JEMS
@jemsmedics.bsky.social
Journal of Emergency Medical Services - the Conscience of EMS
www.JEMS.com
www.JEMS.com
The EMS Profession Is Stalled Between Expectation and Reality: https://ow.ly/mzLp50YcCON
EMS has found itself in a paradox for decades. On one hand, we are encouraged to elevate the profession to the level of nursing, complete with degree requirements, advanced education, and improved compensation.
EMS has found itself in a paradox for decades. On one hand, we are encouraged to elevate the profession to the level of nursing, complete with degree requirements, advanced education, and improved compensation.
The EMS Profession Is Stalled Between Expectation and Reality
EMS faces challenges with low pay and high turnover, with EMT and paramedic turnover rates at 20-30%. The American Ambulance Association highlights compensation as a key issue.
ow.ly
February 12, 2026 at 6:01 PM
The EMS Profession Is Stalled Between Expectation and Reality: https://ow.ly/mzLp50YcCON
EMS has found itself in a paradox for decades. On one hand, we are encouraged to elevate the profession to the level of nursing, complete with degree requirements, advanced education, and improved compensation.
EMS has found itself in a paradox for decades. On one hand, we are encouraged to elevate the profession to the level of nursing, complete with degree requirements, advanced education, and improved compensation.
Myths You Were Taught in Paramedic School: https://ow.ly/uTzi50Ya7iN
EMS myths persist...from spinal immobilization to “transport first.” Evidence tells a different story. Ask why, learn more, and advocate for your patients.
EMS myths persist...from spinal immobilization to “transport first.” Evidence tells a different story. Ask why, learn more, and advocate for your patients.
Myths You Were Taught in Paramedic School
Devin Bartlett will teach "From Blood Pressure to Bicarb: EMS Myths You Were Taught in School" at FDIC International, addressing outdated EMS education and practices.
ow.ly
February 6, 2026 at 4:39 PM
Myths You Were Taught in Paramedic School: https://ow.ly/uTzi50Ya7iN
EMS myths persist...from spinal immobilization to “transport first.” Evidence tells a different story. Ask why, learn more, and advocate for your patients.
EMS myths persist...from spinal immobilization to “transport first.” Evidence tells a different story. Ask why, learn more, and advocate for your patients.
Burnout wasn’t new to EMS.
COVID just stripped away the last bit of margin.
More than half of EMS providers reported burnout after the pandemic. A lot of them never asked for help, not because they were okay, but because they didn’t trust the system.
https://ow.ly/ViOw50Y8gp5
COVID just stripped away the last bit of margin.
More than half of EMS providers reported burnout after the pandemic. A lot of them never asked for help, not because they were okay, but because they didn’t trust the system.
https://ow.ly/ViOw50Y8gp5
We Can’t ‘Suck It Up’ Anymore: Why EMS Needs Proactive Mental Health Counseling
In EMS, taking care of each other is just as important as taking care of our patients.
ow.ly
February 3, 2026 at 4:11 PM
Burnout wasn’t new to EMS.
COVID just stripped away the last bit of margin.
More than half of EMS providers reported burnout after the pandemic. A lot of them never asked for help, not because they were okay, but because they didn’t trust the system.
https://ow.ly/ViOw50Y8gp5
COVID just stripped away the last bit of margin.
More than half of EMS providers reported burnout after the pandemic. A lot of them never asked for help, not because they were okay, but because they didn’t trust the system.
