Thoughts on Ebola

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Working at the hospital and on the ambulance, it has been heavy duty Ebola lately. Memos, flyers, posters, policies, and lots of questions. I have written power points, given talks and had many conversations on Ebola. Every day I read the CDC site for updates, which are numerous. I have even, along with two of […]

Connecticut Limits Long Boards

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 […]

STEMI Call

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Years ago my favorite calls were the traumas– the shootings, stabbings, high-speed MVAs. You were on the clock and there was a task list. You had to c-spine immobilize the patient, get their vitals, put in two large bore IVs, open up the fluids wide, and do it all on the go, as well as […]

Ebola

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I first read about Ebola from the 1995 bestseller The Hot Zone by Richard Preston, which recounted how monkeys in a government lab in Reston, Virginia suddenly started dying from what turned out to be the only strain of Ebola that doesn’t affect humans. A great read and thriller that I highly recommend. Over the […]

Breaker of Men

We find our patient by the elevator doors in a public building. He is on all fours, dry heaving, and shaking. He says he is in terrible pain. Security tells us he is a visitor to this public building. They don’t know anything about him other than that he has been screaming that he is […]

Streamline

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This is the first I have written since May. I did not mean to stop writing. I had many thoughts, but just never got around to putting them down. Why no posts? A variety of reasons, primarily time. As I get older I find myself less sure of myself and my ideas. I can spout […]

Clear Some Space

“Get the board and straps!” How many cardiac arrests have you been to over the years when these words have been said in the first few minutes of arrival on scene? It is conditioned in us. I hear it from the paramedics, the EMTs, the first responders. These days, I say, “No, not just yet. […]

Patient Handover

In our region we have hotly debated the issue of EMS leaving run forms prior to leaving the hospital. We have been debating this for over twenty years. Sure, ideally you deliver the patient, you go to the EMS room, you sit down and write a detailed and thoroughly documented PCR describing everything about the […]

Medication Discrepencies

I have wanted to do EMS research for many years. At long last, my first official research project with official IRB approval was completed, and our poster below was presented at the New England Regional Society of Academic Emergency Medicine Conference last March. Mark Andreae, a third year medical student and EMT, was the key […]

Who Gets a Prehospital IV?

Our regional guidelines require routine ALS on many of our calls. Routine ALS is defined as IV, 02, monitor. Recently the 02 has been modified to only 02 if patient is short of breath or has a SAT >94%. Now we are looking at the IV part. Do all these patients really need prehospital IVs? […]

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