The Prehospitalist

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🚁 Critical care flight paramedic & prehospital educator (MS, FP-C)
🚑 Prehospital pearls & tidbits
⚠️ Not a replacement for protocols, formal education
🗣️ Conversations primarily monitored on IG .prehospitalist

09/09/2026

Commotio cordis occurs when a sudden, blunt blow to the chest strikes during the heart’s relative refractory period (a vulnerable period when the heart is partially reset), triggering ventricular fibrillation. In this case, we can see the athlete taking a blow to the chest, presumably entering vfib immediately, and staying upright for a few seconds until perfusion dissipates.

Commotio cordis is a traumatic cause of a medical cardiac arrest. These patients need immediate CPR and defibrillation as soon as possible.

Outcome unknown for this patient.

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🎥: SureFireCPR on YouTube, “Sudden Cardiac Arrest at a Martial Arts Tournament - Commotio Cordis,” (2011)

It’s research presentation week in medic class, my favorite 🤓 Love love learning from students. Shoutout to Emily Renee ...
09/08/2026

It’s research presentation week in medic class, my favorite 🤓 Love love learning from students. Shoutout to Emily Renee for teaching me this one today!

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📚: PMIDs: 40503820, 32589580, 35518795, 26757615, 36336673, 35190246

09/07/2026

Someone requested this the other day so here it is. Don’t hate on the videography, it’s a no-budget show around here.

We all have lapses in professionalism and care, and failures of the filter between our brains and our mouths - we’re hum...
09/06/2026

We all have lapses in professionalism and care, and failures of the filter between our brains and our mouths - we’re human. But the overall goal should be to consistently lay a foundation that we can build upon, not create negative perceptions that we have to work twice as hard to overcome.

Heard about this paper on The Resus Room this morning and had to do a deep dive since I love me some post-intubation sed...
09/05/2026

Heard about this paper on The Resus Room this morning and had to do a deep dive since I love me some post-intubation sedation and analgesia. This concept has always seemed like common sense; why would we subject patients to the ups and downs of boluses (and to the very real possibility of us losing track of time) when we could consistently provide sedation via drip? Grateful for a program that protocolizes aggressive post-intubation sedation via infusion with adequate dosing. (Some ketamine drip protocols are significantly underdosed, especially in paralyzed patients who can’t show us what they need). Anywho, give the paper a read, and leave your thoughts and experiences with this👇🏻

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📚: Sheridan B, Griggs J, Mondim P, Ter Avest E, Lyon R. Maintenance of prehospital anaesthesia using an intermittent bolus regime in blunt trauma patients with a high GCS and hemodynamic reserve: a retrospective cohort study. Scand J Trauma Resusc Emerg Med. 2026 Jun 25;34(1):136. doi: 10.1186/s13049-026-01654-w. PMID: 42351216; PMCID: PMC13476940.

Year 2 of brutally honest and vulnerable submissions - thank you ♥️
09/02/2026

Year 2 of brutally honest and vulnerable submissions - thank you ♥️

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