Category Archives:

Chemical Reactions

You’ve heard the expression – that person is “off their meds.’ It is not just used about our patients, but often about our co-workers and friends. I think back in the cave days people were either crazy or they were sane. Now it is much more complicated. Science even postulates that we may not have […]

Musings on EJs

EJs (External Jugular veins IVs) have become a lost art form around these parts. A paramedic can’t get an IV, the medic reaches right for the EZ-IO and drills a hundred dollar needle into someone’s tibia like they are drilling a screw into a wall to hang a picture. Sometimes the medic reaches right for […]

Vision

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When I was 12 years old, I was a good baseball player. I loved the game and had great hand-eye coordination. I was a contact hitter and a slick fielder. In the regional Little League tournament, I made a diving backhanded catch of a line drive at 3rd base that people talked about for years. […]

Thoughts on Ebola

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Working at the hospital and on the ambulance, it has been heavy duty Ebola lately. Memos, flyers, posters, policies, and lots of questions. I have written power points, given talks and had many conversations on Ebola. Every day I read the CDC site for updates, which are numerous. I have even, along with two of […]

STEMI Call

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Years ago my favorite calls were the traumas– the shootings, stabbings, high-speed MVAs. You were on the clock and there was a task list. You had to c-spine immobilize the patient, get their vitals, put in two large bore IVs, open up the fluids wide, and do it all on the go, as well as […]

Ebola

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I first read about Ebola from the 1995 bestseller The Hot Zone by Richard Preston, which recounted how monkeys in a government lab in Reston, Virginia suddenly started dying from what turned out to be the only strain of Ebola that doesn’t affect humans. A great read and thriller that I highly recommend. Over the […]

Breaker of Men

We find our patient by the elevator doors in a public building. He is on all fours, dry heaving, and shaking. He says he is in terrible pain. Security tells us he is a visitor to this public building. They don’t know anything about him other than that he has been screaming that he is […]

Streamline

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This is the first I have written since May. I did not mean to stop writing. I had many thoughts, but just never got around to putting them down. Why no posts? A variety of reasons, primarily time. As I get older I find myself less sure of myself and my ideas. I can spout […]

Clear Some Space

“Get the board and straps!” How many cardiac arrests have you been to over the years when these words have been said in the first few minutes of arrival on scene? It is conditioned in us. I hear it from the paramedics, the EMTs, the first responders. These days, I say, “No, not just yet. […]

Medication Discrepencies

I have wanted to do EMS research for many years. At long last, my first official research project with official IRB approval was completed, and our poster below was presented at the New England Regional Society of Academic Emergency Medicine Conference last March. Mark Andreae, a third year medical student and EMT, was the key […]

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