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 […]

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 […]

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