https://ow.ly/ViOw50Y8gp5
4 EMS agencies profiled in this article demonstrate how community paramedics can address falls before they occur. By installing grab bars and implementing other home modifications, some programs have shown measurable reductions in fall-related calls: https://ow.ly/gzPA50Y7n5M
Beyond Emergency Response: How EMS is Transforming Fall Prevention Through Grab Bar Installation
Falls are a leading cause of injury and death for older adults in the U.S., with approximately 36 million falls annually. Emergency Medical Services in Ohio are implementing programs for…
ow.ly
February 2, 2026 at 12:13 AM
4 EMS agencies profiled in this article demonstrate how community paramedics can address falls before they occur. By installing grab bars and implementing other home modifications, some programs have shown measurable reductions in fall-related calls: https://ow.ly/gzPA50Y7n5M
FDIC International isn't just a fire conference—it's the ultimate hub for EMS education! Dive into cutting-edge insights, hands-on skills, and the future of prehospital care. Don’t miss out! 🔥🚑
https://ow.ly/Kn7J50Y5obS
https://ow.ly/Kn7J50Y5obS
Why FDIC International Is the Home for Modern Fire and EMS Education
FDIC International is evolving into a comprehensive educational environment for fire and EMS professionals.
ow.ly
January 29, 2026 at 2:23 PM
FDIC International isn't just a fire conference—it's the ultimate hub for EMS education! Dive into cutting-edge insights, hands-on skills, and the future of prehospital care. Don’t miss out! 🔥🚑
https://ow.ly/Kn7J50Y5obS
https://ow.ly/Kn7J50Y5obS
We bring the care, but too often use evidence built for hospitals. This article explains why EMS needs its own evidence authority that matches field realities. Worth reading: https://ow.ly/naMR50Y4tSJ
#EMS #PrehospitalCare
#EMS #PrehospitalCare
When the Streets Disagree, Part II: Why EMS Must Finally Build Its Own Evidence Authority
EMS must acknowledge its disconnect from evidence systems designed for different environments and take steps to establish its own authority, utilizing existing organizations for support.
ow.ly
January 27, 2026 at 6:56 PM
We bring the care, but too often use evidence built for hospitals. This article explains why EMS needs its own evidence authority that matches field realities. Worth reading: https://ow.ly/naMR50Y4tSJ
#EMS #PrehospitalCare
#EMS #PrehospitalCare
Meet Daniel Moran, one of the newest members of the JEMS advisory board and the Vice President of Education at Handtevy. Daniel brings real world EMS experience, a provider first mindset, and a strong background in education and training.
January 23, 2026 at 3:16 PM
Meet Daniel Moran, one of the newest members of the JEMS advisory board and the Vice President of Education at Handtevy. Daniel brings real world EMS experience, a provider first mindset, and a strong background in education and training.
Operational decisions should follow evidence, not habit.
Virginia Beach EMS shares why they reduced lights and sirens on non emergent calls and what it means for safety and outcomes.
Full episode:
https://ow.ly/jNym50XZbZ3
Virginia Beach EMS shares why they reduced lights and sirens on non emergent calls and what it means for safety and outcomes.
Full episode:
https://ow.ly/jNym50XZbZ3
January 18, 2026 at 2:23 PM
Operational decisions should follow evidence, not habit.
Virginia Beach EMS shares why they reduced lights and sirens on non emergent calls and what it means for safety and outcomes.
Full episode:
https://ow.ly/jNym50XZbZ3
Virginia Beach EMS shares why they reduced lights and sirens on non emergent calls and what it means for safety and outcomes.
Full episode:
https://ow.ly/jNym50XZbZ3
There’s a dangerous paradox in EMS leadership pipelines: We reward system compliance over peer influence: https://ow.ly/yIXU50XY6nv
We Train People for the Streets and Then Promote the Wrong Ones
Promotion pipelines in EMS favor compliance over field leadership, leading to disengagement and high turnover as capable medics feel overlooked and undervalued.
ow.ly
January 16, 2026 at 5:26 PM
There’s a dangerous paradox in EMS leadership pipelines: We reward system compliance over peer influence: https://ow.ly/yIXU50XY6nv
We, as EMS providers, must be able to understand that what we are seeing with our patients may be the result of energy drinks: https://ow.ly/5soV50XVOtM
The Effects of Energy Drinks on The Body
Energy drinks, popular among young adults, contain high caffeine levels and other ingredients that can affect cardiovascular and neurological systems. Excessive consumption may lead to serious health issues.
ow.ly
January 12, 2026 at 8:33 PM
We, as EMS providers, must be able to understand that what we are seeing with our patients may be the result of energy drinks: https://ow.ly/5soV50XVOtM
This federal bill could change how EMS works every day.
