The Ideal Medic

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I have been a full-time paramedic for over twenty years and a part-time hospital EMS coordinator for over six years. Over the years my ideas of who the best paramedic is have changed markedly. I used to think the best paramedic was the one with the swagger, the one without fear, who never hesitated to […]

AHA 2015 Guidelines- Guest Post

Hi- I don’t have guest posts as a matter of course, but Andrew Randazzo,a paramedic from Knoxville, Tennesse offered to do one on the updates to the 2015 AHA guidelines, which we are all anxious to learn about, so I happily agreed. Take it away, Andrew *** Back in January, Peter highlighted some of the […]

The Butler Did It

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 […]

Gifts

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I just hit my 20 year mark with the company. For this, I received my choice of anniversary gift. You go to a link and they have various gifts you can get depending on which anniversary it is. 10 years ago, I got a set of Henkels knives. 5 years ago, I got a GPS […]

Practice (Revisited)

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A comment and discussion on my previous post sparked me to revisit a post I wrote 9 years ago about the issue of working a body for the practice. Practice Here’s what I wrote back then: My preceptee needs a code. He probably needs a couple. He hasn’t done one as a medic yet. He’s […]

AHA 2015 Guidelines: A Preview

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 […]

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. […]

Lights and Sirens

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This past week I had the pleasure of reading an advance copy of a new paramedic memoir. Kevin Grange’s Lights and Sirens is an authentic, compelling narrative of Grange’s journey through UCLA paramedic school and field internship on Los Angeles’s dangerous streets as he trains to save the lives of victims of heart attack, stroke […]

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