13. Permissive Hypotension

You slammed in two large bore IVs and had the fluid running fast and wide. Two 14’s was an A plus. A 14 and a 16 was good. Two 16’s was border line. Anything less was not worthy of the patch on your shoulder.

14. Expanded Medication Routes, Less IV Emphasis

Things are very different today in 2012. You still need to be good at IVs, but there are more drug delievery options, which is better for the paramedic and, most importantly, better for the patient.

15. Narrower Use of Narcan

When I started we used narcan for opiate overdose and coma of unknown etiology. Today we use narcan for respiratory depression or inadequate ventilation associated with opiate overdose.

Annual Cold Report

By yesterday I could barely rise from bed.

16. Increased Standing Orders

I have made my list of the 16 biggest EMS treatment changes over my twenty-year career as a paramedic I will be posting my list in reverse order over the coming weeks

Decreased

Entry Img

Lately I must confess I have been having some issues with hearing.

The Mentor (or What They Remember)

We are not three minutes into our response when we get shut down as a closer unit is now available. My partner shuts off the lights, and then turns suddenly into the Dunkin’ Doughnuts just ahead.

In Praise of Rogue Medic

This guy slays it. He takes on EMS myth and bad science always on behalf of the patient.

Epinephrine Death Watch

In a study encompassing over 400,000 out of hospital cardiac arrests in Japan from 2005-2008, researchers are declaring that epinephrine in cardiac arrest may lead to worse survival and neurological outcomes than no drug at all.

Backing In

Park the damn ambulance already!

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