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PODCAST: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia
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Podcast: Play in new window | DownloadReference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from

C-Collars and Backboards Do More Harm than Good? Critical Care Emergency Medicine Pediatric Emergency Trauma
September 8, 2025 The National Association of EMS Physicians (NAEMSP)’s comprehensive review of spinal motion restriction in prehospital management of trauma concluded that cervical collars and backboards are likely more likely to harm patients than to prevent delayed neurological injury (DNI). Step on a crack, break EMS dogma’s back C-collars

Queen of Hearts – AI vs. Doctor in STEMI/OMI Accuracy
Written by Ketan Patel The Queen of Hearts AI (QoH AI) model beat both emergency physicians (EPs) and cardiologists at deciding who needs immediate catheterization for certain STEMI-equivalents and STEMI-mimics—88.9% accuracy vs. ~66%—promising fewer missed occlusion myocardial infarctions (OMIs) and fewer unnecessary activations. ECG Poker: Can you beat the Queen

STEMI Criteria Alone Miss LAD Occlusions – How to Spot OMI
Reliance on STEMI criteria alone misses a substantial proportion of LAD occlusions, while expert and AI ECG interpretation achieved earlier and more accurate detection, with 100% sensitivity for LAD occlusion MI in this study. Oh, my! AI caught an OMI! This study evaluated the diagnostic accuracy of guideline-based STEMI ECG

Resuscitation: Beyond STEMI: High-risk ECG patterns as predictors of occlusive myocardial infarction in out-of-hospital cardiac arrest patients
Claudio Silwanis 1, Julian Maier 2, Johannes Eder 1, Max Groche 1, Alexander Nahler 1, Alexander Fellner 1, Hermann Blessberger 3, Jörg Kellermair 3, Clemens Steinwender 3, Thomas Lambert 1 Affiliations Expand PMID: 40783097 DOI: 10.1016/j.resuscitation.2025.110763 Abstract. Background/aim: Immediate coronary angiography (CAG) is recommended for patients with ST-elevation myocardial infarction (STEMI) after out-of-hospital cardiac arrest (OHCA). However, some occlusive myocardial infarctions (OMI) do not meet STEMI criteria. This study investigated whether additional ECG

JAMA: Out-of-Hospital Cardiac Arrest in US Airports
Aditya C. Shekhar, MBE1; Joshua Kimbrell, BA2; Timothy Friedmann, MD1,3 et al JAMA Netw Open Published Online: August 29, 2025 2025;8;(8):e2529754. doi:10.1001/jamanetworkopen.2025.29754 Key Points Question How are out-of-hospital cardiac arrest (OHCA) cases at US airports different from OHCA cases at other public venues? Findings This cross-sectional study used a nationwide database of emergency medical services (EMS) activations in the US to compare OHCA in

PODCAST: Airway Management in TBI or Ischemia
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https://media.blubrry.com/israel_em/storage.googleapis.com/analyze-a-paper.firebasestorage.app/audio/posts/2025/09/post-39069.mp3Podcast: Play in new window | Download Try Alex (chatbot in right lower corner of the website) Evidence-based, fully-referenced answers Airway Management in TBI or Ischemia Published on September 1, 2025 Written by Vivian Lei This is a concise, evidence-based approach to intubating patients with acute brain injury while minimizing

Resuscitation: Incidence and outcomes of out-of-hospital cardiac arrest from initial asystole: a systematic review and meta-analysis
Dhiraj Bhatia Dwivedi 1, Jocasta Ball 2, Karen Smith 3, Ziad Nehme 4 Affiliations Expand Abstract Aim: To examine global variation in the incidence and outcomes of Emergency Medical Services (EMS) attended and treated out-of-hospital cardiac arrest (OHCA) from initial asystole. Data sources: We systematically reviewed electronic databases for studies between 1990 and August