Authors: Brit Long, MD (@long_brit, EM Attending Physician, SAUSHEC) and Manpreet Singh, MD (@MPrizzleER – emDOCs.net Associate Editor-in-Chief; Assistant Professor in Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center) // Edited by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW Medical Center / Parkland Memorial Hospital)
The Prehospital environment is where emergency medicine begins. These providers are paramount in the initial stages of evaluation and management of critically ill patients. While most providers in the ED have medical or trauma rooms with adequate equipment and space, this is not the case for EMS. The stress, situation, and patient all present significant challenges to care providers.
The following list is comprised of blogs/podcasts with great education pearls, valid content, and major impact on EM, with clear reference citation. If you have found other great resources, please mention them in the comments below!
Prehospital and Retrieval Medicine (PHARM) from Minh Le Cong is a fantastic prehospital resource with podcast and blog. Posts center on transport/retrieval medicine, airway, sedation, and prehospital critical care. This resource is a must for those with interest in airway, sedation, and EMS. Each podcast and blog post is well researched, providing succinct keys to success.
Scott Weingart’s blog and podcast contain several posts on cutting edge prehospital topics and procedures. REBOA, amputation care, hemostatic resuscitation, airway, sedation, hypothermia, and many more controversial topics are covered. These posts are well researched, with citations to the primary studies. Many of the prehospital podcasts contain interviews with experts in the field of prehospital medicine.
Fire EMS Blogs is a network of sites covering EMS, rescue, hazmat, command, and training from San Diego. A wide variety of blogs are available including discussion of interesting cases, ECG interpretation, life as an EMS provider, and evidence-based medicine.
HEMS Critical Care from Philip Neuwirth brings together posts from blogs around the FOAMed universe pertaining to EMS/prehospital medicine into one place. If you’re interested in prehospital medicine and don’t have the time to regularly look through multiple online blogs, this resource does it for you.
Taming the SRU is an all-around great resource concerning emergency medicine. The podcast and blog’s prehospital page covers topics including out-of-hospital cardiac arrest, stroke care, trauma, and STEMI. Posts and podcasts are thorough, and each podcast has a summary in bullet format.
EMFirst is dedicated to first responders and prehospital providers. Benjamin Ayd and Pratik Das cover classic and cutting edge EMS topics including TXA, REBOA, trauma, and ketamine. Not many posts are up now, but this site has a ton of potential.
Medic Nerd from founder Mike Stewart seeks to provide enjoyable and effective EMS education through videos and blog posts. Videos explain physical exam findings, IV drip rates, prehospital procedures, interesting cases, and controversial studies. For those studying for a qualifying exam, flashcards are also provided (http://www.medicnerd.com/critical-care-paramedic-review-flashcards/).
Prehospital wisdom from Denver Paramedics is a blog with posts on EMS runs, interesting cases, and ECGs. Controversies in prehospital medicine are investigated, including C-spine protection, adenosine, distracting injury definition, and many others.
RESUS.ME has a complete prehospital section with EMS procedures, literature, and conferences. Posts provide key prehospital literature updates in a format that illuminates the key takeaways.
EMS 12-Lead is a leading resource for and by paramedics who are interested in all things EKG. Check out their posts to see EKG and cardiac rhythm analysis for patients in the field, and you can also submit your own case.
SCANCRIT is a blog covering anesthesia, critical care, and emergency medicine, with a focus on the critically ill patient. Posts are written by two Scandinavian anesthesiologists, who evaluate in-hospital and out-of-hospital medicine. Recent posts have investigated GCS, VF, hemorrhage evaluation and management, brain bleeds, and ATLS updates.
Thanks for reading our look at EMS resources. Comment below with other helpful sites!