Jacob Stebel

Paramedic in New York City stoked about resuscitation science, pediatric critical care transport, and advancing Paramedicine.

[Jacob Stebel @JacobStebel]

This is a wonderful oppty in the downstate area for the 1st time. No specific prior research experience is needed; only an interest in EMS research & a desire to learn. If you've considered this over the past year, you should apply! Apps due June 1st:

https://t.co/nF20dYv1fC

[Jacob Stebel @JacobStebel]

The IBSC JTA for hospital paramedic is live!

Consider contributing to the first-of-its-kind blueprint for paramedics working in hospital-based roles. The information will help shape the role for the present and the future.

https://t.co/ZWtV9ihKqy

[Joshua Kimbrell @joshkimbre]

Should we be afraid of the dark?

If you're afraid of lower survival after out-of-hospital cardiac arrest (OHCA), yes.

🧵

https://t.co/V5vm6fvPC8

[Jacob Stebel @JacobStebel]

Totally agree. Grateful to work at a health system that grants and encourages EMS clinicians to use their EHR access.

[Nick Mark MD @nickmmark]

Imho this is the single most important behavior for achieving clinical excellence.

[NYC EMS Watch @NYCEMSwatch]

"Under the current, already sparse budget, firehouses across the city have deteriorated to near unlivable states."

...meanwhile at FDNY EMS.

[Joshua Kimbrell @joshkimbre]

Transcutaneous pacing (TCP) is used to treat unstable bradycardia. In this multi-center study of TCP performed by paramedics, only 9.7% had sustained electrical capture, suggesting the procedure is frequently performed ineffectively.
@ResusJournal
https://t.co/Hl5gGWztjV

[JAMA @JAMA_current]

How can volume overload be reliably excluded at the bedside?

📊 This Rational Clinical Examination evaluates the diagnostic accuracy of clinical examination, radiographic imaging, and laboratory testing in assessing volume overload in nonintubated patients.

https://t.co/AkRpUEwfbJ

[Peter Antevy @HandtevyMD]

Grateful to @mklevy10 for calling attention to a major patient safety gap at the @NAEMSP annual meeting. Medication scanning matters, especially in high-risk EMS and hospital environments. We’re focused on solving this in Handtevy Mobile. #NAEMSP2026

[Gabe Gan, MPH, NRP @Gabe_Gan]

@dcfireems presented three quality improvement posters at this year’s @NAEMSP conference in Tampa, FL. Posters focused on improvements to airway management, needle decompression, and blood administration processes. #NAEMSP2026

[Jacob Stebel @JacobStebel]

Great experience being part of this!

[BMCCParamedic @BMCCParamedic]

Learn more about the Vital Signs EMS Games and how they bolster provider skill sets and teamwork.

Listen to the episode.
Scan QR code or visit:
https://t.co/ALySsifgsH

[Jacob Stebel @JacobStebel]

Great thread and resources!

[Joshua Kimbrell @joshkimbre]

Transcutaneous pacing (TCP) is an intervention for unstable bradycardia. Electrical stimulus is provided ~1/s to increase heart rate. With transvenous pacers and chronotropic meds, TCP is mostly limited to the prehospital setting and low-resource centers.

We suck at TCP.

🧵

[Tommaso Scquizzato, MD @tscquizzato]

Healthcare professionals rarely witness what actually happens in the very first moments of an out-of-hospital cardiac arrest. What we know is most often reconstructed from the narratives of bystanders or family members who were present at the scene.

In this study, we analyzed 145 out-of-hospital cardiac arrests captured by surveillance cameras. These videos provide a unique opportunity to directly observe the earliest moments of collapse, revealing recurrent signs of cardiac arrest, frequently misinterpreted behaviors, and a critical delay between event recognition and the initiation of resuscitative efforts. The insights gained may help improve education, public awareness, and the development of strategies aimed at earlier recognition and more timely intervention.

Building on these findings, we are working with the Politecnico di Milano to train an artificial intelligence algorithm capable of automatically detecting cardiac arrest from surveillance video footage, with particular potential impact in cases of unwitnessed cardiac arrest. This work is part of the EU-funded TIME-CARE project.

Read the article on Resuscitation: https://t.co/2ntoh23e3F

#CardiacArrest #CardiopulmonaryResuscitation #Innovation #Research #TIMECARE #SanRaffaele

[Jacob Stebel @JacobStebel]

A great weekend for education & EMS at NYS Vital Signs. Learned a lot and connected with colleagues new and current from across the state. A huge thanks to @NYNAEMSP for inviting me to participate in the preconference, and @BMCCParamedic for organizing the New York State EMS Cup!

[NYC EMS Watch @NYCEMSwatch]

Line of Duty Death at FDNY EMS. Did it make the front page of the papers? Nope.

[Jacob Stebel @JacobStebel]

Does hearing “LVAD” make your heart race💓? You’re not alone. Prehospital care in LVAD pts is complex; the evidence shouldn’t be.

New paper by @joshkimbre & team highlights⬆️LVAD prevalence, paucity of standards, & call to action for rsrch.

Bookmark it before your next shift.

[Joshua Kimbrell @joshkimbre]

I'm excited to share our article about cardiac arrest care for LVAD-supported patients. Key points:

❤️LVADs having 📈prevalence, so will LVAD arrests.
👊In most cases, chest compressions should not be delayed.
🚨There is a profound research gap!

https://t.co/hIe17bAhqk

[Jacob Stebel @JacobStebel]

📊 New study: When compared to other non-residential locations, OHCA at airports had higher rates of:
Witnessed arrest
Bystander CPR/AED use Shockable rhythms
ROSC

Thank you to co-authors incl @joshkimbre, and to @dj_deets
for leading.

[JAMA Network Open @JAMANetworkOpen]

Airports are associated with improved out-of-hospital cardiac arrests response and survival outcomes compared with other nonresidential settings. https://t.co/TgWXF0HRBK @joshkimbre, @JacobStebel

[Aditya C. Shekhar @dj_deets]

We compared out-of-hospital cardiac arrest at US airports versus other public (non-residential settings) and found significant differences between locations. @joshkimbre @JacobStebel

Out now in JAMA Network Open: https://t.co/4EFPD9aAal

[Joshua Kimbrell @joshkimbre]

Excited to share our article published in JAMA Network Open.

Airport OHCAs have ⬆️ rates of witnessed CPR, bystander CPR/AED use, ⚡ rhythms, and ROSC than other public locations. Maybe Airport OHCAs are a model for community CPR response!

Thanks to @dj_deets for leading.

[Jake Brown @JakeBrownLive]

I am giving away a pair of free Hyundai Club tickets for the Mets Marlins game tomorrow (Thursday) at Citi Field to 1 lucky winner who is subscribed to @MetsDailyShow on YouTube & following me/the show on here & retweets this 👀

(free unlimited food in Hyundai Club)

[Jacob Stebel @JacobStebel]

Strong leadership from co-first authors @joshkimbre and @JMedic2JDoc and great work from all including co-authors @TannerSmida @dj_deets @_JaceMullen and others.

[Jacob Stebel @JacobStebel]

I'm excited to share our most recent publication, Delays to Chest Compressions and Defibrillation during Prehospital Rearrest was just published in the American Journal of Emergency Medicine. Free link: https://t.co/xsDMtfhsza

[Joshua Kimbrell @joshkimbre]

I'm excited to share that our study on Delays to Chest Compressions and Defibrillation during Prehospital Rearrest was just published in the American Journal of Emergency Medicine. Free link to read: https://t.co/VQRUh1FeqR

🧵