Newsletters/March 6, 2026

EMS Briefing: Friday, March 6, 2026

March 6, 2026
published
Prehospital Academy

Friday, March 6, 2026

Good morning and welcome to your daily briefing. Here are the top stories and research impacting prehospital medicine today.

📰 EMS News Recap
Puerto Rico Police Say Armed Suspect Opens Ambulance Door and Kills Injured Man
JEMS

A patient was shot and killed inside an ambulance in Puerto Rico, highlighting extreme dangers to providers and patients.

Henry County (GA) Firefighter-Paramedic Dies After On-Duty Medical Emergency
JEMS

A Georgia firefighter-paramedic has died following a medical emergency that occurred while on duty.

Reality check: The female EMS experience
EMS1

An editorial explores the unique challenges and cultural issues faced by women working in the EMS profession.

Ind. first responders complete crisis intervention training to better handle mental health calls
EMS1

Indiana first responders are now better equipped to manage behavioral emergencies after completing specialized crisis intervention training.

📋 Clinical Medicine Updates
Whole Blood Versus Blood Components in Prehospital Care
Prehospital Emergency Care

A new analysis examines the ongoing debate and evidence surrounding the use of whole blood versus component therapy for prehospital hemorrhage control.

Effectiveness of Sodium Bicarbonate Administration in Out-of-Hospital Cardiac Arrests: An Updated Systematic Review and Meta-Analysis
Prehospital Emergency Care

This meta-analysis reviews the effectiveness of sodium bicarbonate in OHCA, finding insufficient evidence to support its routine use.

Ultrasound Detection of Pulseless Rhythm with Echocardiographic Motion (PREM) in Prehospital Cardiac Arrest: A Case-Series
Prehospital Emergency Care

Prehospital POCUS can identify organized cardiac activity without a palpable pulse, potentially altering resuscitation management in the field.

Prehospital Ketamine Administration in Benzodiazepine Refractory Status Epilepticus: A Case Series Review
Prehospital Emergency Care

A case series review suggests prehospital ketamine may be a viable option for treating status epilepticus unresponsive to benzodiazepines.

Paramedic-Administered Fibrinolysis in Older Patients with Prehospital ST-Segment Elevation Myocardial Infarction
Prehospital Emergency Care

Research indicates that paramedic-administered fibrinolytics for STEMI in elderly patients are effective but carry a higher risk of intracranial hemorrhage.

📈 Operational & Leadership Updates
“On the Wall”: A Descriptive Analysis of Ambulance Patient Offload Times in the United States
Prehospital Emergency Care

A national analysis describes the significant operational burden and system stress caused by extended ambulance patient offload delays at hospitals.

NC EMS Adds Logistics Position After Hospital Cuts Free Medications
JEMS

A North Carolina EMS agency created a new logistics chief role to manage medication supplies after a local hospital ended its drug replacement program.

Barriers to Implementing Evidence-Based Guidance for Fatigue Risk Mitigation in the Prehospital Setting
Prehospital Emergency Care

This study identifies key cultural and systemic barriers that prevent the effective implementation of fatigue mitigation strategies in EMS agencies.

Gender and Pay Gaps in Paramedic Services Leadership in Ontario, Canada
Prehospital Emergency Care

Research in Ontario reveals significant gender disparities in both pay and representation within paramedic leadership positions.

Planning and Execution of an EMS-Based Field Hospital: A Case Report
Prehospital Emergency Care

A case report details the operational strategies and challenges involved in the successful deployment of an EMS-based field hospital during a large-scale incident.

⚖️ Legislative Updates
Reimbursement Woes Force WV EMS Workforce Cuts, Station Closures
JEMS

Inadequate reimbursement rates are directly causing EMS agencies in West Virginia to reduce staff and close stations.

EMS leaders head to Capitol Hill with one message: It’s time to fund the future
EMS1

EMS advocacy groups are actively lobbying Congress for increased and sustainable federal funding to support the industry's future.

Texas FD responses to some rural calls in jeopardy as funding dispute grows
EMS1

A funding conflict between a Texas county and its emergency services district threatens the response capabilities for some rural areas.

Joint Position Statement on Criminal Liability for Alleged Deviations from Clinical Standards of Care in Emergency Medical Services
Prehospital Emergency Care

National EMS organizations have released a joint statement addressing the concerning trend of criminal prosecution for clinical errors in EMS.

A Heterogeneous Legal Landscape Governs Community AED Use: Crowdsourced United States AED Legal Review and Gap Analysis
Prehospital Emergency Care

A comprehensive review finds significant inconsistencies in state laws governing public access defibrillation programs across the U.S.