EMS Peculiar Patient Presentations - Water On The Brain

A recent medical case has puzzled scientists: a 44-year-old man has been living a seemingly normal life despite having only 10% of his brain tissue remaining.

The patient was diagnosed with hydrocephalus, a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) in the brain.

In his case, the excess CSF has gradually displaced nearly all of the brain parenchyma, leaving only a thin peripheral rim of functional neural tissue. Imaging studies revealed that the majority of his cranial cavity is occupied by fluid.

Remarkably, despite this profound anatomical abnormality, the man leads a fully functional life.

He is employed as a civil servant, has a family, and possesses a measured IQ of 84 — slightly below the statistical average, but well within the range of independent functioning.

This case calls into question long-standing assumptions about neuroanatomy, brain plasticity, and the localization of consciousness and cognitive functions.

It suggests a remarkable degree of adaptability in the central nervous system, and may prompt a re-evaluation of how essential various brain structures are to everyday functioning.

Further Reading:

Feuillet, L., Dufour, H., & Pelletier, J. (2007) Brain of a White-Collar Worker. The Lancet, 370(9583), 262. https://doi.org/10.1016/S0140-6736(07)61127-1 Accessed April 10, 2025

EMS Celebrations - National EMT & Paramedic Appreciation Day

Today we salute the heroes who run toward the emergency. Thank you, EMTs and Paramedics, for your courage, care, and commitment. Your unwavering dedication to serving our communities does not go unnoticed. 

Day in and day out, you put your lives on the line, often in the most challenging and unpredictable situations. 

Your quick thinking and expert training make all the difference in providing life-saving care when it matters most. You are the reassuring presence amidst the chaos, offering comfort to those in distress and bringing hope when it seems all is lost. 

On this National EMT and Paramedic Appreciation Day, we honor your tireless efforts, the sacrifices you make, and the emotional challenges you face. Your compassion and professionalism inspire us all. 

Thank you for everything you do to keep our communities safe and healthy. We are grateful for your service and commitment to excellence. Today, we celebrate YOU — our everyday heroes!

EMS Celebrations - National Public Safety Telecommunications Week

This week, we honor the unseen heroes who serve as the crucial first point of contact in emergencies—our emergency dispatchers.

Emergency dispatchers play a vital role in ensuring the safety and well-being of our communities. They are the calm voice in the chaos, the steady presence in moments of panic, and the link between those in need and the help they require. 

Whether it’s a medical emergency, a fire, or a crime in progress, dispatchers are the ones who gather critical information, coordinate with first responders, and provide life-saving instructions—all while remaining composed under pressure.

These dedicated professionals work tirelessly behind the scenes, often without recognition, yet their impact is felt every day. Their quick thinking, compassion, and professionalism help save lives and keep our neighborhoods safe.

To all emergency dispatchers: thank you for your unwavering commitment, your strength in stressful situations, and your vital service to our communities. You are truly the lifeline in times of crisis, and we are deeply grateful for everything you do.

Happy National Public Safety Telecommunications Week!

EMS Words of Wisdom - Put The ‘Extra’ Into Your Service

 

EMS Words of Wisdom - Keep Pushing Forward

 

EMS Training Opportunity - Paid 'Victim Actors' Needed

Colorado Cardiac CPR is looking for 'victim actors' to help with a Tactical Emergency Medical Services (TEMS) course we are running

You will be paid $75 per session for Oscar worthy acting skills (or your best attempt), and we need to fill three (3) sessions.

This will require 'victim actors' to be made up with fake blood (moulage) and realistic wounds. You will get dirty. Your 'victim' clothes (provided) may get cut off.

When:

Wednesday, April 2 (Session 1: 1pm till 5pm)

Thursday, April 3 (Session 2: 7 am till 12 pm)

Thursday, (Session 3: 12:30 pm till 4:30 pm)

Where: SACFD Training Facility (Old Animal Shelter - "The Pound"), 10705 Fulton St, Brighton, CO 80601

Who: Anyone 18+ (Drama queens/kings encouraged, but not required)

What: You’ll be assigned a role to play in a scenario where the TEMS students practice scene management and patient handling.

Pay: $75 per session (Net 30 days: check mailed or picked up at our Littleton location).

If interested contact the 3CPR Team: info@3cpr.org for more information.

Share with a friend who’d love to get paid to be dramatic!

EMS Words of Wisdom - Educate Yourself

Your knowledge and ability to act on your education is your most useful tool.

If you need motivation and inspiration, then look within yourself.

Your knowledge and skills give you the power to save lives.

Healthcare News - Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF), caused by Rickettsia rickettsii, is one of the most severe infectious diseases in the Americas.

The pathogen targets endothelial cells, leading to widespread microvascular damage, fluid leakage, and severe complications such as pneumonitis, myocarditis, kidney injury, and meningoencephalitis.

