From the MARCH Mnemonic Series – Tactical Trauma Care for EMS Providers When seconds count and conditions are unpredictable, the MARCH mnemonic. provides a clear, evidence-based sequence for trauma management in both tactical and civilian emergency settings. Standing for Massive Hemorrhage, Airway, Respiration, Circulation, and Hypothermia/Head Injury, this structured approach originated in Tactical Combat Casualty…

Lessons from Kentucky’s Antivenom Case When the call comes in, seconds matter. EMS Providers are trained to act decisively, but also within the limits of their medical scope. What happens when those two imperatives collide—when a patient’s survival depends on a treatment that regulations forbid? That question faced a Kentucky EMS crew this spring, and…

The Challenge Today’s EMS Leaders face more than operational demands – they must also navigate a world shaped by public outrage, political division, and social media amplification. Every statement, policy, or silence can be scrutinized, criticized, or misinterpreted. Balancing staff expectations, public trust, and professional neutrality is harder than ever. Why It MattersOutrage culture can…

Emergency Department (ED) delays are nothing new, but for EMS Providers, “wall time” is a unique challenge. Unlike a walk-in patient who simply waits for triage, EMS crews remain fully responsible for their patient until the hospital formally accepts care. This Ambulance Patient Offload Time (APOT) often ties up both crews and ambulances, straining already…