Opioid deaths are generally classified as accidental overdoses. In 2017 Massachusetts began reporting opioid deaths as “All Intents” where they previously reported them as “Unintentional/Undetermined.” They point out that adding suicide deaths only marginally adds to the count. By their statistics only 2 percent of the total opioid deaths were confirmed as suicides. Massachusetts Opioid […]

I recently participated in a project to describe the daily routine of an EMT to help people considering a career in EMS.  The final product was published this week on the website below. INSIDE LOOK AT LIFE AS AN EMT Here is an excerpt: 5:30 AM: I punch in and checkout my equipment, my house bag […]

Overdose deaths are declining in some states, and they appear to be plateauing in Connecticut. Overdose Deaths Fall in 14 States In data released by the CDC, covering the time period July 2016-June 2017, 14 states showed a decline in overdose deaths, while nationwide deaths rose 14 percent. The data showed an 15.9% increase in […]

She curls on the couch sobbing. She found her son not breathing when she came home from her midnight shift. He is on the floor now.  The fire department first responders do compressions on his bare chest. The man is lean and muscled with jailhouse tattoos on his arms, chest, and neck. It isn’t a […]

  I first picked Veronica up on Hungerford Street one afternoon two years ago. We had been called for an unresponsive, but instead, we found a small woman with a club foot staggering along the street.  She was half on the nod and covered with leaves. I asked her if she was okay, as we […]

On a private employees’ group Facebook page, an EMT posts a video of a man standing on a street corner, clearly on the nod, asleep on his feet. Another man sneaks up on the nodding man.  He reaches back and then slaps the heroin user hard across the face with an open fist. The victim […]

An older man with a cell phone meets us at the door to the apartment lobby. His hands shake. He motions for us to follow toward the stairs. “What’s going on?” I ask. “I just went out for ten minutes and I came back and found him.” “Is he breathing?” I ask. But he does […]

You are called for a seizure in the men’s room at McDonald’s. You arrive to find an approximately thirty-year old man stiff and purple, gurgling. “Versed?” Your paramedic student says as you break out an ambu-bag. “Check his pupils.” “Pinpoint.” You hand him Naloxone. “Give him 1.2 IM,” you say. He looks at you like […]

  Case # 1 You find the fifty year old man supine on the floor with the fire department doing CPR. Their AED announces, “No shock advised. Continue CPR.” You set your monitor by the man’s head and connect the fire department’s pads to your monitor, while your paramedic student quickly places an IO in […]

You find the patient – a young man – in respiratory arrest in a Honda with tinted windows behind a service station.  His head is back, his mouth is open, and he is deeply cyanotic.  His skin is warm and despite having no respirations, he has a pounding carotid pulse.  On the floor board you […]