Not all pain requires narcotics. We rolled out IV Acetaminophen in Palm Beach Gardens Fire Rescue on March 1st, 2025, and already seeing promising results without the risks associated with opioids. Have you incorporated IV Acetaminophen into your adult and pediatric #EMS protocols? What results

This week, MCHD #EMS is representing at the Fort Bend County EMS Emergency Medicine Symposium! Medical Director Dr. Casey Patrick delivered the keynote speech on how EMS made him a better physician.

Congratulations to Captain Brady Walding & In-Charge Paramedic Lillian Trosclair for winning FIRST PLACE in the skills competition at the Fort Bend County EMS Emergency Medical Symposium! That’s the way to represent MCHD! #stars ⭐️

#CE is on the road! Today, our MCHD District Chiefs and Captains gave our #paramedics & #EMTs some in-the-field education. They ran them through scenarios using our new airway management tool, the UEScope. #insidemchd #ems

Join us Thursday to talk about prehospital TCP Thursday at 1pm ET!

📣 Florida EMS Webinar – Friday Morning at 11 AM ET! Topic: Prehospital Surgical Cricothyrotomy in a 9-1-1 EMS System Guests: Casey Patrick & Dr. Al Lulla from MCHD_TX Don't miss this opportunity to learn from two national experts on high-acuity airway management.

When seconds matter and every option has failed—are you ready to cut the neck? Join Tanner Smida and I tomorrow as we host Casey Patrick and Dr. Al Lulla describe their 10-year experience in EMS.

Congratulations to our Scott McCully who was honored as one of the nominees for International Academies of Emergency Dispatch 911 Dispatcher of the Year. Scott was nominated for recognizing a serious stroke over the phone that did not have classic stroke symptoms.

Huge "Thank you" to Murat Çetin, Dr. Caitlin Brown, Fernanda m bellolio, Lucas Oliveira J. e Silva (Lucas Silva), Dr. Robert Glatter, and Jefferson Drapling for this amazing systematic review on Nebulized Ketamine for pain in the ED. authors.elsevier.com/c/1k~tJ2dHVQGZ… #FOAMed #MedEd #ketamine

It’s a great day so far at IRONMAN TEXAS in The Woodlands! The leaders are on the bike course! It’s been pretty quiet on the medical front so far - thankfully! Good luck to all the competitors! #mchdinthecommunity #ironman2025 #ems

Don’t miss the latest episode of the MCHD Education Minute. Transcutaneous pacing is a complex procedure performed in critical situations. Get some quick information on how to approach your next TCP patient. Casey Patrick Watch more: youtu.be/GjChYA_Ytbo?si…

MCHD #EMS is honored to be included in the CARES (Cardiac Arrest Registry to Enhance Survival) Annual Report! We’d like to thank our former patient, Juliana Crush, for allowing us to share her story of survival from cardiac arrest...

Congratulations to Jason Jones, Brad Ward and Dr. Casey Patrick on the publication of their case report in Prehospital Emergency Care! This was truly a one-in-a-million case that others will now learn from thanks to MCHD’s stellar patient care...

Our latest publication: Association b/w EMS Drug Assisted Airway Management and Intubation First Pass Success. Free for 50 days at this link then paywalled: authors.elsevier.com/a/1lCs3_4TJx2c…

Another great paper from the ESO team investigating outcomes following different initial dosing strategies of adenosine (6 vs. 12 mg) for PSVT in the prehospital setting. tandfonline.com/doi/full/10.10…

It’s all hands on deck as recovery efforts continue in counties in the Texas Hill Country. MCHD #EMS has crews stationed on direction of the Texas Emergency Medical Task Force…

“Farewell Transmission” by Songs: Ohia

I need that tortilla to hold my life together

Delays to chest compressions and defibrillation are common following prehospital rearrest. Among pts. with a rearrest rhythm of VF, the median delay from the first second of VF on ECG to defib. was 67s (IQR 29, 245), and 3 (20%) were not defibrillated. doi.org/10.1016/j.ajem…