Archive for May2016
Tell Me Exactly What Happened
I just finished reading an interesting book, Tell Me Exactly What Happened, which will be published in September by the Minnesota Historical Press. It is the second book by Caroline Burau, a former 911 call taker/dispatcher from Minnesota. It was not what I expected. When I was in EMT school, I read every book I […]
BLS Fentanyl
A new article* published in Prehospital Emergency Care  (on-line April 8, 2016), concludes that Basic EMTs can safely give subcutaneous Fentanyl for acute pain in the prehospital setting. *Subcutaneous Fentanyl: A Novel Approach for Pain Management in a Rural and Suburban Prehospital Setting BLS EMTs in Canada received a four hour training course, and then […]
Peter Canning
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Missing November 9, 2019
Pearl #10 Involve the Family October 28, 2019
Pearl #9 Don’t Be Prisoner to the Clock October 27, 2019
Pearl #7 Use ETCO2 to Predict Arrest Cause October 25, 2019
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David Bowden
Pearl #9 Don’t Be Prisoner to the Clock
I had a ROSC pt who was coded for 4 hours. When I walked in, he was looking at me and trying to talk with a tube in his mouth. Granted, he coded in a PCI capable facility. My GF worked with a woman who was coded for an hour and, while she won't go…
2019-11-05 15:07:23
Pearl #9 Don’t Be Prisoner to the Clock
I had a ROSC pt who was coded for 4 hours. When I walked in, he was looking at me and trying to talk with a tube in his mouth. Granted, he coded in a PCI capable facility. My GF worked with a woman who was coded for an hour and, while she won't go…
2019-11-05 15:07:23
David Bowden
Atropine
People have widely varying tolerances for Atropine. While there are no absolute contraindications in OPP, 10-20 mg may very well kill someone. 1-2mg, while not likely to be effective on true organophosphate poisoning, is a much better dose to repeat until symptoms resolve, than to jump to 20 mg. I could "maybe" get on board…
2019-11-05 14:59:26
Atropine
People have widely varying tolerances for Atropine. While there are no absolute contraindications in OPP, 10-20 mg may very well kill someone. 1-2mg, while not likely to be effective on true organophosphate poisoning, is a much better dose to repeat until symptoms resolve, than to jump to 20 mg. I could "maybe" get on board…
2019-11-05 14:59:26
Trish B
Pearl #10 Involve the Family
Having been in this situation I appreciated the EMS members allowing me to stay in the bedroom with my father. Thank you for posting this.
2019-10-31 03:15:05
Pearl #10 Involve the Family
Having been in this situation I appreciated the EMS members allowing me to stay in the bedroom with my father. Thank you for posting this.
2019-10-31 03:15:05
Evan Monaghan
More BLS Medications
Benjamin, why are you a butthurt paramedic? You should be happy that patients will receive better care when emts can do more. Before giving glucagon you will be checking a blood sugar smh.
2019-08-10 15:11:34
More BLS Medications
Benjamin, why are you a butthurt paramedic? You should be happy that patients will receive better care when emts can do more. Before giving glucagon you will be checking a blood sugar smh.
2019-08-10 15:11:34
Ambulance Driver
Draft ILCOR Advanced Airway Recommendations: Banning Paramedic Intubation-What System will be the First?
Well, Volusia County in Florida did that over 10 years ago, specifically because of their dismal first pass intubation success rates. Caveat: It applied only to their ALS first response medics, not their ALS transport medics.
2019-03-30 14:36:36
Draft ILCOR Advanced Airway Recommendations: Banning Paramedic Intubation-What System will be the First?
Well, Volusia County in Florida did that over 10 years ago, specifically because of their dismal first pass intubation success rates. Caveat: It applied only to their ALS first response medics, not their ALS transport medics.
2019-03-30 14:36:36
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