A practice-based discussion (NOT a journal club, don't worry!) of 10 papers that changed my EMS practice in 2021. These are papers, for good or bad, that all paramedics, system directors, and medical directors should know about. We’ll cover current papers so the topics will change, but prior topics including the use of TXA for traumatic brain injuries and nose bleeds, characteristics of prehospital ketamine use, risk factors for peri-intubation cardiac arrest, the use of video laryngoscopy in cardiac arrest, and more.