Suffering in the World

We are sent to a detox center for a diabetic. We find a sixty-year old Puerto Rican with a blood sugar over 600, although he has no complaint. He has come to the center to kick his heroin habit. But first now he will have to go to the ER to get his sugar under […]

Temptation to Steal

The folks over at have posted an excerpt from my new novel, Diamond in the Rough. In the excerpt, the narrator, a young EMT, realizes how easy it would be to steal money from a deceased patient, but his conscience gets the better of him — at least for now. Temptation to Steal Check […]


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A Massachusetts firefighter this week went on a Facebook rant about heroin addicts. Massachusetts Firefighter Criticizes Narcan Use and Addicts His viewpoint, while certainly not representative of EMS, is not an isolated one. I have heard these sentiments expressed ever since I started in EMS. I have heard them from police, fire and EMS. Not […]

Opiates for Chronic Pain

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Should paramedics give opiates to patients with chronic pain? I want the answer to this question. Now, until recently I have not questioned this practice. Today, I still medicate (well, most*) patients with chronic pain of 4 or more, who do not have contraindications, and who say yes when I ask them if they want […]

If I Were Going to EMS Today 2016

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If I were going to EMS Today 2016 in Baltimore (February 25-27), I would definitely attend these sessions.* If I could clone myself I would go to every session. But until that technology is available, I have two criteria to help me decide: 1). Will the information make me a better provider when I get […]

Little Things

The other day I wrote a post called “Burnout” that was a scathing critique of the working conditions of urban EMS. I sent it to a friend to read before I posted it, and he called me up, and said “Dude, you are crispy.” I ended up not hitting Publish, even though I really wanted […]


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Here’s the prologue to my new novel, Diamond in the Rough: Prologue The woman wanted me to read her dead son’s manuscript. She found me as I played with my young daughter in a park near my home. (I had not returned her emails). The woman said her son had worked with me as an […]

Diamond in The Rough

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To my fellow EMS providers, I am pleased to announce the publication of  Diamond in the Rough An Action-Packed EMS Thriller and Black Comedy A grief stricken mother seeks a publisher for her dead son’s manuscript — the shocking tale of his wayward journey through the world of EMS. Tim Anderson is a troubled youth […]

JEMS Caption Contest

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EMS Cartoonist Paul Comb’s caption contest is live! The voting deadline is Jan.22. INFO: Vote for your favorite caption below by Friday, January 22, 2015. The winning caption will then be added to the illustration by Paul Combs. 1. If you don’t get that seat belt on, I won’t be the only airbag in your […]

EMS Memoirs/EMS Fiction

An EMS memoir can take any form, but there are usually only two. 1) The Newbie enters strange new world of EMS, struggles to prove self, and in the end makes good. 2) The Old Dinosaur looks back on his career, telling tales, etc. Sometimes the two are combined together. In the nonfiction books, the […]

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