Connecticut Limits Long Boards

On February 21, 2013 I wrote the post In Praise of CEMSMAC, to celebrate the courage of Connecticut’s top EMS doctors to back the draft document on spinal boards proposed by the National Association of EMS Physicians (NAEMSP), and to use that document as a guideline to developing statewide guidelines limiting the use of long […]

STEMI Call

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Years ago my favorite calls were the traumas– the shootings, stabbings, high-speed MVAs. You were on the clock and there was a task list. You had to c-spine immobilize the patient, get their vitals, put in two large bore IVs, open up the fluids wide, and do it all on the go, as well as […]

Ebola

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I first read about Ebola from the 1995 bestseller The Hot Zone by Richard Preston, which recounted how monkeys in a government lab in Reston, Virginia suddenly started dying from what turned out to be the only strain of Ebola that doesn’t affect humans. A great read and thriller that I highly recommend. Over the […]

Breaker of Men

We find our patient by the elevator doors in a public building. He is on all fours, dry heaving, and shaking. He says he is in terrible pain. Security tells us he is a visitor to this public building. They don’t know anything about him other than that he has been screaming that he is […]

Streamline

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This is the first I have written since May. I did not mean to stop writing. I had many thoughts, but just never got around to putting them down. Why no posts? A variety of reasons, primarily time. As I get older I find myself less sure of myself and my ideas. I can spout […]

Clear Some Space

“Get the board and straps!” How many cardiac arrests have you been to over the years when these words have been said in the first few minutes of arrival on scene? It is conditioned in us. I hear it from the paramedics, the EMTs, the first responders. These days, I say, “No, not just yet. […]

Patient Handover

In our region we have hotly debated the issue of EMS leaving run forms prior to leaving the hospital. We have been debating this for over twenty years. Sure, ideally you deliver the patient, you go to the EMS room, you sit down and write a detailed and thoroughly documented PCR describing everything about the […]

Medication Discrepencies

I have wanted to do EMS research for many years. At long last, my first official research project with official IRB approval was completed, and our poster below was presented at the New England Regional Society of Academic Emergency Medicine Conference last March. Mark Andreae, a third year medical student and EMT, was the key […]

STEMI Imposters Webinar May 6, 2014

SAVE THE DATE Greater Hartford Mission: Lifeline Webinar STEMI Imposters Tuesday, May 06, 2014 Noon – 1 pm Presented by: Marcin Dada, MD Associate Director of the Chest Pain Center Hartford Hospital Moderator: Raffaella Coler, RN, MEd, Paramedic Director, EMS Education Hartford Hospital Please register in advance using link below: Registration Link With questions, please […]

Who Gets a Prehospital IV?

Our regional guidelines require routine ALS on many of our calls. Routine ALS is defined as IV, 02, monitor. Recently the 02 has been modified to only 02 if patient is short of breath or has a SAT >94%. Now we are looking at the IV part. Do all these patients really need prehospital IVs? […]

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Peter Canning

JEMS Talk: Google Hangout

Recent Posts
STEMI Call October 14, 2014
Ebola October 2, 2014
Breaker of Men September 25, 2014
Streamline September 21, 2014
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  • Comments
    Don
    STEMI Call
    Thank you for a good honest post. I think those classic or "typical" presentations we learn in school are the exceptions really.
    2014-10-18 17:34:21
    Ezio
    STEMI Call
    Someone has rearranged the position of the leads for a quicker reading, personally I would use that format because I read the leads in groups (II III AvF, I AvL, AvR)
    2014-10-16 05:22:59
    medicscribe
    STEMI Call
    Hi Alex, feel free to use. Peter
    2014-10-16 00:02:25
    Alex
    STEMI Call
    Fantastic case for education. Would you mind if I shared with some colleagues at med school (will give credit of course)?
    2014-10-15 23:02:25
    medicscribe
    STEMI Call
    Great, thanks, Christopher. Mystery solved. Best, Peter
    2014-10-15 02:37:40

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