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Pearl #7 Use ETCO2 to Predict Arrest Cause

If two identical twins are standing next to each other at a family reunion, and one chokes on a sandwich leading to cardiac arrest, and the second suffers a simultaneous VF arrest, and two medics arrive exactly 5 minutes later, and both patients are intubated at the same time, will their ETC02 numbers be the […]

Pearl # 6 Use ETCO2 to ensure CPR Quality

ETCO2 measures cardiac output. The better the CPR, the higher the cardiac output.  The higher the cardiac output, the higher the ETCO2. While the American Heart Association  recommends you switch compressors every two minutes during a cardiac arrest to prevent compressor fatigue.  A fatigued compressor can’t maintain consistent CPR.  The compressor tires, the cardiac output […]

Cardiac Arrest – Pearls

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Paramedics all take ACLS every two years, and we all have roughly similar protocols. We all know that the key to resuscitation is high quality CPR and early defibrillation. I love this graph I found on Rogue Medic‘s blog a number of years ago. This graph is the answer to the test. We read about the […]

Fentanyl Test Strips

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Mark Jenkins of the Greater Hartford Harm Reduction Coalition passes out fentanyl test strips as part of his mobile needle exchange. He has set up on a Sunday in the parking lot of 1200 Park, a shopping plaza/strip mall across from Pope Park where users often congregate. Once the users see him out there, word […]

Judge Rules for Safe Injection Site

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A federal judge ruled yesterday that a nonprofit group in Philadelphia’s effort to open a safe injection site where people can use drugs under medical supervision does not violate the federal crackhouse statutes prohibiting the operation of a space “for the purpose of manufacturing, distributing or using controlled substances.”  U.S. District Judge Gerald McHugh wrote: “The ultimate […]

Back on the Rise

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After a slight decline in 2018, overdose deaths are projected to hit an all-time high in Connecticut in 2019.   94% of the deaths were caused by opioids with fentanyl being the biggest culprit. For full breakdown, click here: Connecticut Accidental Drug Intoxication Deaths Office of the Chief Medical Examiner

Austin Eubanks

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I attend the Department of Public Health’s 2019 Connecticut Opioid & Prescription Drug Overdose Prevention Conference on May 2.  The featured speaker is Austin Eubanks, a survivor of the Columbine shooting. He and his best friend were golfing and fishing buddies. He shows us pictures of the two of them smiling, no idea what fates […]

Draft ILCOR Advanced Airway Recommendations: Banning Paramedic Intubation-What System will be the First?

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The Consensus on Science with Treatment Recommendations (CoSTR) from the International Liaison Committee on Resuscitation (ILCOR), the group that forms the basis for the AHA ACLS guidelines, has released a new draft guideline on Advanced Airway Management During Adult Cardiac Arrest.  The guideline is available for public comment until April 2, 2019. Advanced Airway Management […]

Our Work is Different

Mayor Bill de Blasio didn't see THIS coming. Posted by Bo Straussberg on Sunday, March 24, 2019 It speaks for itself. Please share.

EMT Administration of IM Epinephrine via Syringe

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Connecticut, following the leads of states such as New York, has just expanded the scope of practice for EMTs to include injecting medications. This means instead of carrying two $600 Epi-pens, EMTs can now draw up 0.3 mg of epi from a $5 vial and administer it to a patient suffering a severe allergic or […]

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