Christian Schmeck

Christian Schmeck passed away a few days ago at 59. I saw his obituary posted in the EMS room at a local hospital. I suspect most of the newer EMTs who saw it didn’t know who he was.

2. AEDs

Our BLS crews didn’t have defibrillators nor did the police department who were the first responders.

3. STEMI Care

When I went to paramedic school, no one taught us about 12-leads.

Thoughts on Intranasal Narcan

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Every time I need Narcan, I am so used to giving it IM, I never remember we can now give to give it IN. But this time I do remember and quickly attach an atomizer to the end of the prefilled 2 mg syringe.


My # 4 greatest treatment change in the last twenty years is CPAP. Here is what I wrote shortly after using it the first time back in 2007: CPAP This morning we had a call for a 70 year old man with dsypnea and found him guppy-breathing with a BP of 210/100, HR – 144, […]

5. Capnography

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Before capnography, there was…

What I Carry

A reader (Lucus) queried me about what I carry on my when I am on duty:

6. Termination of Rescusitation Protocols

as the American Heart Association said in its 2005 Guidelines: “Civil rules, administrative concerns, medical insurance requirements, and even reimbursement enhancement have frequently led to requirements to transport all cardiac arrest victims to a hospital or ED. If these requirements are nonselective, they are inappropriate, futile, and ethically unacceptable.”

EMS Changes: A Personal Journey

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I will be speaking about why I got into EMS, what care was like when I started, how it has changed over the last twenty or so years, and how it has changed me. I’ll also take a stab at where it may go in the future. I hope you will join me.

Everyday EMS Athlete

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There is a profile of me over at Greg Friese’s Everyday EMS Athletes, a feature of

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