There are some questions as an EMS educator that pop up again from time to time like a bad rash. “Should I give oxygen to a COPD patient who is hypoxic“, “Do Paramedics diagnose?” and “Should I date this dancer named Candy” are three of the more common ones. These are questions that the answer […]Read More Hypoglycemia and stroke: Is it Ok to give Dextrose?
How many times have you heard another medic say they had a “gut feeling” just before a call went sideways. When you hear that, did you nod sagely? Chalking it up to what we all just accept without question? A few close calls over the years have made me think about that “gut feeling”. What is […]Read More No such thing as a gut feeling
Ok, a recent Facebook post prompted me to write this post. A fellow medic (from another service somewhere in the USA) posted: “I’ve been doing this for 10 years, but how do you get the image of a 10-year-Olds broken body out of your mind. Especially when your kids are 9 and 11. All I keep see [sic] is […]Read More Another Brick in the Wall
A post in the FB group “resuscitation” asked the question “What is resuscitation“. A lot of people responded to the clinical aspect of resuscitation. Instead, I thought about writing what resuscitation is to me. This is my response, slightly edited. OK, I am not going to take the time to quote physiology. Most that would bother even […]Read More What is Resuscitation? (A Philosophical Argument)
So, another scenario from a HIPAA safe galaxy far far away and a long time ago. You are working your urban/suburban environment on your local EMS when you are called to an assault at a local bar. On arrival, you are presented with a 20-year-old male who has been drinking fairly heavily this evening. After some Jerry […]Read More Tall Tales: The Case of the Wounded Warrior
Here is another case from a HIPAA safe galaxy far far away. You are dispatched to a private residence for a choking child. it is about 6PM and the call of your dinner of Keto-tastic cardboard will have to wait. The parent on your arrival the parent meets you apologetically saying her child is “alright […]Read More Tall Tales: The Case of the Bloody Baby
I wanted to share another mini-scenario with you. This is another call from a HIPAA safe galaxy far far away. Any resemblance to any case, real or fictional, is purely coincidental. You and your partner are working an urban/suburban environment on a nice spring day. (Community Level III type hospital 9 minutes away, Level I […]Read More Tall Tales: The Case of the Not-so-minor MVC
No one likes to write charts. Not really. Sure some hate it less than others, but between writing charts and being out there on the streets, writing charts loses. Well, on one site or another, someone was once again asking how should he/she write a chart. Everyone chimed in, not a few recommending the most painful, […]Read More SOAP? Who needs SOAP? (we all do)
NOTE: This originally was published on my old blog page in 2013. Every FTO has a “bag of tricks”. Little things that they pull out of their butt that can save a trainee from certain career-ending doom. I have quite a few. I have mapping tests and drills, mandatory books to read, about 20 Gigs of medical […]Read More What is a “Slovis Drill”?
Note: This post originally appeared in my original blog in 2013. It is one of my favorites, so I reposted it here. I am a paramedic, and I am scared of the dead. Truly afraid. Not the “Ewww, I think I might hurl because it smells bad” type of fear. True fear. I have to […]Read More The Vacancy of Death