Contrary to the common perception of marijuana as a benign substance, evidence-based data reveal significant acute side effects that EMS providers must be prepared to recognize and manage. This report (aka "field guide") provides a detailed overview of cannabis-related emergencies and their prehospital management helping EMS leaders shape protocols and prepare crews for these emerging challenges.

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.

The State EMS Progressiveness & Readiness (SPaR) Maturity Model was born from a simple but pressing question: How do we compare EMS systems across the U.S. in a way that is fair, actionable, and forward-looking?

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

Black Flag EMS Unveils New “Juicy Narcan™” Line, Because Overdosing Shouldn’t Mean Settling for Plain Old Clinical-Grade Salvation

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.

Assertive inquiry isn’t just a communication tool—it’s a lifesaving practice. By combining clear, confident observations with open-ended questions, providers at every level can voice concerns, clarify priorities, and keep patients safe in dynamic, high-pressure environments.