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When all you have is a hammer… Every problem looks like, lasix?
A few years ago I responded to a structure fire on the main engine out of my station. The fire was at a house that had been converted to a dog kennel and grooming shop just a few blocks away from the...
View ArticleShould EMS Improvise? And the Recipe for the “Kaiser Cocktail”
Here’s the recipe for what I call the “Kaiser Cocktail”: Look in the patient’s kitchen cupboards until you find a box (or a bag) of some type of granulated sugar, powdered sugar, or brown sugar. (in a...
View ArticleWhat Difference Does EMS Make? Choose Your Own Ending
John didn’t need his alarm clock this morning. In fact, he was wide awake just a few minutes before it went off. He turned it off so as to not wake up his wife and got up quietly to start the day....
View ArticleEMS case law? AMA Refusals, Death, and Documentation
Our friend Valerie DeFrance, who runs the EMS House of Defrance from way up in the Vast Frozen Wasteland facebooked this article this morning and you need to read it....
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Pericarditis for EMS – A Short and Sweet Case Review
“Man it’s hot!” you think to yourself while cleaning the back of your rig in the hospital ambulance bay. Those glass garage doors they put on here might make the garage look pretty, but they sure heat...
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Tracking Traction – When Traction Splints Should Pull Their Weight
“What’s that mailbox say?” You ask your partner, “14338 Hansen Road? Good, we’re here. Your partner calls “on scene” to dispatch as you pull into the gravel driveway of the farmhouse you’re responding...
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Routinely Not Routine – Good EMS Makes the Difference
One of my EMS truths is that while there may be boring calls and calls that are less than exciting, there are no “routine” calls. There is no EMS patient that doesn’t deserve the absolute best that we...
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Appendicitis – An EMS Case Review
It’s a dreary, grey late fall day outside and your partner is driving your rig back from the hospital after clearing from a call. You’re feeling very comfortable in the passenger seat of your ambulance...
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Pulmonary Embolism – An EMS Case Review
Ambulance 34, Ambulance 34. 452 Smithfield Street for the 34 year old male with chest pain and difficulty breathing. Delta-Level response. Medic 72 will be your backup. Time out 14:35 Ambulance 34, a...
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Pediatric Cardiac Complacency – A Case Study for EMS
It’s interesting how personal experiences and professional biases can affect a clinician’s personal style of providing patient care. I’d wager that it happens to us all in some subtle and some...
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