Connecticut to Allow BLS/First Responder IN Narcan
Yesterday the Connecticut Emergency Medical Services Medical Advisory Committee reversed its position from a year ago and voted to approve Intranasal Narcan as a sponsor hospital option for first responders and BLS services in the state. This does not mean that all first responders and BLS responders will be giving Narcan. It only means that […]
BLS Narcan
There was a recent editorial in the Hartford Courant, First Responders Could Help Cut Heroin Deaths, citing the rash of recent heroin deaths and calling for all first responders to be equipped with Narcan in order to stop the rise. Narcan is provided to first responders in some of our neighboring states, and the editorial […]
Gathering of Eagles 2014 Presentations
One of my favorite moments of the year is when the presentations given at the annual Gathering of Eagles conference are posted online. Here’s the link: Gathering of Eagles 2014 Presentations Among the topics dealt with are Ketamine, BLS Narcan, the LUCUS Device, Getting Rid of Long Back Boards, and my favorite each year, Dr. […]
Sirens
There is a new TV comedy series on the USA Network called Sirens (Produced by Dennis Leary) whose main characters are EMTs/paramedics at a private ambulance company in Chicago. According to Entertainment Weekly, Sirens is one of the “12 best new shows” on TV. At the three minute mark of the first episode the crew […]
New Hampshire Spinal Video
Hooray for New Hampshire! They have come to the forefront in recognizing that the use of a long backboard for spinal immobilization has no evidence of benefit and can instead cause harm to patients. Check out their Spinal Injury Training Video: Here is an excerpt from the new New Hampshire Spinal Trauma protocol: – Apply a cervical […]
New World Heroin
There is a heroin on the streets in the North East now that is putting many abusers into respiratory arrest and killing those who do not get medical attention. The heroin is mixed with fentanyl. It seems every several years this mixture comes out with predictable results. Twenty years ago, it was called Tango and […]
Peter Canning
Manual Versus machine Blood Pressures
I have one quibble with this article: the cited Journal of Clinical and Diagnostic Research study is being used here to claim that automated BP (NIBP) is less accurate than a manual BP, but that's not what the study shows. That's not even the study's intent. Its intent is to determine whether a specific type…
2018-12-26 20:34:43
Manual Versus machine Blood Pressures
Spot on. And I'm usually faster and/or more accurate than my Zoll monitor. BUT: For those of us who work in systems where incentives are lined up toward avoiding liability instead of providing good patient care, an automated NIBP -- no matter how inaccurate -- is the recorded "proof" of that patient's pressure and when…
2018-12-23 22:30:06
Manual Versus machine Blood Pressures
Electronic NIBP is notoriously innacurate... almost as inaccurate as human ears. For every erroneous NIBP reading I’ve seen, I’ve been given a BP of odd numbers taken off an aneroid sphygmomanometer, with even-numbered hashmarks. Or even worse, the guy who consistently gets a BP that ends in zero: 120/80, 150/90, and so on. One thing…
2018-12-23 13:51:17
Balance
Thanks for sharing what "Balance" means in your life. Happy Holidays Peter.
2018-12-18 12:56:13
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