I went down to Baltimore, Maryland to attend the annual JEMS EMS Today Conference. This is the second time I have been, and I was very glad I went. The speakers are always absolutely first rate. It is good to surround yourself with people who are on the leading edge of EMS. I always like […]

EMS Books – Print on Demand

Every six months I get a report with the sales figures from my two books. In the last few years I have noticed a small but growing uptrend in sales. If the next report continues this trend I will be discuss with my agent the possibility of doing a third book. I actually already have […]

My Job

The Maytag Repairman Syndrome is common in EMS. You are a paramedic to save lives, but you cannot save lives if no one’s life is in jeopardy. As an EMS writer, I need interesting calls to write about, because I cannot write stories if my day is boring. One of the reasons I write about […]


When I started in EMS paramedics rarely did transfers. Out of twenty cars, maye six were medic. Sometimes only two. One of my first partners used to get very upset if we were even dispatched to an ETOH. We were to be kept back for the bad ones. Who you work with, particuarly when you […]

My Hollywood Adventure

About a month ago I come home one night and see the message light blinking on my answering machine. I hit the play button. It is a message from an assistant at a television production company in Southern California, telling me that the Executive Producer of a new TV series about paramedics has read my […]

39 Medical Diagnoses

60-year-old female (a frequent flyer know to us) with low temp this am (87.6 –Shouldn’t they have maybe taken it twice to see if that was really what they got?) and low blood sugar(given 2 mg glucagon by nursing staff at 6 AM), now this afternoon (5 PM) has high blood sugar (400) and a […]


Here’s the punchline to start: You intubate a patient who is a DNR, but not a DNI while they still have a pressure and are breathing. Then they lose pulses and BP, and they cease breathing on their own, but instead of going to asystole, they maintain a PEA in the 40’s along with a […]

A Cigarette

The mental health team meets us outside. “We should wait for the police,” the clinician says. “She’s a big woman. When we went back up there she had a knife near her that wasn’t there the first time we were up with her. She’s very anxious today. When she’s off her meds, she can be […]


I’m in the back, helping my preceptee with an IV. I repositon the catheter to get a blood flow, and then pull out the needle, occluding the vein with my left hand while I reach for the saline lock. All of a sudden we are decelerating and I start sliding to my right, and I […]


The snow is coming down in near white out conditions. At one point we lose the road the snow bank kicking up snow that completely obliterates our view through the windshield. We arrive at a townhouse apartment complex where we have been called for an unresponsive diabetic. Carrying our blue house bag, heart monitor, and […]

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