In advanced cases, RMSF can cause respiratory distress, cardiac abnormalities, coma, and peripheral gangrene, with high mortality rates if left untreated.

Timely diagnosis and immediate antibiotic administration are critical, as mortality can reach 50% within the first eight days of illness.

RMSF is transmitted through various tick species, with Rhipicephalus sanguineus (brown dog tick) playing a significant role in Mexico, while Amblyomma species contribute to transmission in Brazil and North America.

The disease is endemic across Canada, the United States, Mexico, and South America, with an increasing number of urban outbreaks linked to poor sanitation, high tick populations, and free-roaming dogs.

A One Health approach has identified three primary ecological zones for RMSF transmission: sylvatic (wildlife-based), peridomestic (domesticated animal involvement), and urban (densely populated regions).

Control efforts require vector management, improved veterinary care, environmental modifications, and public health initiatives.

The brown dog tick presents a particular challenge due to its resistance to acaricides, necessitating integrated pest management strategies, including the use of isoxazolines and environmental barriers.

RMSF remains a serious public health concern, demanding coordinated intervention.

Preventative strategies - such as early recognition, vector control, sterilization programs, and public awareness - are essential to reducing transmission and improving patient outcomes.

Healthcare professionals must remain vigilant in identifying and managing suspected cases to mitigate the disease’s increasing burden.

For more information access this Medtigo link .

References: Foley J., López-Pérez A.M., Álvarez-Hernández G (2025) A Wolf at The Door: The Ecology, Epidemiology & Emergence of Community & Urban-Level Rocky Mountain Spotted Fever in The Americas. American Journal of Veterinary Research 86(3):368-378. https://doi.org/10.2460/ajvr.24.11.0368 Accessed March 10, 2025

EMS Education -Teaching and Testing the New BLS Exams

This is essential information for anyone in the group who has yet to take the NREMT exam, as well as for those training EMRs and EMTs who will be taking it.

In this recorded webinar, Dan Limmer discusses how the recent changes to the National Registry’s BLS exam will impact current students and what EMT educators can do to ensure their students are prepared.

He covers key areas such as assessment, differential diagnosis, and critical thinking skills necessary for success on the updated exam.

Download the educator resources from Limmer Education here: https://bit.ly/BLS-Exam-Resources

EMS In The News - Runaway Ambulance

A man stole an ambulance from outside Swedish Hospital on Chicago’s North Side and ignited a 15-mile police chase.

The drama unfolded around noon when the suspect, taking off in an unoccupied ambulance owned by Elite Ambulance, sped off right from the emergency room entrance.

Those reading this probably know, ambulances are not the fastest get-away vehicles. Also, they’re usually large, badged up, and hard to miss.

Law enforcement quickly tracked the runaway vehicle north, eventually finding it in a parking lot at an office complex near I-94 and Dundee Road in Northbrook.

The chase ended with the suspect’s arrest, and the ambulance was processed for evidence.

Source: JEMS - Journal of Emergency Medical Services

EMS Words of Wisdom - Be Curious, Not Judgmental

 

EMS Celebrations – International Women’s Day

Emergency Medical Services (EMS) is a demanding and dynamic profession that requires dedication, skill, and an unwavering commitment to patient care. 

Today, on International Women’s Day, we take the opportunity to honor and celebrate the extraordinary contributions of women in EMS. Their strength, bravery, and resilience continue to shape the field and inspire future generations of emergency responders.  

Women in EMS serve in various capacities as paramedics, emergency medical technicians (EMTs), flight medics, educators, administrators, and leaders. 

Despite the challenges that come with working in high-pressure, fast-paced environments, they demonstrate exceptional skill and professionalism while saving lives and providing critical prehospital care. 

Their role is not just about responding to emergencies but also about fostering innovation, mentoring the next generation of EMS professionals, and advocating for improved healthcare systems.  

As we recognize the achievements of women in emergency services, we also acknowledge the progress made in promoting diversity, equity, and inclusion within the field. 

Although historically a male-dominated profession, EMS has seen a growing number of women stepping into leadership roles, breaking barriers, and paving the way for a more inclusive and representative workforce. 

Their dedication to patient care, teamwork, and professional excellence is a testament to the vital role they play in shaping the future of EMS.  

Today, we encourage everyone to take a moment to appreciate and support the incredible women who dedicate their lives to serving others in their most vulnerable moments. 

Whether on the front lines of emergency response, in training and education, or in leadership and advocacy, their contributions are invaluable.  

Let us continue working towards a future where opportunities in EMS are equitable for all, and where women are empowered to lead, innovate, and thrive in every aspect of the profession.  

Happy International Women’s Day to all the incredible women in EMS!

