1+ week, 4+ day ago   (1149+ words) jems.com 4. “High and tight to pack and press”: Prioritization of tourniquet conversion in unconventional warfare improves outcomes. Hofmann LJ, Hiles JM, Hetzler M, et al. J Trauma Acute Care Surg. 2026;101: 291–296. Spinal immobilization, now generally referred to as spinal motion…...

1+ mon, 2+ week ago   (1416+ words) As homelessness increases across the United States, reports of emergency medical services (EMS) and fire incidents involving the unsheltered population have also risen. Life safety protection inside homeless encampments and at similar locations pose unique safety challenges to first responders....

1+ mon, 2+ week ago   (735+ words) You walk through the door of a dilapidated trailer in a neighborhood on “the other side of the tracks.” The home reeks of cat urine and is littered with trash, and there appears to be no electricity available as you…...

1+ mon, 3+ week ago   (495+ words) Quantitative data reinforce these concerns: a prospective observational comparison of four mass casualty triage systems found START’s under-triage rate to be 57% (95% CI 48–66), compared to 26% for SALT—a gap with direct implications for critical patient survival when triage errors compound resource…...

1+ mon, 3+ week ago   (1722+ words) The debate over AI-generated reports isn’t new, and it was never really about speed. It’s always been about professional accountability. Numerous ePCR vendors are now leveraging AI to assist with EMS clinician documentation (and I am thrilled to see this!),…...

2+ mon, 6+ day ago   (1032+ words) For the 13th year in a row, the FDNY and the FDNY Foundation hosted the FDNY Search and Rescue Field Medicine (SRFM) Symposium at its home base on Randall’s Island, in the midst of New York City. The event was a…...

2+ mon, 1+ week ago   (763+ words) Editor’s note: The following is in response to “Should Emergency Medical Services Continue to Be Delivered by the Fire Service?” published in May 2026. A response to this letter from the original author follows at the end. Fire departments provide the…...

2+ mon, 2+ week ago   (1306+ words) Home/Mental Health and Wellness A survey of 3,225 EMS providers reveals how stimulant use, perceived necessity, and side effects shape on‑the‑job performance and fatigue risk. Emergency medical services (EMS) professionals operate in environments characterized by shift work, circadian…...

3+ mon, 12+ hour ago   (1018+ words) The origins of modern emergency medical services (EMS) were significantly varied. Some evolved from funeral homes and private ambulance services. Others were aligned with volunteer fire departments, first-aid squads, and a handful of hospitals. The historic document Accidental Death and…...

3+ mon, 2+ day ago   (1446+ words) When the City of Cincinnati announced that it would consider charging long-term care facilities for non-emergency lift assists, the news made waves across social media and drew unsurprising heat from the nursing home industry. But for those of us who…...