Sam Magill breaks down what it means for treat-in-place, Mobile Integrated Health, and real support for providers doing the work.
Full conversation on YouTube: https://ow.ly/J5NU50XUb2h
Sam Magill breaks down what it means for treat-in-place, Mobile Integrated Health, and real support for providers doing the work.
Full conversation on YouTube: https://ow.ly/J5NU50XUb2h
January 9, 2026 at 7:31 PM
This federal bill could change how EMS works every day.
Sam Magill breaks down what it means for treat-in-place, Mobile Integrated Health, and real support for providers doing the work.
Full conversation on YouTube: https://ow.ly/J5NU50XUb2h
Sam Magill breaks down what it means for treat-in-place, Mobile Integrated Health, and real support for providers doing the work.
Full conversation on YouTube: https://ow.ly/J5NU50XUb2h
Not every pulseless patient is truly in cardiac arrest.
True arrest = no mechanical activity.
Sometimes there’s still electrical or weak mechanical activity, just not enough to create a pulse or real circulation.
https://ow.ly/B2nY50XStH4
True arrest = no mechanical activity.
Sometimes there’s still electrical or weak mechanical activity, just not enough to create a pulse or real circulation.
https://ow.ly/B2nY50XStH4
States of Pulselessness
True cardiac arrest involves the cessation of mechanical activity, with rhythms categorized as shockable or non-shockable.
ow.ly
January 6, 2026 at 3:25 PM
Not every pulseless patient is truly in cardiac arrest.
True arrest = no mechanical activity.
Sometimes there’s still electrical or weak mechanical activity, just not enough to create a pulse or real circulation.
https://ow.ly/B2nY50XStH4
True arrest = no mechanical activity.
Sometimes there’s still electrical or weak mechanical activity, just not enough to create a pulse or real circulation.
https://ow.ly/B2nY50XStH4
Reevaluating Paramedicine: Advancing Education and Feedback to Strengthen Prehospital Care - https://ow.ly/QCjj50XRjnb
Reevaluating Paramedicine: Advancing Education and Feedback to Strengthen Prehospital Care
Paramedics have evolved into mobile clinicians, providing acute and long-term care, especially in underserved areas, while facing underrecognition and outdated perceptions in healthcare.
ow.ly
January 3, 2026 at 8:06 PM
Reevaluating Paramedicine: Advancing Education and Feedback to Strengthen Prehospital Care - https://ow.ly/QCjj50XRjnb
Airway success is more than getting the tube on the first try. It means first pass without hypoxia, hypotension, or harm. Rethink RSI and focus on resuscitation, not just rapid. Read more: https://ow.ly/kuau50XQ28e
Redefining Success in RSI: Prioritizing Resuscitation over Rapid in EMS
Emergency medical services have redefined airway management success to include avoiding adverse events like hypoxia and hypotension, using the DASH-1A metric for better patient outcomes.
ow.ly
December 29, 2025 at 4:02 PM
Airway success is more than getting the tube on the first try. It means first pass without hypoxia, hypotension, or harm. Rethink RSI and focus on resuscitation, not just rapid. Read more: https://ow.ly/kuau50XQ28e
Communication shouldn’t be an afterthought in EMS. It shapes trust, culture, and how our teams function on the street. Dr. Anthony Minge breaks down what intentional communication really looks like in real EMS systems.
