Author Archives: medicscribe

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? […]

Whup Kits and Chihuahuas

Many of us in EMS love gadgets I remember when I started another EMT sold me a “whup kit,” which was a holster that attached to my belt to hold my tools. I didn’t get a big one, just a modest sized one. It held a pen light, trauma shears, bandage scissors, tweezers, and a […]

Connecticut to Allow BLS/First Responder IN Narcan

Yesterday the Connecticut Emergency Medical Services Medical Advisory Committee reversed its position from a year ago and voted to approve Intranasal Narcan as a sponsor hospital option for first responders and BLS services in the state. This does not mean that all first responders and BLS responders will be giving Narcan. It only means that […]

BLS Narcan

There was a recent editorial in the Hartford Courant, First Responders Could Help Cut Heroin Deaths, citing the rash of recent heroin deaths and calling for all first responders to be equipped with Narcan in order to stop the rise. Narcan is provided to first responders in some of our neighboring states, and the editorial […]

Gathering of Eagles 2014 Presentations

One of my favorite moments of the year is when the presentations given at the annual Gathering of Eagles conference are posted online. Here’s the link: Gathering of Eagles 2014 Presentations Among the topics dealt with are Ketamine, BLS Narcan, the LUCUS Device, Getting Rid of Long Back Boards, and my favorite each year, Dr. […]

Sirens

There is a new TV comedy series on the USA Network called Sirens (Produced by Dennis Leary) whose main characters are EMTs/paramedics at a private ambulance company in Chicago. According to Entertainment Weekly, Sirens is one of the “12 best new shows” on TV. At the three minute mark of the first episode the crew […]

New Hampshire Spinal Video

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Hooray for New Hampshire! They have come to the forefront in recognizing that the use of a long backboard for spinal immobilization has no evidence of benefit and can instead cause harm to patients. Check out their Spinal Injury Training Video: Here is an excerpt from the new New Hampshire Spinal Trauma protocol: • Apply […]

New World Heroin

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There is a heroin on the streets in the North East now that is putting many abusers into respiratory arrest and killing those who do not get medical attention.  The heroin is mixed with fentanyl.  It seems every several years this mixture comes out with predictable results.  Twenty years ago, it was called “Tango and […]

Final Exam

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You should never have been precepting. You did not have enough street experience, not to mention you were not even old enough to buy a drink when you started.

Flight of McFerrin

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Unnecessary stress is bad.

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Peter Canning

Now Available: Mortal Men

Mortal Men is available as an electronic book for Kindle, Nook or any other e-reader. Here is a link to some of the places to buy it. The book sells for $3.99. Barnes and Noble Amazon Smashwords Scribd Also Available from iBooks

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