City Life

Today, at the hospital, I put my stretcher in the back of my old suburban ambulance by mistake.

Last Supper

“He ate diner here like he does every night, steak, eggs and toast. He was his normal self, polite, small talk. He walked out to the car, and then we noticed he was still out here, so we come out to see if he was okay.”

Paramedics and The ET Tube

The days of handing a laryngyscope to a new paramedic and telling him to go out and not kill anyone need to come to an end.


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20 years ago when I was an EMT-Intermediate, we used a device called an EOA (esophageal obdurator airway). The airway was designed to occlude the esophagus, thus enabling supraglottic ventilation. The main problem with the EOA was sometimes instead of going in the esophagus, it ended up in the trachea and was not recognized. I […]

Division of Labor

If you work commercial ambulance in a high volume system, and if one of you is a paramedic and one an EMT (the standard in our system), you and your partner are going to need to work out a way of dividing up the calls.

Blogging (Repost)

Write to elevate the spirit you have seen in people you have cared for — in their worst and best moments. Use your writing to try to understand the world, not to condemn it. Share your victories, your defeats, your frustrations and your hopes. Write to show that you have walked down the EMS streets.

Splinting (Update)

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My quest to be the Architectural Digests’ Best Splint Ever Winner, as well as getting an award for Most Improved Splinter continues.

The Heart of Health Care

You have these moments in life. Sometimes you see something for the first time. Other times you are just reminded of basic truths. This was such a moment for me when you see the world very clearly.

Back In The City

I had not worked a city shift in nearly three years since I took my second job as an EMS coordinator. I forgot how much I loved it. I feel like I am back to my roots.


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Perhaps if I had done what as a new EMT so many years ago I had done, the patient would have been more comfortable. Now, I am not saying take away my morphine and Fentanyl and just give me a pile of splints and cravats, but I am saying I recognize a clear area for improvement.

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