The call is for a man’s defibrillator going off. When we arrive, it has gone off four times already. I put him on the monitor. “No wonder,” I say. “It looks like v-tach” to me. Then all of a sudden, he cries out as his whole body convulses in pain. (The artifact was caused by […]

Dominican Trip – Things To Do

When I started as a paramedic, my preceptor told me to be successful as a paramedic; you need a big ego to be able to do what is asked of you. You need to be able to seize control of a scene, act decisively and with faith in your every decision. You need a big […]

Medical Mission

I’m off on a Medical Mission to the Domminican Republic for eight days, so no new posts until the 28th of May.


Worn Down

At a doctor’s office, there is a man in his 80’s with a BP of 70, dizzy, not feeling well for two days. I take his pressure — 68/34. He is pale and gray and does not look well. His capnography number is in the low to mid twenties, showing poor perfusion. I do a […]


My preceptee needs a code. He probably needs a couple. He hasn’t done one as a medic yet. He’s intubated “ Fred the Head,” but mannequins just aren’t the real McCoy. While managing a cardiac arrest is about more than just intubating, a medic needs at least one intubation to get cut loose to practice […]

What I Would Want

One of the comments to a recent post was from Henrick, who wrote: “Maybe I´ve misunderstood your post ( english isn´t my first language)and so this could be a reallt stupid question… But I have to ask! Do you really schock people who are awake and talking?” The answer of course is yes, we do, […]

The Juice

My cold is still lingering, although I might say I am feeling a little better. Still after three back to back calls yesterday, I was getting tired of lugging my gear and lifting people. Everything seems heavier than it should be when you aren’t feeling 100%. I hate standing at the top of the stairs […]

"What's Going on Back There?"

“Woman not acting right according to her husband. History of lupus,” the dispatcher tells us. It is a nice house in a residential neighborhood in the north section of town. We back in the drive, and then wheel the stretcher in through the open garage door. “You don’t need that. She can walk out,” an […]


There is a message for us on the board at the office telling us to no longer park in the lot of a chain drug store when we are posted in a particular area of territory. It seems the manager complained about the presence of our ambulance in what is a fairly large parking lot. […]

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