Activated Charcoal

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I must confess that in my 21 years riding ambulances, 18 as a paramedic, I have never given Activated Charcoal to a patient.

Tetracaine

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Tetracaine is a nice little drug, but it has been years since I have used a Morgan Lens. When I worked more regularly in the city and dealt with more patients who had been maced or pepper-sprayed, I had more occasion to use the Morgan Lens, although many times we just irrigated the eyes with the IV tubing, as ift takes a high-level of cooperation for a patient to accept a Morgan Lens in their eye.

Phenergan

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I rate Phenergan as 30 on my list of 32 Drugs. Once, it had a much higher rating, but with the arrival of Zofran, I have used it in the way the Baltimore Orioles used their backup shortstop when Cal Ripken was playing.

Vasopressin

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“In summary, the use of vasopressin alone or in combination with epinephrine as the first line vasopressors during resuscitation from cardiac arrest offers no benefit related to short- and long-term survival compared to the use of epinephrine alone.”

Lasix

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I know I am old and approaching the end of my life, but I was once a vibrant man who taught school for many years and often demonstrated for various causes such as civil rights and against the slaughter of baby seals. If I were able, I would make a sign and demonstrate in front of your house. I would lean against my walker and hold my sign up for passing cars and the news cameras to see. “Stop the Horror! Ban Lasix!” I know I am not the first victim. I wish to be the last.

Essential Drugs

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In coming posts that will likely stretch over several months, I will rank the drugs in my kit in terms of their essentialness (in reverse order). I will try to intersperse some basic pharmacology on the meds (which will be a good refresher for me), stories my personal experiences with them, and perhaps some research about their effectiveness and future uses.

Upstairs

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Newspapers and boxes are piled on the narrow steep steps that lead up to darkness. There is no bulb in the light fixture. The carpet is thick with dirt. An officer stands outside the bedroom. He shines a light in. Dust swirls in the light beam.

Dueling Coughs

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Each time she coughed, I responded in an eerie EMS version of “Dueling Banjos.” I’d replicate her cough and then do a variation on it that she would try to match, but then I’d out cough her again.

Bed Pan Brigade Recruit

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Writing this I realized that the arguement I often use to give a patient another dose of morphine in the parking lot is that time to the hospital doesn’t always equate to time to medical care in the hospital. Studies have shown hospitals can have a median time of 149 minutes to medication after triage. I wonder what the numbers are with regards to time to the hospital versus time to the bedpan in the hospital.

Arthur

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It seems like the first thing anyone who has read the book asks me is “How is Arthur doing?” The answer is well. I saw him in March in Atlanta. He is still living in Florida, driving his Cammaro, and enjoying retirement at his nudist campground.

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