EMS Avenger

06/09/2026

When I'm walking the vendor floor at conferences, I'll often get vendors trying to get my attention to feature their product. My favorite thing is to give someone just elbow-greasing their own passion project a spotlight. I like this product because it solves a small problem that I've seen other products with similar intentions fail at. You can go to theblockle.com to see the product.

https://www.theblockle.com/

06/09/2026

I still have reels from FAST26 in the hopper. But get ready for FAST27! True to the location I'll ride into FAST on a horse with a bottle of Buffalo Trace in my hand.

FAST27 IS OFFICIALLY OPEN.
The wait is over. Registration for FAST27 is now live.

We're heading back to Lexington, Kentucky, where FAST returns to the iconic Central Bank Center and Rupp Arena for another unforgettable experience.

Kentucky is home for FlightBridgeED, and after hosting FAST25 in Lexington, so many of you told us it was your favorite location. We couldn't agree more. There's something special about this city, and we're excited to experience it with you again.

Here's what's waiting for you:

📍 May 3, 2027: Pre-conference workshops designed for focused, hands-on learning before the main event.

📍 May 4-5, 2027: Two packed days featuring:

• The MAINSTAGE™ experience
• The Creator Festival™
• FAST After Hours™
• World-class education
• Incredible speakers
• Industry-leading exhibitors
• And so much more

🏨 The official hotel is the Hilton Lexington Downtown, conveniently located directly across the street from the conference.

Registration Options:

🎟 General Registration: $419

🎟 FAST Encore™ Returning Attendee Rate: $370
Available for those who attended FAST last year and are returning for FAST27. This is the lowest price guaranteed.

👥 Group Pricing Available Bring 5 or more attendees and save $24 per ticket. Perfect for agencies, departments, and teams that learn better together.

To everyone who has been part of FAST over the years, thank you. We can't wait to welcome you back and introduce even more clinicians to the experience that keeps people talking long after the lights go down.

Registration is now open. It's time to make plans for Lexington.

https://fbe.cx/fast27-tickets

06/09/2026

Here's a recap of where we are so far in the data with whole blood and components with Dr. Jeff Jarvis.

06/08/2026

"Just get good" is a flex that fails to understand the barriers that stand in the way of competency. It isn't possible or reasonable for a provider who did not intubate in Paramedic school, intubates infrequently in the field, and has no access to an OR on their own to become competent through some sort of bootstrapped initiative.

06/08/2026

Does this paper demonstrate that Dual Seqential Defibrillation isn't effective in terminating refractory ventricular fibrillation? Only if the outcome was based on the intervention being applied 15-20 minutes deep and 6 shocks into the code on a 100 MINUTE RESUSCITATION! We have one RCT that has already demonstrated a benefit at under 4 shocks IN Canada. We have two other RCTs in the works. Those two RCTs will be very informative.

https://www.resuscitationjournal.com/article/S0300-9572(26)00185-1/fulltext

06/07/2026

Normal Saline bad, right? Blood good? We've kind of painted ourselves into a corner with crystalloids, according to Dr. Mark Piehl. Crystalloids may be just fine as a resuscitation fluid for many patients, specifically if they don't need large volumes, but just enough to dial in a blood pressure we can work with. This is especially true for pediatric patients vulnerable to even brief moments of hemodynamic instability in pathologies like head injuries.

06/07/2026

Edit: This is a bill before US Congress. Not a local Utah Bill.

Utah Congresswoman Celeste Maloy is currently attempting to "fix" rural systems by gutting OT. Please don't let this become a precedent. You all know what to do.

Today, Congresswoman Celeste Maloy (UT-02) and Senator John Curtis (UT) introduced the Rural Emergency Response Support Act, legislation that would amend the Fair Labor Standards Act of 1938 to allow rural emergency medical services employees to work 80 hours over a 14-day period, rather than the cu...

06/06/2026

This was a small observational study. So maybe it's not representative of the EMS population as a whole. But what this study highlights is the importance of proper laundering of uniforms, and the importance of hand washing/sanitizing and appropriate PPE. If our nares are populated with staph, VRE, and C Dif, we have to consider ourselves a greater contamination risk to our patients than they are to us.

https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2681882

06/05/2026

A clip I shared about New Orleans EMS administering packed red blood cells with no warming caused quite a stir. I also posted some data from New Orleans that they provided supporting the practice. But that's one voice making a claim, and the same voice offering support. Kevin is a leading voice in EMS driving evidence-based practice, and I knew he would have some thoughts on this. This runs a little long, but I think it's worth hearing put completely.

06/04/2026

Really fast Afib rates are often driven by accessory tracts, yet we often say that if a rhythm is too fast to differentiate Afib to give Adenosine to slow it down. So we may very well be putting patients in harms way with this practice. In reality, if you can't rule out Afib from a fast SVT, then Adenosine is probably not the way to go.