🎧 Full episode: https://ow.ly/flO150XP7rR
🎧 Full episode: https://ow.ly/flO150XP7rR
December 27, 2025 at 7:14 PM
Communication shouldn’t be an afterthought in EMS. It shapes trust, culture, and how our teams function on the street. Dr. Anthony Minge breaks down what intentional communication really looks like in real EMS systems.
🎧 Full episode: https://ow.ly/flO150XP7rR
🎧 Full episode: https://ow.ly/flO150XP7rR
’Twas the night before Christmas… and the rigs were still rolling.
Low pay. Short staffing. Burnout on repeat.
Still, EMS showed up like it always does.
Read the full piece here: https://ow.ly/NHPo50XNS5v
Low pay. Short staffing. Burnout on repeat.
Still, EMS showed up like it always does.
Read the full piece here: https://ow.ly/NHPo50XNS5v
December 24, 2025 at 12:25 PM
’Twas the night before Christmas… and the rigs were still rolling.
Low pay. Short staffing. Burnout on repeat.
Still, EMS showed up like it always does.
Read the full piece here: https://ow.ly/NHPo50XNS5v
Low pay. Short staffing. Burnout on repeat.
Still, EMS showed up like it always does.
Read the full piece here: https://ow.ly/NHPo50XNS5v
EMS is in crisis, but crisis is leverage. We can keep tolerating a system that burns people out, or do the uncomfortable work of building a culture worth staying in. This isn’t martyrdom. It’s ownership. https://ow.ly/J8Nl50XNeS9
Sailing into the Storm: Building Culture When the System Sounds the Alarm
The article critiques EMS culture, highlighting chronic burnout affecting 76% of providers due to fragmentation and underfunding, advocating for a mobile integrated health model.
ow.ly
December 22, 2025 at 3:47 PM
EMS is in crisis, but crisis is leverage. We can keep tolerating a system that burns people out, or do the uncomfortable work of building a culture worth staying in. This isn’t martyrdom. It’s ownership. https://ow.ly/J8Nl50XNeS9
Report: Not Enough Staff, Services Available in NY County for Mental Health Crises:
https://ow.ly/Pa2i50XNccf
https://ow.ly/Pa2i50XNccf
December 22, 2025 at 2:56 PM
Report: Not Enough Staff, Services Available in NY County for Mental Health Crises:
https://ow.ly/Pa2i50XNccf
https://ow.ly/Pa2i50XNccf
Prehospital airway care shouldn’t be about earning a badge. New research from 2024 and 2025 shows supraglottic airways often match or outperform ETI in cardiac arrest + trauma because they’re faster & cause fewer complications. Pick the tool for the patient, not the patch.
https://ow.ly/3Kq250XMNou
https://ow.ly/3Kq250XMNou
December 20, 2025 at 12:00 PM
Prehospital airway care shouldn’t be about earning a badge. New research from 2024 and 2025 shows supraglottic airways often match or outperform ETI in cardiac arrest + trauma because they’re faster & cause fewer complications. Pick the tool for the patient, not the patch.
https://ow.ly/3Kq250XMNou
https://ow.ly/3Kq250XMNou
EMS doesn’t need another feel good resilience talk.
This podcast with Dr. Richard Janka digs into what resilience actually looks like for first responders and telecommunicators, why leadership matters, and why so many programs miss the mark.
Listen here:
https://ow.ly/l1nF50XLCU2
This podcast with Dr. Richard Janka digs into what resilience actually looks like for first responders and telecommunicators, why leadership matters, and why so many programs miss the mark.
Listen here:
https://ow.ly/l1nF50XLCU2
December 18, 2025 at 7:02 PM
EMS doesn’t need another feel good resilience talk.
This podcast with Dr. Richard Janka digs into what resilience actually looks like for first responders and telecommunicators, why leadership matters, and why so many programs miss the mark.
Listen here:
https://ow.ly/l1nF50XLCU2
This podcast with Dr. Richard Janka digs into what resilience actually looks like for first responders and telecommunicators, why leadership matters, and why so many programs miss the mark.
