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EMS Insights & Clinical Updates

In-depth articles from our physician-led team. Evidence-based clinical education, leadership insights, and EMS career resources.

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First Pass Success Starts Before You Touch the Laryngoscope
Airway

First Pass Success Starts Before You Touch the Laryngoscope

Most airway failures happen before the attempt—not during it. Master positioning, preoxygenation, and setup to improve first pass success.

Erik Axene, MD, FACEP, M.Ed.12 min
You're Not Backup for PD. You're the Patient's Advocate
Operations

You're Not Backup for PD. You're the Patient's Advocate

EMS and law enforcement have different missions. When those missions conflict, your patient comes first. That means sometimes you advocate against the police in favor of your patient's safety and rights.

Erik Axene, MD, FACEP, M.Ed.4 min
What the House Is Telling You: A Prehospital Provider's Guide to Recognizing Child Abuse
Clinical Updates

What the House Is Telling You: A Prehospital Provider's Guide to Recognizing Child Abuse

When you factor in the documented miss rate, the real number of children experiencing abuse at any given time is almost certainly over one million. These are not kids in obviously dangerous situations.

Erik Axene, MD, FACEP, M.Ed.9 min
The Unsexy Stuff That Keeps Crews Alive
EMS

The Unsexy Stuff That Keeps Crews Alive

Station life is more than chores. Learn how checklists, crew culture, fatigue, and exposure control protect patients and responders on every call.

Erik Axene, MD, FACEP, M.Ed.10 min
The Paramedic Brain
EMS

The Paramedic Brain

Clinical reasoning is the process by which a provider collects information, processes it against prior knowledge and experience, generates a working diagnosis, and selects a course of action. In the field, this often unfolds in minutes with incomplete information.

Erik Axene, MD, FACEP, M.Ed.8 min
The Five Rights of Medication Administration: A Field-Ready Review
Medical

The Five Rights of Medication Administration: A Field-Ready Review

The five rights are not a beginner concept. They are a professional discipline. A field-ready review of what each one demands in the prehospital environment.

Erik Axene, MD, FACEP, M.Ed.6 min
The EMS Guide To Hypothermia In The Field
Trauma

The EMS Guide To Hypothermia In The Field

Hypothermia does not just show up during blizzards. Rain, wind, wet clothing, and prolonged exposure can pull heat from a body fast. Here is how EMS providers can recognize it early and manage it in the field.

Erik Axene, MD, FACEP, M.Ed.10 min
Scary Calls, Simple Skills: How EMS Pros Stay Sharp When the Stakes Are High
EMS

Scary Calls, Simple Skills: How EMS Pros Stay Sharp When the Stakes Are High

There is a special kind of terror that hits when you realize the call is real. Not training real. Not we can pause and reset real. Real real.

Erik Axene, MD, FACEP, M.Ed.8 min
Whole Blood in EMS
EMS

Whole Blood in EMS

Whole blood is transforming EMS care by enabling faster, more effective treatment of severe hemorrhage. This article explores its clinical benefits and what EMS agencies need to know to implement a whole blood program.

Erik Axene, MD, FACEP, M.Ed.5 min
Pit Crew CPR for EMS: How to Run a Cleaner Code When the Scene Is Chaos
Cardiology

Pit Crew CPR for EMS: How to Run a Cleaner Code When the Scene Is Chaos

Pit crew CPR is a way to keep your team from bleeding seconds without realizing it. AHA highlights key components of high-quality CPR: rate, depth, recoil, and minimizing interruptions. The first two minutes set the tone for any resuscitation.

Erik Axene, MD, FACEP, M.Ed.7 min
Pediatric Assessments For EMS: A Simple Game Plan For Terrifying Peds Calls
Pediatric

Pediatric Assessments For EMS: A Simple Game Plan For Terrifying Peds Calls

Pediatric calls hit different. With a simple framework and intentional training, pediatric assessment can move from panic to calm, automatic confidence. A practical game plan for EMS providers.

Erik Axene, MD, FACEP, M.Ed.11 min
Overtime Culture Is Quietly Breaking EMS
EMS Operations

Overtime Culture Is Quietly Breaking EMS

If you want to start a fight in an EMS break room, bring up overtime. When overtime becomes the foundation of your lifestyle, it becomes a trap that quietly takes everything sustainable about your career.

Erik Axene, MD, FACEP, M.Ed.5 min
Mass Casualty Preparedness for EMS: Training the Body and the Brain
Operations

Mass Casualty Preparedness for EMS: Training the Body and the Brain

Mass casualty incidents expose gaps that routine calls never do. Preparation requires training the body and training the decision-making brain for chaos, resource scarcity, and rapid triage.

Erik Axene, MD, FACEP, M.Ed.7 min
Jail Patients Aren't 'Different Patients'
Special Populations

Jail Patients Aren't 'Different Patients'

The stigma against incarcerated patients costs lives. Learn why your medical assessment shouldn't change based on a patient's legal status.

Erik Axene, MD, FACEP, M.Ed.6 min
How to Read an EKG in 3 Steps
Cardiac

How to Read an EKG in 3 Steps

Stop feeling overwhelmed by EKGs. Master the 3-step approach that emergency providers use to quickly identify life-threatening rhythms and know when to act.

Erik Axene, MD, FACEP, M.Ed.6 min
EMS Body Cameras: Accountability, Refusals, and the HIPAA Mess
EMS Operations

EMS Body Cameras: Accountability, Refusals, and the HIPAA Mess

Body cameras in EMS raise critical questions about accountability, patient privacy, and documentation. Here's what they help, what they risk, and how to implement them responsibly.

Erik Axene, MD, FACEP, M.Ed.9 min
Death by PowerPoint Is Not Education
EMS

Death by PowerPoint Is Not Education

Most continuing education is a performance. You show up, you sit through the slides, you get your hours. Nobody expects you to retain anything or change your practice. That is not education. That is bureaucracy.

Erik Axene, MD, FACEP, M.Ed.7 min

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