The Weekly Pulse

Working in EMS is fundamentally different from practicing in a hospital or clinic. It requires adaptability, independence, strong communication, and the ability to make decisions in unpredictable environments. For many...

If you’ve spent years caring for patients as a physician, physician assistant, nurse practitioner, registered nurse, licensed practical nurse, or another licensed healthcare professional, the medicine may be familiar, but...

If you’re already licensed as a physician, physician assistant, nurse practitioner, registered nurse, licensed practical nurse, or another qualified healthcare provider, you’ve already completed the rigorous education and clinical training...

Dehydration is one of the most common medical conditions EMS providers assess in the field. Although mild dehydration may cause only thirst and fatigue, severe fluid loss can quickly progress...

EMS professionals routinely work in some of the most challenging environments. While first responders focus on recognizing heat emergencies in patients, they must also recognize the warning signs in themselves...

A patient is sitting upright, struggling to breathe, and wheezing loudly. Your first thought is asthma. Then your assessment continues. The patient is hypertensive, diaphoretic, and coughing up pink, frothy...

Patient assessment is more than completing a checklist. Every patient encounter requires EMS clinicians to gather limited information, recognize life-threatening conditions, make timely decisions, and adjust their treatment plan as...

Shortness of breath is one of the most common complaints encountered in prehospital medicine. Most respiratory patients present somewhere along a spectrum ranging from mild distress to complete respiratory failure....

Pulmonary embolism (PE) is one of the most challenging respiratory emergencies EMS providers encounter. Patients often present with nonspecific symptoms and relatively normal lung sounds, but their condition can rapidly...

Respiratory emergencies are among the most common and high-risk calls EMS providers encounter. Whether a patient presents with wheezing, crackles, hypoxia, or severe respiratory distress, effective treatment begins with understanding...

Most ambulance safety training focuses on avoiding crashes, EVOC, speed management, intersection clearing, and/or backing drills, which are all necessary. But very few agencies or departments train crews for what...

Ventilation-perfusion mismatch, commonly called V/Q mismatch, is one of the most important concepts in respiratory assessment. It explains why two patients with the same oxygen saturation can present with completely...

Not all sepsis starts with disease. Some of it starts with us. Iatrogenic sepsis, caused by healthcare interventions, accounts for a significant portion of sepsis cases. In emergency medicine, the...

Few debates in EMS are as persistent, or as misunderstood, as “scoop and run” versus “stay and play.” Many providers feel pressure to pick a side early in their careers,...

Eight seconds can feel like thirty minutes. Every experienced EMS provider knows that feeling. The rollover begins. The windshield tilts sideways. Somebody screams. The radio keeps playing. Your brain suddenly...