It’s 1430 hours when your crew is dispatched to a construction site for a worker who “passed out.”

In August 2025, a major joint position statement was released by NAEMSP, ACEP, and the ACS Committee on Trauma regarding tranexamic acid (TXA) use in trauma care. This represents one of the most unified and significant updates to prehospital hemorrhage management in recent years. Here’s what every EMS clinician should know:

Every shift starts with a cup. For EMS, coffee isn’t just a beverage—it’s part of the culture that fuels early mornings, 24-hour shifts, and the unpredictable chaos of answering the call. But what if your daily cup could do more than just keep you awake? What if it could train better medics and save more lives? That’s exactly why we launched Black Flag EMS Coffee.

7‑OH (7‑hydroxymitragynine) is the potent opioid metabolite in kratom. It depresses respirations, responds to naloxone, and relapses after short wins. Treat it like an opioid tox with extra vigilance for co‑ingestants and rebound sedation.

In this article, we break down three critical realities every first responder, law enforcement officer, and pre-hospital provider must understand: The rise of fentanyl analogs and nitazenes The truth about aerosolized opioid exposure The clinical justification for stacking Narcan—and why mocking responders can be deadly

CPR-induced consciousness (CPRIC) refers to instances where patients exhibit signs of awareness during chest compressions in cardiac arrest. These signs may include spontaneous eye opening, limb movement, facial grimacing, or even verbal responses.

The Tactical Medic Maturity Model (TM3) was born—to strip away the illusions, challenge the status quo, and provide a structure for what Tactical Medics should be, do, and aspire to become.

Paradoxical undressing is one of the most deceptive phenomena associated with hypothermia. Patients experiencing moderate to severe hypothermia may suddenly strip off layers of clothing, despite being in freezing conditions.

You’re dispatched to a private residence for a 75-year-old female experiencing vomiting and dizziness. It’s mid-morning, and the caller—her neighbor—states she’s “not acting right.”