Healthcare News - FDA Approves Needle-Free Epinephrine Alternative for Pediatric Anaphylaxis

The U.S. Food and Drug Administration (FDA) has approved Neffy, an epinephrine nasal spray developed by ARS Pharmaceuticals, for the emergency treatment of Type I allergic reactions, including anaphylaxis, in children aged four years and older (33–66 lbs.).

This approval marks the first significant advancement in pediatric epinephrine delivery in over 30 years.

Epinephrine remains the first-line treatment for anaphylaxis, yet research indicates that delays in administration are common due to apprehension regarding needle-based auto-injectors.

Neffy addresses this barrier to potential use by providing a precise, needle-free delivery system that simplifies emergency intervention.

Clinical trials have demonstrated its pharmacokinetic and pharmacodynamic equivalency to traditional epinephrine injections, with minimal side effects.

Designed for stability, Neffy maintains efficacy for 24 months at room temperature and withstands extreme temperatures, ensuring reliability in diverse conditions.

The device is user-friendly, enabling non-medical personnel, such as teachers and caregivers, to administer life-saving treatment effectively.

The nasal spray will be available in the U.S. starting May 2025, with affordability initiatives, including co-pay savings and patient assistance programs, ensuring broader accessibility.

The approval of Neffy reflects a growing shift toward needle-free epinephrine solutions, improving anaphylaxis management and patient outcomes in both pre-hospital and in-hospital settings.

For more information access the Medtigo link.

Further Reading:

ARS Pharmaceuticals (2025) FDA Approval of Neffy® 1 mg (epinephrine nasal spray) for Type I Allergic Reactions, Including Anaphylaxis, in Pediatric Patients Weighing 15 to < 30 Kilograms Accessed March 5, 2024

Images of EMS - Spring Is In The Air

 

EMS Training Opportunity - Advanced Stroke Life Support (ASLS)

Provider: Colorado Cardiac CPR

Date/Time: Wed April 16, 2025 / 9:00 AM to 11:00 AM

Location: Northwest Denver / Wheat Ridge

Address: 3798 Marshall Street, Suite 2, Wheat Ridge CO, 80033

Class Price: $149.00

Description: The American Heart Association's (AHA) ASLS course builds on the foundation of lifesaving skills; aiming to educate prehospital and in hospital healthcare providers to optimize the identification, evaluation and treatment of patients with acute stroke, and identify the five main stroke syndromes and relate them to pathophysiology and clinical signs. 

The course objective is to explain the importance of an organized approach to treating patients with stroke for improved patient outcomes, and describe the management goals also.

ASLS requires an Online Course prior to a 2-3 hour skill session. The skills session includes discussion, practical application and a skills test.

ASLS is appropriate for healthcare professionals in both prehospital and in-hospital settings involved in the management of acute stroke patients. 

This advanced course is ideal for:

• Stroke Coordinators
• Nursing Students and Nurses
• Advanced Practice Registered Nurses
• Paramedics and Emergency Medical Personnel
• Physicians
• Physician Assistants
• Residents and Fellows
• Medical Students
• Respiratory Therapists

Enrollment Link: https://3cpr.enrollware.com/enroll?id=11198953

Notes: For more information contact 3CPR at 720-639-2623 or Info@3Cpr.Org

Space is limited so register today.

EMS Basic Life Support - Debunking Common Myths About CPR

Proper education and awareness about the lifesaving practice of CPR are essential. Unfortunately, several widely held misconceptions discourage many people from becoming CPR-certified.

While the following information is not intended to replace the instruction provided in certification courses, it is valuable knowledge that can help dispel myths and encourage more individuals to pursue CPR training.

Myth #1: Only Professionals Can Safely and Effectively Perform CPR

Truth #1: According to the American Heart Association, CPR initiated immediately by a bystander can triple a victim’s chances of survival. Anyone can learn and perform CPR after basic training, making widespread education and certification crucial in improving survival rates.

Myth #2: You Can Learn CPR by Watching an Online Video

Truth #2: While online videos can provide useful information, they should be produced, sponsored, and taught by reputable organizations. More importantly, CPR training includes a critical hands-on component - effective chest compressions - that cannot be mastered through video instruction alone. Proper technique requires in-person training and practice.

Myth #3: You Can Get in Trouble or Injure Someone If You Perform CPR Incorrectly

Truth #3: Good Samaritan laws protect individuals who perform CPR in good faith and without willful misconduct or negligence. The risk of legal consequences is minimal, and the potential harm of not performing CPR far outweighs the risk of performing it incorrectly. Immediate intervention can make the difference between life and death.

Myth #4: You Must Perform Mouth-to-Mouth Breathing When Performing CPR

Truth #4: The idea of providing mouth-to-mouth resuscitation to a stranger may be uncomfortable for some, but hands-only CPR is highly effective. When chest compressions are performed at the correct rate and depth, they help circulate oxygenated blood until emergency responders arrive.

