - https://t.co/JvUN7zUZBj

Caffeine use among EMS professionals is widespread, work-driven, and increasingly normalized across career stages. Over time, caffeine appears to shift from an optional stimulant to an operational coping mechanism used to offset occupational fatigue and circadian disruption.

While it may offer short-term benefits for vigilance and performance, excessive and chronic reliance presents measurable health risks and may undermine long-term readiness.

While this research (synthesized in this article) is a small step, it may be a crucial step in understanding what our fatigue and overall health risks are in EMS, quantifiably, to begin developing a strategy that provides a safer environment for our providers.

[JEMS - EMS @jemsconnect]

When 911 Becomes the Nursing Home’s Backup Plan: Why Lift-Assist Fees Are Necessary and Long Overdue - https://t.co/owlOwm4qIz

Cincinnati’s Proposal Should Be a National Movement
Cincinnati didn’t create a controversy. They addressed one.

EMS is not a contingency plan, a staffing band-aid, free labor, a replacement for proper staff training, or a mechanical lift substitute.

EMS is a medical emergency system, not a corporate safety net.

Cincinnati has finally recognized that truth, and our county recognized it years ago. It is past time for EMS systems nationwide to follow.

When long-term care facilities rely on 911 for simple lifts, it indicates that the system is broken, but not on the EMS side.

Lift-assist fees restore the boundaries that should have existed all along. They protect EMS readiness, prevent avoidable injuries, force facilities to follow federal guidelines, and keep ambulances available for actual emergencies.

This isn’t punishment. This is a correction. This is safety. This is necessary.

Cincinnati is making the right call. They weren’t the first, and they won’t be the last.

[JEMS - EMS @jemsconnect]

17M+ EMS encounters reveal patterns shaping response times, protocols & partnerships.

Data is the backbone of the strategic decision-making that optimizes patient outcomes while empowering your team to feel confident in their judgment. Understanding your data is the first step in answering the questions that matter most to leadership.

Consider the 2026 EMS Index your organization’s starting point in understanding how your agency compares to national standards in key clinical areas, ensuring visibility from dispatch on, and tracking progress year over year on protocol and training improvements.

What can YOUR agency learn from the 2026 ESO EMS Index to turn challenges into opportunities? More here: https://t.co/dRhzzkf9YE

[JEMS - EMS @jemsconnect]

🚑🤖 The future of EMS isn't coming, it's already here.

Artificial intelligence, emerging technologies, and data-driven innovation are transforming how EMS agencies operate, make decisions, and deliver patient care.

The question is: Are you prepared for what's next?

'The Future of Emergency Medical Services: Artificial Intelligence, Technology, and Innovation, 2nd Edition' provides EMS professionals, leaders, and educators with practical insights into the trends shaping the profession's future and how to stay ahead of them.

📖 Invest in your future.

Get your copy today: https://t.co/lGLUqEJhd5

[JEMS - EMS @jemsconnect]

How is your EMS agency delivering protocols and clinical decision support in 2026?

EMS protocols and clinical decision support are evolving fast. We want to know what that looks like in the real world. Take a few minutes to share how your agency delivers protocols, supports clinical decision making, and equips providers with the information they need in the field.

Your experience can help paint a clearer picture of where EMS is today and where it’s headed next: https://t.co/5n2HR9Da3O

[JEMS - EMS @jemsconnect]

WEBINAR TODAY, 1:00 pm ET: https://t.co/Ce63VxD1OB
Beyond Documentation: Practical Ways AI Can Improve EMS
- with Shannon Gollnick

Most EMS leaders think of AI as a documentation tool – but that’s only scratching the surface. Discover practical applications that can improve workforce management, quality management, education, scheduling, fleet operations, revenue cycle, and decision-making. Attendees will leave with actional ideas they can begin evaluating immediately, regardless of agency size.

[JEMS - EMS @jemsconnect]

Pediatric DKA can make a patient’s breathing look alarming.

But it may be the body’s critical response to severe metabolic acidosis.

Before reaching for the airway, assess oxygenation, ventilation, mental status and the patient’s ability to protect their airway.

Don’t intubate the respiratory rate alone.

Mike Brown, Dr. Sarah Fabiano and Mike Ellis break down pediatric DKA and the prehospital approach: https://t.co/MR4falsJvD

[JEMS - EMS @jemsconnect]

What if your EMS cynicism isn't a character flaw?

“We were calibrated for a clinical war that rarely came, leaving us vulnerable to learned helplessness.”

High demand. Low control. Chronic stress. Sleep deprivation. Moral injury.

Eventually, the job changes you.

Read the full piece from JEMS: https://t.co/8HJKYJEymg

[JEMS - EMS @jemsconnect]

Every second counts in stroke care. RMA’s Mobile Stroke Unit brings hospital-level treatment to the scene with onboard CT and advanced tech—cutting critical delays. Ready to redefine emergency response? Learn more: https://t.co/fMIzcJXVx3

[JEMS - EMS @jemsconnect]

“Freeze-dried plasma is here…

…but your system probably isn’t ready.”

Big move for EMS. Not a simple rollout.

Dr. Levy & Dr. Schaefer break down what most agencies are missing.

🎧 Full episode:
https://t.co/lvi2MWjeE3