EMS Use of the PERC Rule for Pulmonary Embolism

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Your patient, a 54 year-old Female, looks at you with a subtle yet perceptible look of panic in her eyes and winces slightly with every breath. You arrived with your Engine company a few minutes ago and are riding the EMT spot today. The Medic unit is inbound, but is coming from across town and […]

Merry Christmas 2014

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Merry Christmas Everyone. If you’re one of my readers, you’re probably not offended that I said that. Regardless, I wish the happiest holiday of your choice to you and yours should you not celebrate as I do. We’re a mixed-faith household and Hanukah is celebrated here as well. So is Festivus, even though my wife […]

Why do Ambulances Carry Epi-Pens?

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Why do ambulances carry Epi-Pens? You may be asking yourself why I might ask that question. After all, Epinephrine is the first-line medication used for the treatment of anaphylaxis as recommended by scores of organizations and people who know what they’re talking about. It is the definitive treatment for any severe allergic reaction or case […]

Five Thing Friday – #2

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Howdy Folks! Welcome to the second edition of Five Thing Friday, the edition that goes to prove that I can actually follow through with something for more than one week! I’m surprised too. As you may have known from last week’s edition, Five Thing Friday, or “5TF” for the cool kids, is five articles that […]

I Got Attacked – A Paramedic Speaks About Public Trust

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I received a letter from a paramedic who wishes to remain anonymous for reasons of keeping his or her employment status. They also want to speak freely because what he/she says in the letter may unfortunately be controversial in the current political and media climate. I’m going to post the letter mostly using that person’s […]

Five Thing Friday – #1

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Hello! Welcome to my new (hopefully) regularly-recurrent feature I’m calling “Five Thing Friday” or “5TF” for the cool kids. (Hopefully) Every Friday I’ll be posting 5 interesting articles, videos, or other “things” that I think are cool, interesting, or just plain good for y’all to see. You may read them at your leisure. Here’s hoping […]

The Lore of the Drawer and the Door Frame

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I am pleased to announce that the other day when I came home from my ambulance shift I actually performed an act of home improvement. That’s right, I came home from work, saw a chronic problem that had been in need of repair for quite some time, and fixed it. I fixed it good too, […]

Welcome to the Club

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Welcome. You might be wondering why you’re here, who I am, and how long you’ll be here. In fact, I’m sure you have many questions. Some of them I can answer, some of them I can’t, and some of them are questions we both have. I do know that we’ll most probably be together for […]

So You Think You Can EKG?

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I have a love/hate relationship with our friend the 12-lead EKG. I tend to obtain a lot of them in the course of my field care, and I’m a regular reader/lurker over at the Prehospital 12-lead EKG blog that our friends Chris and Tom et al write in their spare time. I love them because […]

Have a Stryker Power Cot? Check the Hydraulic Lines

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If I had to pick the one single invention that has had the most impact on my professional practice of EMS, it would be the Stryker Power Cot. Sure, there are some awesome changes that have been made to the profession in the years that I’ve been applying bandages to accident victims, but those things […]

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Chris Kaiser aka "Ckemtp"

I am a paramedic trying to advance the idea that the Emergency Medical Services can be made into the profession that we all want it, need it, and know it deserves to be.

JEMS Talk: Google Hangout

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  • Comments
    John E. Roughton
    Patient Friendly Jokes
    that might be the dumbest thing i've ever heard.
    2015-01-13 13:32:00
    Braden Peters
    Why do Ambulances Carry Epi-Pens?
    The filter needles is not even necessary. You can draw up the epinephrine from an ampule and give it using the same needle. This is routine practice in most of the world, including Canadian EMS. Unfortunately, the EMR (EMT-B) level here also does not have epi, or if they do, it is in an autoinjector.…
    2015-01-09 22:13:00
    Braden Peters
    EMS Use of the PERC Rule for Pulmonary Embolism
    Great Article. I learned somthing new. One thought: "The PERC rule states that if any of those questions are a “YES PE cannot be ruled out” A better way to phrase that as used on the LIFTL post you reference would be "the answer to ALL of the questions must be NO..." and then slightly…
    2015-01-09 19:44:00
    Brooks Walsh
    EMS Use of the PERC Rule for Pulmonary Embolism
    Great review of the PERC score - EMS needs to know about simple, important tools such as this. One important point though - the PERC score only applies when you have a LOW suspicion of PE. It isn't valid if you have a significant concern for PE. As the author of the test has said,…
    2015-01-09 09:55:00
    EMS Use of the PERC Rule for Pulmonary Embolism | Life Under the Lights
    Call PAPPA for Chest Pain – A helpful Mnemonic for Paramedics and EMTs
    […] before any intervention, to check for and consider your differential diagnoses, and remember to “Call PAPPA for Chest Pain” to help remember the most severe and life threatening causes. However, since many of the causes of […]
    2015-01-09 07:00:53

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