Intranasal Medication

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One of the best innovations in EMS in recent years has been the introduction of intranasal medication through the use of an atomizer.  We currently carry three drugs that we can use intranasally.  These are Narcan, Fentanyl and Versed. After several years of experience now with all of these drugs through the intranasal route, here […]

The Jug

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There is a clear plastic jug — actually it is an empty water cooler bottle — that several times a year gets put on the table by the check-in window in operations. A handwritten note is attached asking for donations to help a fellow employee in need. A lot of money has gone into the […]

The Ideal Medic

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I have been a full-time paramedic for over twenty years and a part-time hospital EMS coordinator for over six years. Over the years my ideas of who the best paramedic is have changed markedly. I used to think the best paramedic was the one with the swagger, the one without fear, who never hesitated to […]

AHA 2015 Guidelines- Guest Post

Hi- I don’t have guest posts as a matter of course, but Andrew Randazzo,a paramedic from Knoxville, Tennesse offered to do one on the updates to the 2015 AHA guidelines, which we are all anxious to learn about, so I happily agreed. Take it away, Andrew *** Back in January, Peter highlighted some of the […]

The Butler Did It

There are any number of different ways to give a verbal handover report at the ED. All sorts of mnemonics. What form you use may depend on what your hospital expects. I try to tell a story. But I don’t tell a story in the same way I would write one. A written story takes […]

Gifts

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I just hit my 20 year mark with the company. For this, I received my choice of anniversary gift. You go to a link and they have various gifts you can get depending on which anniversary it is. 10 years ago, I got a set of Henkels knives. 5 years ago, I got a GPS […]

Practice (Revisited)

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A comment and discussion on my previous post sparked me to revisit a post I wrote 9 years ago about the issue of working a body for the practice. Practice Here’s what I wrote back then: My preceptee needs a code. He probably needs a couple. He hasn’t done one as a medic yet. He’s […]

AHA 2015 Guidelines: A Preview

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about? 1. Has epinephrine in cardiac arrest seen its last days? 2. Should paramedics continue to intubate cardiac arrest patients? 3. Will traditional CPR […]

Chemical Reactions

You’ve heard the expression – that person is “off their meds.’ It is not just used about our patients, but often about our co-workers and friends. I think back in the cave days people were either crazy or they were sane. Now it is much more complicated. Science even postulates that we may not have […]

Musings on EJs

EJs (External Jugular veins IVs) have become a lost art form around these parts. A paramedic can’t get an IV, the medic reaches right for the EZ-IO and drills a hundred dollar needle into someone’s tibia like they are drilling a screw into a wall to hang a picture. Sometimes the medic reaches right for […]

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Peter Canning

JEMS Talk: Google Hangout

Recent Posts
copy-medicscribeheader.png Intranasal Medication April 26, 2015
SW_Rectangle The Jug March 26, 2015
SW_Rectangle The Ideal Medic March 24, 2015
The Butler Did It February 19, 2015
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  • Comments
    bill
    The Ideal Medic
    very well put! aggression can be a good in moderation but over aggression can do harm. 1 year to 30 years no medic will know it all epically with our ever changing job description. thank you for your input!
    2015-04-26 11:46:50
    Ben Leighton
    Adenosine
    Hi. Im a UK Student Paramedic and I have a few questions regarding adenosine (we currently dont carry it) and I was wondering if any of you guys could e-mail me at ben-leighton@hotmail.co.uk and start some correspondance. Im aiming to set a proposal to my service in order to carry this drug and wanted some…
    2015-04-20 13:36:03
    Ihunanya udochu
    AHA 2015 Guidelines: A Preview
    Airway protection is important in a cardiac arrest patient especially endotracheal intubation unlike supraglottic airway which does not and there is risk of aspiration.A paramedic should learn how to intubate the trachea, pass an LMA and NG tube. Protecting the airway shouldn't be enough, paramedics should know how to position his hands, and also the…
    2015-04-07 15:56:27
    medicscribe
    No Chest Compressions
    You can't do CPR without chest compressions. If you don't do chest compressions it is not CPR. The patient's heart has stopped. Aside from opening their chest and doing cardiac massage, there is no way to make the heart pump without doing chest compressions. Chest compressions are by nature traumatic. Ribs are often broken by…
    2015-04-01 21:24:02
    Anonymous
    No Chest Compressions
    Actually, as a decision maker for an individual with osteoporosis I am facing this dilemma now. Guidance in our state's code suggests that I do not consent to a DNR unless there is a compelling reason - such as terminal illness. However, I am aware that manual CPR would be devastating to the body of…
    2015-04-01 20:57:01

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