Morphine and Fentanyl

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The take home message for me is when used to treat prehospital pain morphine and fentanyl are safe. Do not be afraid to treat your patients out of fear of causing adverse effects.

Codzilla (Or why I haven't been blogging lately)

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Sunday was Father’s Day. It was busy at work. I had promised myself I’d write a blog post, but I got side-tracked when I got home.

Would You Like More Pain Medicine?

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The bottom line is this physician has come up with an interesting and bias-free pain management protocol. You apply the same protocol to anyone in acute pain. Young, old, black, white, male, female, rich, poor.

Had This Call Before

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29 diagnoses including dementia, labored breathing, gurgley rhonchi throughout, Diaphoretic, temp of 104.1, Doesn’t fit on stretcher, keeps falling to the side, Yankeur suctioning thick brown sputum.


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Other morning I come in, move the gear, check the ambulance. All seems well.

The Years

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The only difference between now and my younger years is it is easier now to pick myself up when I fall. If I miss an IV or am off base in my assessment, it doesn’t crush me like it used to. Learn and move on. And when I do a really good job, well, I’ve been humbled too much to stick my chest out too far.

Medication Errors – Epinephrine

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These are not the only two times epi 1:1000 has been given IV. It is, in fact, a not uncommon error. Whether the medic is a fool or an excellent medic badly screwing up, the fact is the drug is right there in the kit waiting not just to save a life, but to take one.

Nurse Jackie

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I enjoy the show even though I ultimately dislike the lead character. Nurse Jackie is self absorbed with a dubious ethical sense, but that ethical sense aside, she knows what is going on with her patients and she knows the system. She reminds me in her actions and demeanor of nurses I have known. Tough exterior, a mean streak, but with some true Florence Nightingale thrown in.

Cold Justice

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Australian author and former paramedic Katherine Howell has written her third EMS-related crime thriller, Cold Justice. Like her first two thrillers, Frantic and the Darkest Hour, it is a great read. The books have a constant character in police detective Ella Marconi, who teams with a different paramedic in each book to solve the crime. […]

Paramedic Awareness

I recieved email this week from a Denver paramedic working to promote paramedic awareness and recruitment, asking me to post a Youtube link. On it there are a number of excellent videos.

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