There are any number of different ways to give a verbal handover report at the ED. All sorts of mnemonics. What form you use may depend on what your hospital expects. I try to tell a story. But I don’t tell a story in the same way I would write one. A written story takes […]

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about? 1. Has epinephrine in cardiac arrest seen its last days? 2. Should paramedics continue to intubate cardiac arrest patients? 3. Will traditional CPR […]

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 […]

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 […]

On February 21, 2013 I wrote the post In Praise of CEMSMAC, to celebrate the courage of Connecticut’s top EMS doctors to back the draft document on spinal boards proposed by the National Association of EMS Physicians (NAEMSP), and to use that document as a guideline to developing statewide guidelines limiting the use of long […]