Listen here:
https://ow.ly/l1nF50XLCU2
“If it isn’t documented, it didn’t happen” isn’t just about liability.
Your PCR is real time clinical evidence.
It shows how you think, what you saw, and why you acted.
Good documentation is part of being a healthcare professional: https://ow.ly/E9Mu50XL6jw
Your PCR is real time clinical evidence.
It shows how you think, what you saw, and why you acted.
Good documentation is part of being a healthcare professional: https://ow.ly/E9Mu50XL6jw
Documentation: A Regulator’s Perspective on EMS Professionalism, Accountability, and the Future
Documentation in EMS is essential for credibility and continuity of care. Accurate patient care reports protect patients and clinicians, impacting billing and quality assurance.
ow.ly
December 17, 2025 at 7:45 PM
“If it isn’t documented, it didn’t happen” isn’t just about liability.
Your PCR is real time clinical evidence.
It shows how you think, what you saw, and why you acted.
Good documentation is part of being a healthcare professional: https://ow.ly/E9Mu50XL6jw
Your PCR is real time clinical evidence.
It shows how you think, what you saw, and why you acted.
Good documentation is part of being a healthcare professional: https://ow.ly/E9Mu50XL6jw
On scene ROSC. Mechanical CPR questions. IV over IO.
Jimmy Apple weighs in on what the 2025 AHA guidelines mean for real EMS crews.
Full episode here: https://ow.ly/QTLB50XKxmr
Jimmy Apple weighs in on what the 2025 AHA guidelines mean for real EMS crews.
Full episode here: https://ow.ly/QTLB50XKxmr
December 16, 2025 at 7:40 PM
On scene ROSC. Mechanical CPR questions. IV over IO.
Jimmy Apple weighs in on what the 2025 AHA guidelines mean for real EMS crews.
Full episode here: https://ow.ly/QTLB50XKxmr
Jimmy Apple weighs in on what the 2025 AHA guidelines mean for real EMS crews.
Full episode here: https://ow.ly/QTLB50XKxmr
Your license isn’t the whole story. 🩺
State EMS sets the rules. Local/regional bodies make them work where you live. Know both. Operate smarter. Save lives.
#EMS #ParamedicLife #EMSTraining #PrehospitalCare #KnowYourSystem
🔗 https://ow.ly/7UOV50XJOoJ
State EMS sets the rules. Local/regional bodies make them work where you live. Know both. Operate smarter. Save lives.
#EMS #ParamedicLife #EMSTraining #PrehospitalCare #KnowYourSystem
🔗 https://ow.ly/7UOV50XJOoJ
December 15, 2025 at 6:02 PM
Your license isn’t the whole story. 🩺
State EMS sets the rules. Local/regional bodies make them work where you live. Know both. Operate smarter. Save lives.
#EMS #ParamedicLife #EMSTraining #PrehospitalCare #KnowYourSystem
🔗 https://ow.ly/7UOV50XJOoJ
State EMS sets the rules. Local/regional bodies make them work where you live. Know both. Operate smarter. Save lives.
#EMS #ParamedicLife #EMSTraining #PrehospitalCare #KnowYourSystem
🔗 https://ow.ly/7UOV50XJOoJ
Ground-level falls, frequent flyers, calls that feel like a waste… they aren’t. Every patient deserves an ambulance. Your skills, your patience, your kindness make the difference. Read more: https://ow.ly/5h2r50XIJ1u
Everyone Deserves an Ambulance
Paramedics experience burnout due to trauma exposure, inadequate resources, and frustrating calls. They are encouraged to focus on kindness and patient care rather than frustration.
ow.ly
December 14, 2025 at 8:00 PM
Ground-level falls, frequent flyers, calls that feel like a waste… they aren’t. Every patient deserves an ambulance. Your skills, your patience, your kindness make the difference. Read more: https://ow.ly/5h2r50XIJ1u