EMS Avenger

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02/23/2026

Will 2026 be the year EMS owns Sepsis? Will we be administering antibiotics to patient routinely and without cultures, even in the hospital parking lot? Dr. Antevy thinks so, and is betting the farm that the data is coming this year to support it.

02/23/2026

What glucose ranges are associated with the highest and lowest rates of ROSC? And does administration of dextrose in cardiac in the presence of hypovolemia improve chances of ROSC? A newly published paper presents data on this obtained from ESO. Link in my Linktree in my bio or in the video description. https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2631180

The Cardiac Arrest Whiteboard starts in 15 minutes! This is something I've wanted to do for years, which is hold an unsc...
02/23/2026

The Cardiac Arrest Whiteboard starts in 15 minutes! This is something I've wanted to do for years, which is hold an unscripted forum for discussing evidence-based cardiac arrest practices with no slide deck or sims. Here goes nothing!

02/22/2026

What should you understand about service animals as an EMS provider? Service animals, for all intents and purposes are treated as medical devices. So in as much as you wouldn't separate a patient from a medical device that was performing a vital function for a patient, you wouldn't separate them from their service animal. The only exception is if the patient is incapacitated and not in control of the animal, or if there is simply no physical space to accommodate the animal (Almost without exception, every US ambulance can accommodate any size dog). Because it's the law to keep the service animal with the patient, it's important to be able to distinguish between a service animal and an emotional support animal. An emotional support animal has no legal protection and as such, it is treated no differently in the eyes of the law than a pet. And you are permitted to inquire about the status of a service animal with two legally permitted questions (Mentioned in the video). The other important thing to note is that if the animal is in work mode you should not be interacting with the animal.

02/21/2026

Shaun is a Paramedic and an upstanding member of the EMS Community. Shaun is the proud son of a Paramedic who imparted all of these qualities into him before he slipped the surly bonds of earth all too early. Shaun now runs a foundation that funds scholarships for aspiring paramedics so those same principles, virtues, and ideals can be instilled in them to fill our EMS community with principles, virtuous, and idealistic people. Link the the foundation in my bio.

https://www.gladneyfoundation.org/

02/21/2026

Shock- What Would Plumber Do? Water, Width, Pump, Detour describing Hypovolemic, Distributive, Cardiogenic, and Obstructive.

Will Heuser currently trying to get a room of people to understand how Ketamine is non-inferior to holy water.
02/20/2026

Will Heuser currently trying to get a room of people to understand how Ketamine is non-inferior to holy water.

It's surreal to be sitting in an audience at an EMS Conference and then suddenly see yourself in the presentation.
02/20/2026

It's surreal to be sitting in an audience at an EMS Conference and then suddenly see yourself in the presentation.

02/20/2026

"Push-dose" or bolus nitroglycerin in what was previously referred to as flash pulmonary edema has quickly taken a front and center position in the EBM (Evidence-based medicine) and advanced practice crowd. It's a true "cool kids" intervention. But is enthusiasm for this intervention in what is now referred to as Sympatheric Crashing Acute Pulmonary Edema (SCAPE) out pacing the evidence? This abstract submitted to NAEMSP suggests we need to study this better for field EMS use before we make this standard of care.

https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2582675

02/19/2026

There is a pervasive thought about addiction (Substance use disorder) that proposes that the person suffering from this disease is simply a making a series of isolated bad choices strung together during the time that the disease is left untreated. As if the person suffering from this disease had a clear mind and were simply considering risk VS reward and choosing reward...because YOLO! We have to consider that the mind is not insulated away from the chemistry of the body. Everything you are is physical. Every thought is chemistry. Every impulse is biological. Every decision is a neurological process. When someone is suffering from substance use disorder, those neuropathways are diseased. They have been hijacked and all transmissions have been rerouted to the same place: The part of your brain that says "GIVE ME THE SUBSTANCE". And if it doesn't get it, the host subject is made to suffer.

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