The old man was upstairs in the room in this farmhouse in which he was born. His granddaughter explained that he had Alzheimer’s and would not go easily. She said he had stopped eating and drinking. In the past, they had always been able to get him to eat and drink when he had been […]

New 12-Lead Blog and EMS Crime Novels

Check out this new blog about 12-Lead ECG’s. Very informative. Tom B who runs it has posted some thoughtful comments here, including ones that helped me understand MIs and bundle branches. EMS 12-Lead *** Katherine Howell, the Australian paramedic turned thriller writer, recently had her books reviewed on EMSResponder.com She also recently won the award […]

"Funky Troubling Looking" — Right Bundle Branch Block and MI

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As I mentioned in a recent post, we have a process for instituting a STEMI alert to, in consultation with an ED doctor, activate the cath lab prehospitally based on clinical assessment and a 12-Lead ECG. The coordinator at the hospital that I transport most of my patients to told me so far EMS is […]

Nursing Home Codes

I did another nursing home code this weekend. We have five nursing homes in our town. Two are very nice and are the final stop in larger retirement communities where residents start off in the own cottages or apartments, move to their own rooms and then go to skilled care before they pass on. The […]

"That Narcan Shit"

What follows first is fiction: “482. Lawrence Street. 2nd Floor, unknown on a one. PD on the way. Advise when you get there.” We were around the corner having just cleared Hartford Hospital. “Shouldn’t we wait for the cops?” I said, as Troy grabbed his house bag and monitor from the side door. “No, it’s […]

Two Jobs: Good and Bad

I’m back at work today on the ambulance after four days working the desk job, reading run forms, working on education presentations, and entering trauma data. There are good and bad things about each job. Here’s a brief run down. Desk job: The Good – I can sleep until 7 in the morning. I don’t […]

My Hall of Fame

Every now and then I marvel at how far EMS has come, I did three calls on Sunday that had they happened fifteen years ago would have gone quite differently. The first was a CHFer. Obese woman, filled up with rales, felt like she was suffocating with the nonrebreather on her. I strapped on the […]

Hip Fractures (2) and Dr. Welby

So I have been talking to many people about this hip fracture issue and it is quite a dilemma. I want to change the dispatch protocols to send ALS to fall with hip pain. They don’t have to go lights and sirens. They can go “cold,” but they should at least be on the way. […]

Hip Fractures

A hip fracture is not a prehospital emergency. Let me repeat that. A hip fracture is not a prehospital emergency. I couldn’t believe it. But there is was written in bold. Not just a stray sentence by listed as “an axiom.” A hip fracture is not a prehospital emergency. For those who know this or […]

The Company of Others

We’ve been here before to pick the woman up. 99 years old, lives in a second floor apartment, uses a walker to get around. Once she hits the deck, she lacks the strength to get up. Tiny little white lady with severe kifosis ( a hunched back). The last time we were here the fire […]

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