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Bart Simpson Does Heroin

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Bart Simpson is in his parent’s Subaru parked to the side of a gas station in Hartford, Ct near the highway ramps.  The car is running, in drive, his foot is on the brake.  He is slumped forward against the wheel.  This has aroused the attention of passerbys who have called 911.  An ambulance arrives […]

The Opiate Refusal

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The Opiate Refusal Called for ETOH.  On arrival found 28 year old male slumped on park bench, GCS-3, respiratory rate -4, cyanotic around lips.  Does not respond to stimulation.  Given 2 mg Narcan IN by FD just prior to our arrival, ventilated with ambu-bag using two person method.  Initial ETCO2-94.  Sinus at 88.  BP 130/70.  […]

Murals of Hartford

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I have been writing much lately about sorrow and despair in Hartford, so I thought I would take a break, and lifting my eyes up from the heroin bags on the ground, look at some of the beauty of Hartford as seen on the city’s murals.

Election Day

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A 10-year-old girl was shot in the face in Hartford yesterday. She wasn’t walking down the street or riding a school bus, she was in her own home when the bullets raked through the front door. She doesn’t live on a busy street like Park Street or Albany Avenue where criminal activity can be going […]

The Wolf and the Sheepdog

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In the Looney tunes cartoon, Ralf E. Wolf and Sam the Sheepdog go to work each morning, exchanging greetings while punching the clock. “Morning, Ralph,” the dog says. “Morning, Sam,” the wolf replies. Then it is down to business. The wolf spends his hours trying to steal the sheep and the sheepdog spends his hours […]


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It hasn’t come to Hartford yet, but EMS in states such as Michigan, Ohio, West Virginia and Florida have encountered patients who have overdosed on heroin laced with Carfentanil, an opiate of the synthetic fentanyl family that is 10,000 times stronger than morphine and usually used to tranquilize elephants.  Carfentanil is basically a chemical weapon […]

Election Forecast

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The early returns are in. Heroin addicts in the greater Hartford area have cast two votes for Donald Trump (Using empty heroin bags I found in an area commuter lot as a proxy). Questions.  Did the dealer stamp half his bags with Donald Trump and the other half with Hillary Clinton in order to provide […]

Got Narcan AP

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Last year we heard about a CPR app that alerted people who knew CPR to nearby cardiac arrests so they could race to the scene and perform bystander CPR, potentially saving precious minutes that could mean the difference between life and death, or between anoxic brain injury and the life of a taxpayer. This week […]

BLS Skill Creep

When an ambulance shows up at your house or an EMS scene, they ought to be able to take care of the most common complaints like pain, nausea, and difficulty breathing, to go along obviously with vfib arrest and anaphylaxis. I want the first ambulance to be able to take care of the problem, not […]

Bad Behavior

Years ago I worked for a United States Senator.  One of my early jobs for him was driving him around the state to campaign functions and speeches.  Every now and then someone would give him a hard time about all the rotten people in Washington.  He had a great answer.  He said we were a […]

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