July's cover story explores differential diagnosis of chest trauma, and MCI/disaster response content includes examination of the 2019 Philadelphia oil refinery explosion response. Other features look at atypical stroke presentations, double sequential defibrillation, leading in crisis, and deterring responder suicides. The CE article is on nitroglycerin for CHF with acute pulmonary edema. Columns include EMS Around the World, Resident Eagle, and Journal Watch.