The PHARMers

The PHARMers PHARM is the practice of prehospital and retrieval medicine, it's what we do. Welcome.

Ontario based group of paramedics/educators focused on sharing relevant pre-hospital Evidence Based Medicine in an effort to help improve pre-hospital practice. You were invited here because you are not defined by the skill set you practice, but your capacity to lead and how you serve your patient. Since the moment you graduated from the Paramedic program, your career has been a battle against obsolescence, this group is here so that we can face that battle together. Share your experiences and findings on the thread and join us at the monthly meetings if you like, but be warned; while this club is most certainly a social club, the meetings are meant for sharing knowledge and experience and you will be expected to contribute, whether it be a recent journal article, a podcast you heard, or even your analysis of a call you participated in, we want to hear it and we will drag it out of you if you make us.

Great SimulCast episode for those writing sim cases.
09/17/2019

Great SimulCast episode for those writing sim cases.

‎Show Simulcast, Ep Ep. 11 - Designing Better Sim Cases - Nov 13, 2017

09/05/2019

Jeff Park...You won the Early Bird Draw!! Grab your prize at the meeting!

Few weeks left until Peds PEARLS!! Get your tickets at
08/26/2019

Few weeks left until Peds PEARLS!! Get your tickets at

Prehospital and Retrieval Medicine Education Club

Fall B&B tickets on sale!!
08/17/2019

Fall B&B tickets on sale!!

Welcome back PHARMers! Summer is over, Fall has come... Time to get back at it! We have teamed up again with Storm Stayed Brewing Co to present The 2019 Fall Book & Barrel Meeting... "Peds PEARLs and Practice" We will be starting right at 1800, so come a little early to register and grab a beverage....

Only 8 more hours for early bird tickets!!!
09/02/2018

Only 8 more hours for early bird tickets!!!

Prehospital and Retrieval Medicine Education Club

Retweeted CPHCast ():I'm sure we've shared something similar before - but just in case check this out!Remember: syncope ...
08/13/2018

Retweeted CPHCast ():

I'm sure we've shared something similar before - but just in case check this out!
Remember: syncope happens for a reason. Investigate potential causes. Sometimes we get a bit blasé about syncope. But a good clinician will take a closer look.

“Syncope & EKG with : WPW - look for delta wave; AV block - look at PR interval; Bifascicular block - look for wide QRS; Brugada - abnormal ST at V1-V3 Photo: https://t.co/QFv2tTi0bG”

Retweeted Salim R. Rezaie ():IV and/or Nebulized MgSO4 in Pediatric Asthma Exacerbations? via  https://t.co/pVsk5vrAj1  ...
08/12/2018

Retweeted Salim R. Rezaie ():

IV and/or Nebulized MgSO4 in Pediatric Asthma Exacerbations? via https://t.co/pVsk5vrAj1

IV MgSO4 but not nebulized MgSO4 appears beneficial in the treatment of moderate to severe asthma https://t.co/lEtDw8Zm9M

Magnesium sulfate (MgSO4) has long been touted as an adjunct treatment due to its bronchodilatory properties (both in its intravenous (IV) and nebulized form). Despite its routine use, the evidence for its benefit is inconsistent. This post is a review of the most recent meta-analysis on MgSO4 in pe...

Tickets 1/5th sold on the first day!  Just over 30 left.  Get your PHARM on the FARM ticket now to enter the early bird ...
08/08/2018

Tickets 1/5th sold on the first day! Just over 30 left. Get your PHARM on the FARM ticket now to enter the early bird draw for a PHARMers Beer Stein!

Prehospital and Retrieval Medicine Education Club

Just over 30 tickets left.  Sold 1/5th on the first day!  Get PHARM on the FARM tickets now to enter early bird draw to ...
08/08/2018

Just over 30 tickets left. Sold 1/5th on the first day! Get PHARM on the FARM tickets now to enter early bird draw to win a PHARMers Beer Stein!

Retweeted Salim R. Rezaie ():REBEL Cast Ep 55 – Hyperoxia in the Critically Ill with  https://t.co/U9JsidiSoi    Liberal...
08/08/2018

Retweeted Salim R. Rezaie ():

REBEL Cast Ep 55 – Hyperoxia in the Critically Ill with https://t.co/U9JsidiSoi

Liberal vs Conservative O2 (Hyperoxia Caused More Harm):
In-Hospital Mortality --> NNH = 143
30d Mortality --> NNH = 125
Mortality at Longest Follow Up --> NNH = 100 https://t.co/6LmN2riN7l

The IOTA Trial (Hyperoxia in the Critically Ill): This paper is a systematic review and meta-analysis evaluating the evidence base for liberal versus conservative oxygen therapy in this patient population.

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London, ON

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