Myth #5: CPR Should Be Performed Only After Calling 911

Truth #5: CPR should begin immediately when a person is unresponsive and not breathing normally. Ideally, one person should call 911 while another starts CPR. Delaying CPR can significantly reduce a victim’s chance of survival. Additionally, victims who exhibit irregular, noisy breathing or gasping may still benefit from immediate chest compressions.

The Importance of CPR Certification

Beyond addressing these common myths, formal CPR training provides in-depth knowledge and hands-on practice to ensure confidence and competence in a real emergency. Becoming CPR-certified is not only an invaluable skill but also a profound act of service to your loved ones, those under your care, and your community.

Recommended CPR Training Providers: 

Bethesda, Wales, UK: Active First Aid

Littleton, Colorado, USA: Colorado Cardiac CPR

International: Crossing Latitudes 

EMS Training Opportunity - Prehospital Trauma Life Support (PHTLS)

 

Colorado Cardiac CPR are offering a PHTLS at the start of March (3 & 4). This is a great opportunity for emergency medical responders, EMTs, Paramedics, Nurses, Physician Assistants and Doctors.

Description: The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care. PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma.

PHTLS is the global gold standard in prehospital trauma education and is taught in over 80 countries. 

Content: The aim of PHTLS courses is to improve the quality of trauma care and decrease patient mortality. 

The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. 

The course covers the following topics:

• Physiology of life and death
• Scene Assessment
• Patient Assessment
• Hemorrhage Control
• Airway, Breathing, Ventilation & Oxygenation
• Circulation & Shock
• Special Populations

The course emphasizes application of trauma education through case studies, skills practice, and patient simulations.

Date: March 3 & 4, 2025 9:00 AM to 5:00 PM

Cost: $315.00

Discount: 3CPR

Location: Littleton (Broadway & Davies), Colorado

Outcome: Upon successful course completion you will be issued an NAEMT PHTLS provider card and receive 16-hours of CAPCE credits.

For more information and to register, access this link:

https://3cpr.enrollware.com/enroll?id=10735378

EMS Words of Wisdom - Be Of Service To Others

 

EMS Education - Are You BLS Certified?

Are you a pre-hospital, in-healthcare or care facility professional, then it is likely you are required to maintain certification in Basic Life Support (BLS) through the American Heart Association (AHA). 

However, BLS certification is not just a regulatory requirement to remain in good standing with  an employer, it is a critical asset and an occupational necessity that ensures you can perform your job effectively.

Why is BLS Certification Important?

The knowledge and skills associated with being BLS certified means you are prepared to respond to life-threatening emergencies involving cardiac arrest, respiratory failure, and choking incidents across adult to infant populations.

Also, beyond enhancing your professional skills, BLS certification empowers you to be a valuable resource for your family, community, and the patients you serve.

What Does an AHA BLS Course Cover?

The American Heart Association BLS course covers a wide range of life-saving techniques, including:

• Cardiopulmonary Resuscitation (CPR)
• Safe & Effective Automated External Defibrillator (AED) use.
• Bag-Valve Mask (BVM) Ventilations
• Choking & Airway Obstruction Management
• Rescue Breathing
• And much more!

Who Needs BLS Certification?

All healthcare providers in patient-facing roles - whether in a hospital or pre-hospital setting - are required to hold a valid BLS certification card. 

This includes:

• Emergency Medical Technicians (EMTs)
• Paramedics 
• Registered Nurses (RNs)
• Certified Nursing Assistants (CNAs)
• Medical Doctors (MDs)
• Firefighters & Law Enforcement Officers (LEOs)

Who Should I Train With?

Choosing the right BLS certification course is essential to gaining the confidence and skills needed to respond to life-threatening emergencies. Look for a program that offers small class sizes to maximize hands-on learning and individualized instruction.

Experienced instructors with real-world expertise can provide valuable insights, ensuring that every student leaves feeling fully competent in their abilities.

Investing in quality training means staying certified, staying prepared, and continuing to make a difference in the lives of those you serve.

Conclusion

BLS certification is more than just a credential - it is a vital skill set that can mean the difference between life and death in critical situations.

Whether you are an EMT, nurse, physician, or first responder, staying up to date with your BLS training ensures you are always prepared to act swiftly and effectively when every second counts.

By maintaining your AHA BLS certification, you contribute to a safer workplace, enhance patient outcomes, and reinforce your commitment to providing quality care.

If your certification is nearing expiration or you have yet to obtain it, consider enrolling in a BLS course today. Your knowledge and readiness could save a life.

Recommended CPR Training Providers: 

Bethesda, Wales, UK: Active First Aid

Rawlins, Wyoming, USA: Brian Eveleth, DTAC LLC

Littleton, Colorado, USA: Colorado Cardiac CPR

International: Crossing Latitudes