No Easy Trail

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I walk in alone. The leaves of late fall rest brittle on the ground. I have to watch my step on the uneven terrain. Bare branches pull at my pants and workshirt.

Oxygen Heresy

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“The routine use of high-flow oxygen in uncomplicated MI may result in a greater infarct size and possibly increase the risk of mortality.”


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When we arrive at the cardiologist’s office, we are led down the hall to our patient’s room where a 12-lead machine is spitting out an ECG. I can see the ST elevation from the doorway.


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He is ghostly pale. There is vomit in the waste basket. I touch his forehead and it is as soggy as a sponge.

Ambassador of Love

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I am now a dual citizen. I am just waiting for Dixie McCall to teach me the nurses’s secret handshake and tell me at which Moose Lodge they hold their hotenannies.

No Transport

In my state, “treat and release” is not in the paramedic scope of practice. While we regularly “treat and release,” this occurs only through the refusal process, after first offering/advising transport X 3 to the patient. This morning I responded to a dispatch for “altered mental status” and on arrival, found a babbling middle-aged woman […]


I haven’t been posting as much as I would like to. That should change soon. I just finished a major class I was taking (which I will write about shortly) so I will have more free time. I also am making some changes to the blog. I have been invited to join the JEMS blog […]

Running the Streets

I finished my half marathon on Saturday, limping across the finish line in 2:34:14. Part of the run went through streets and neighborhoods in Hartford where I have responded over the years to motor vehicles, drunks, cardiacs, asthmas, shootings, diabetics and general illness. When I started as a paramedic in Hartford, I did most of […]

Flu Shots

Flu season is rapidly upon us. I woke up this morning with a slight case of the sniffles that as the day has gone on has proved to be (hopefully) somewhat of a false alarm. I am hoping to get through the week unaffected as next Saturday I hope to run* in my first half-marathon. […]

The Golden Hour

R. Adams Cowley, the founder of Maryland’s well-known Shock Trauma hospital in downtown Baltimore, famously said: “There is a golden hour between life and death. If you are critically injured you have less than 60 minutes to survive. You might not die right then; it may be three days or two weeks later — but […]

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