Category Archives:

Worn Down

At a doctor’s office, there is a man in his 80’s with a BP of 70, dizzy, not feeling well for two days. I take his pressure — 68/34. He is pale and gray and does not look well. His capnography number is in the low to mid twenties, showing poor perfusion. I do a […]


My preceptee needs a code. He probably needs a couple. He hasn’t done one as a medic yet. He’s intubated “ Fred the Head,” but mannequins just aren’t the real McCoy. While managing a cardiac arrest is about more than just intubating, a medic needs at least one intubation to get cut loose to practice […]

What I Would Want

One of the comments to a recent post was from Henrick, who wrote: “Maybe I´ve misunderstood your post ( english isn´t my first language)and so this could be a reallt stupid question… But I have to ask! Do you really schock people who are awake and talking?” The answer of course is yes, we do, […]

The Juice

My cold is still lingering, although I might say I am feeling a little better. Still after three back to back calls yesterday, I was getting tired of lugging my gear and lifting people. Everything seems heavier than it should be when you aren’t feeling 100%. I hate standing at the top of the stairs […]

"What's Going on Back There?"

“Woman not acting right according to her husband. History of lupus,” the dispatcher tells us. It is a nice house in a residential neighborhood in the north section of town. We back in the drive, and then wheel the stretcher in through the open garage door. “You don’t need that. She can walk out,” an […]


There is a message for us on the board at the office telling us to no longer park in the lot of a chain drug store when we are posted in a particular area of territory. It seems the manager complained about the presence of our ambulance in what is a fairly large parking lot. […]


I went down to Baltimore, Maryland to attend the annual JEMS EMS Today Conference. This is the second time I have been, and I was very glad I went. The speakers are always absolutely first rate. It is good to surround yourself with people who are on the leading edge of EMS. I always like […]

EMS Books – Print on Demand

Every six months I get a report with the sales figures from my two books. In the last few years I have noticed a small but growing uptrend in sales. If the next report continues this trend I will be discuss with my agent the possibility of doing a third book. I actually already have […]

My Job

The Maytag Repairman Syndrome is common in EMS. You are a paramedic to save lives, but you cannot save lives if no one’s life is in jeopardy. As an EMS writer, I need interesting calls to write about, because I cannot write stories if my day is boring. One of the reasons I write about […]


When I started in EMS paramedics rarely did transfers. Out of twenty cars, maye six were medic. Sometimes only two. One of my first partners used to get very upset if we were even dispatched to an ETOH. We were to be kept back for the bad ones. Who you work with, particuarly when you […]

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