Author Archives: medicscribe

Connecticut Overdose Deaths 2018

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The official death numbers for 2018 are out from the Connecticut Medical Examiner’s office. Connecticut Accidental Drug Intoxication Deaths 1017 people died in Connecticut of accidental overdoses, down 21 from 2017.  This is the first decline (albeit minor) after six years of escalation. 746 people died in Connecticut due to the presence of Fentanyl, up […]

Cameras in Ambulances

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They have installed cameras in our ambulance just behind the rear view mirror. The camera records both the traffic in front of the ambulance and inside the front cab of the ambulance. It does not record the passenger compartment, and it (supposedly) is only a video recording.  Audio would be illegal in our state. The […]

Sepsis

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EMS has focused on trauma, stroke and STEMI in recent years with resulting improvements in outcomes.  Many health care systems are now turning attention to sepsis care and the considerable role EMS can play in early recognition and treatment. Here in Connecticut we have Sepsis Alerts, which while rarely generating the full response of Trauma, […]

Goals and Globetrotters

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Saturday night saw one of the pinnacle achievements of my life.  Twelve months before, while attending a Harlem Globetrotters game with my daughter, I announced that I was going to learn how to expertly spin a basketball on my finger just like the Globetrotters do.   Ever since then, I have carried a basketball in the […]

Common Cardiac Arrest Mistakes: Naloxone

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This is the third in a series of posts on common drug mistakes some EMS responders make during cardiac arrests. You find the fifty year old man supine on the floor with the fire department doing CPR. Their AED announces, “No shock advised. Continue CPR.” You set your monitor by the man’s head and connect […]

Common Cardiac Arrest Mistakes: Sodium Bicarbonate

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This is the second of three posts about common cardiac arrest drug mistakes some EMS personnel make on a routine basis. You have been working a cardiac arrest for a 54-year-old male with no prior medical history who collapsed after grabbing his chest.  You shocked him twice for fine vfib, but now he is in […]

Common Cardiac Arrest Mistakes: Amiodarone

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You and another medic are on the scene of a cardiac arrest. You find the patient in ventricular fibrillation and immediately defibrillate him into a narrow complex rhythm. You have pulses back and while you take a blood pressure – 130/84, the other medic inserts an IV. The other medic then says to you, “Pass […]

Service Dogs for First Responders

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A fellow paramedic here in Hartford, Greg Shovak runs a great educational program called EMS and PTSD – Learning from Combat Veterans to Understand PTSD.  I attended one of his sessions a few years ago and thought it was excellent.  I learned a lot of PTSD, and also had my first introduction to service dogs. […]

PTSD

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I attended a critical incident stress debriefing (CISD) a few years ago. I thought I had been invited to an informal get-together of folks from another service who I had been on a upsetting call with the day before. Had I known it was a formal CSID debrief, I wouldn’t have gone, as I had […]

Beautiful Boy: The Movie

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Beautiful Boy, a father’s story of his son’s drug addiction, is now streaming on Amazon Prime. The movie, based on the real life stories of David and Nic Sheff, a father who witnesses his son’s addiction to methamphetamine and heroin, is forced to make artistic plot choices. I wondered how the movie director was going […]

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