EMS Avenger

10/16/2026

This is a wild take on Epinephrine. Not wild in that speculation as to whether or not we should be giving it is happening, but wild in that someone with their whole chest is just proclaiming to the masses DON'T GIVE IT. We are NOT there yet. We don't have enough data and there IS data that support its administration. The strongest data we have against ISN'T strong, definitive, or specific. This take is just irresponsible, and I hope this creator will walk this back.

https://www.tiktok.com/t/ZPLSpN6Kw/

10/15/2026

This is an event I highly encourage all providers to attend at least once in their career.

Registration is now open for the NAEMSP 2027 Annual Meeting, January 11–16 at the JW Marriott Austin! 🎸

Join thousands of EMS physicians, medical directors, clinicians, and researchers in the Live Music Capital of the World for three days of specialty workshops, a packed Scientific Assembly, and an exhibit hall full of the latest in EMS. Learn more about what's in store for and secure your spot at the best event in EMS: https://bit.ly/4i3wGG3

10/15/2026

The real takeaway here is that outcomes tend to follow competence and proficiency. Not devices. But this paper is still an interesting one in that its conclusion is undermined by the best data found within the paper. The paper also calls for randomized data to confirm its conclusion when high quality RCTs already exist and are the exact data sets that disagree with its hypothesis.

https://www.sciencedirect.com/science/article/pii/S2666520426002766

10/14/2026

If you're not using the tools that increase chances of success on every attempt, you're not going to be set up for success when you are challenged by a difficult airway. Bougies, VL, SALAD, ramping, resuscitation, all of these things need to be utilized as part of a process so that process in place when things go wrong.

10/14/2026

Intubation competency is not built upon a look backwards at how often you got lucky and weren't challenged during an intubation. Intubation competency is built on looking forward and anticipating the airway that is going to f*** you because your process didn't set you up for success.

10/13/2026

Conferences shouldn't be 100% safe spaces. There should be concepts introduced there that people have to wrestle with. Concepts that might actually bother you. At the end of the day, it's fine if you still aren't moved by what you heard, but hopefully you were moved from a thinking rut. EMS & Fire Pro is a place where I'm going to try to move you. You may not agree, but hopefully we can still shake hands afterwards and agree that we all want what's best for each other, and we'll continue to work together to achieve it. I've actually wanted to publicly express this thought here just like I did for a while, but I couldn't arrive on a delivery that I was comfortable with. I have actually abandoned several reels where I've said it because it didn't feel like my context protected the statement (And me). I think understanding you're going to get context and nuance when you hear this at a conference provides that buttress. See you in Connecticut!

https://emspro.org/register-now/

10/12/2026

If your service wants to carry blood, and you don't know where to start. You don't know how to get around the obstacles. You're kind of on board but you need more convincing. You think you can't afford it...come to the Midwest Whole Blood Summit! All questions answered. You'll come away convinced and equipped!

https://medstarambulance.org/wb26/

10/12/2026

One of the reasons we're pushing so hard to administer blood in the field (Aside from the fact that patients die without it), is because of the amount of time it takes to get it in them when we're not involved in the process, even when that hospital is close by. The same is true for pressors post-ROSC. A hospital existing in the same zip code as your patient doesn't cause vasoconstriction. A severely underperfused heart and brain remain a severely underperfused heart and brain for the entire time it takes to package a patient, carry them out to the ambulance, secure them, actually drive, unload them, wheel them in, get them assessed, and only THEN get them stabilized. This is where EMS makes its biggest difference!

10/11/2026

Sunday night motivation: Saving Lives Begins with Kindness

10/11/2026

I have to know why things are the way they are. Knowing this may not vastly improve your clinical care. But for me, it's like ASMR for my curiosity. It needs to be soothed. I still think there's value in understanding this. Knowing how things behave may eventually fill in a knowledge gap somewhere else that may be useful.