Jacob Stebel

Transcutaneous pacing (TCP) is used to treat unstable bradycardia. In this multi-center study of TCP performed by paramedics, only 9.7% had sustained electrical capture, suggesting the procedure is frequently performed ineffectively. @ResusJournal share.google/KoRFnO6XMfUkKI…

How can volume overload be reliably excluded at the bedside? 📊 This Rational Clinical Examination evaluates the diagnostic accuracy of clinical examination, radiographic imaging, and laboratory testing in assessing volume overload in nonintubated patients. ja.ma/4ry7jzJ

Grateful to @mklevy10 for calling attention to a major patient safety gap at the @NAEMSP annual meeting. Medication scanning matters, especially in high-risk EMS and hospital environments. We’re focused on solving this in Handtevy Mobile. #NAEMSP2026

@dcfireems presented three quality improvement posters at this year’s @NAEMSP conference in Tampa, FL. Posters focused on improvements to airway management, needle decompression, and blood administration processes. #NAEMSP2026

Great experience being part of this!

Great thread and resources!

Healthcare professionals rarely witness what actually happens in the very first moments of an out-of-hospital cardiac arrest. What we know is most often reconstructed from the narratives of bystanders or family members who were present at the scene. In this study, we analyzed 145 out-of-hospital cardiac arrests captured by surveillance cameras. These videos provide a unique opportunity to directly observe the earliest moments of collapse, revealing recurrent signs of cardiac arrest, frequently misinterpreted behaviors, and a critical delay between event recognition and the initiation of resuscitative efforts. The insights gained may help improve education, public awareness, and the development of strategies aimed at earlier recognition and more timely intervention. Building on these findings, we are working with the Politecnico di Milano to train an artificial intelligence algorithm capable of automatically detecting cardiac arrest from surveillance video footage, with particular potential impact in cases of unwitnessed cardiac arrest. This work is part of the EU-funded TIME-CARE project. Read the article on Resuscitation: sciencedirect.com/science/articl… #CardiacArrest #CardiopulmonaryResuscitation #Innovation #Research #TIMECARE #SanRaffaele

A great weekend for education & EMS at NYS Vital Signs. Learned a lot and connected with colleagues new and current from across the state. A huge thanks to @NYNAEMSP for inviting me to participate in the preconference, and @BMCCParamedic for organizing the New York State EMS Cup!

Line of Duty Death at FDNY EMS. Did it make the front page of the papers? Nope.

Does hearing “LVAD” make your heart race💓? You’re not alone. Prehospital care in LVAD pts is complex; the evidence shouldn’t be. New paper by @joshkimbre & team highlights⬆️LVAD prevalence, paucity of standards, & call to action for rsrch. Bookmark it before your next shift.

📊 New study: When compared to other non-residential locations, OHCA at airports had higher rates of: Witnessed arrest Bystander CPR/AED use Shockable rhythms ROSC Thank you to co-authors incl @joshkimbre, and to @dj_deets for leading.

We compared out-of-hospital cardiac arrest at US airports versus other public (non-residential settings) and found significant differences between locations. @joshkimbre @JacobStebel Out now in JAMA Network Open: jamanetwork.com/journals/jaman…

Excited to share our article published in JAMA Network Open. Airport OHCAs have ⬆️ rates of witnessed CPR, bystander CPR/AED use, ⚡ rhythms, and ROSC than other public locations. Maybe Airport OHCAs are a model for community CPR response! Thanks to @dj_deets for leading.

I am giving away a pair of free Hyundai Club tickets for the Mets Marlins game tomorrow (Thursday) at Citi Field to 1 lucky winner who is subscribed to @MetsDailyShow on YouTube & following me/the show on here & retweets this 👀 (free unlimited food in Hyundai Club)

Strong leadership from co-first authors @joshkimbre and @JMedic2JDoc and great work from all including co-authors @TannerSmida @dj_deets @_JaceMullen and others.

I'm excited to share our most recent publication, Delays to Chest Compressions and Defibrillation during Prehospital Rearrest was just published in the American Journal of Emergency Medicine. Free link: authors.elsevier.com/c/1lf2W2dHVQGa…

An afternoon of storms and delays gave way to beautiful skies at #KJAX yesterday, allowing this @Delta #B757 to lead the way and get us moving!

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…

Across 1000+ patients with acute stroke at an urban comprehensive stroke center, prehospital notification (calling and activating a stroke code from the field) led to faster CTs and interventions. @joshkimbre @JacobStebel @brianmacgrory @JMedic2JDoc tandfonline.com/eprint/Y7YFK5G…

How much time is required for ETCO2 trajectory during OHCA resuscitation to predict ROSC risk? 7-21 minutes, depending on phenotype. Promising area for future research presented at #SAEM25