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Fentanyl Exposure: The Toxicologist’s Take

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The American College of Medical Toxicology and the American Academy of Clinical Toxicology have issued a joint statement on Preventing Occupational Fentanyl and Fentanyl Analog Exposure to First Responders that states “the risk of clinically significant exposure to emergency responders is extremely low.” The statement addresses reports of responders suffering overdose from handling or being in proximity to […]

Guns and EMS

How committed to safety are you?

Last Supper

“He ate diner here like he does every night, steak, eggs and toast. He was his normal self, polite, small talk. He walked out to the car, and then we noticed he was still out here, so we come out to see if he was okay.”

Second District

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It is interesting seeing the streets you spent so many years working on the subject of film. Hartford is a small city, but like its sister cities New Haven and Bridgeport, it has always had one of the highest murder and poverty rates in the nation.

Clean Well-Lit Rooms

I wonder what it would be like – for each 911 call – to arrive always at a clean exam room full of soft white light where your patient has been bathed and dressed in a hospital gown and lays or sits on an exam table, awaiting you.

Called In Sick

If I feel like death, like I will never be well again, but I am well hydrated and my pulse is only 72, and my sat is 99%, and my fever barely a 100, what must it feel like to be really sick?

Medication Errors – Epinephrine

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These are not the only two times epi 1:1000 has been given IV. It is, in fact, a not uncommon error. Whether the medic is a fool or an excellent medic badly screwing up, the fact is the drug is right there in the kit waiting not just to save a life, but to take one.

STEMI Alert

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He is ghostly pale. There is vomit in the waste basket. I touch his forehead and it is as soggy as a sponge.