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The Home Cook vs. the Professional Chef – What EMS Can Learn from Cooking

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Before her nose turned up too far at the plate I had put in front of her, I was able to convince my daughter to try the brussels sprouts I’d roasted to go along with our dinner. Our family’s healthy eating transition has been hard on our long-suffering pre-teen, but she’s managing. More veggies and […]

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 […]

Pediatric Cardiac Complacency – A Case Study for EMS

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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 not-so-subtle ways. One of the things I’ve noticed about my own style of personal practice is that I’m very sensitive to screening for and […]

The Normal Saline Shortage and the ALS Mindset

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In case you haven’t heard, the United States is running short of slightly salty water. Specifically we’re having an unprecedented shortage of 0.9% normal saline solution, the kind that is used as the most common intravenous fluid in every form of healthcare that puts needles into people’s veins. I don’t really know the reasons why […]

EMS 2.0 – The $20 Desk Fan of Healthcare Reform

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Bear with me for a minute here folks. This is long, but important. I’d like to talk for a bit about the EMS 2.0 movement and US healthcare reform, a subject that I haven’t brought up for a while but that is still very important. EMS 2.0 hasn’t slowed down, and you may recognize a […]

An Easy Trick for Remembering the Glasgow Coma Scale

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Want to remember a quick and easy trick for remembering the Glasgow Coma Scale? My Extra Value Meal costs $4.56 – Eyes: 1-4 – Verbal 1-5 – Motor 1-6 You can always remember the top numbers of the scale by using this mnemonic, whether or not you actually remember the details of the numbers in […]

Pulmonary Embolism – An EMS Case Review

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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 BLS level ambulance responds from their designated system-status management post to the residential neighborhood where the call came from. Upon their arrival […]

The “Pre-Clear” & Other Tricks to Reduce the Perishock Pause

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Push Hard. Push Fast. Don’t Stop. By now, every single healthcare person out there should know that in order to improve a victim of cardiac arrest’s chances of meaningful survival, chest compressions are where it’s at. Blood needs to keep circulating in order to keep a person’s heart and brain alive and functioning. High quality […]

Is It Still There? Hot Topics in Adequate EMS Pain Management

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It’s a little known fact that I can speak a little Spanish. I’m not very good at it, and I have a lot of trouble conjugating verbs into the past and future tenses, but I can carry on a fairly relevant conversation with most Spanish speaking individuals when the need arises. It always throws people […]

Plastic Snake Oil – EMS Spinal Immobilization

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If you’ve ever stopped to actually think about it, you might notice that EMS is full of things we do simply because they seemed like a good idea at the time. We have providers who blast pure oxygen in the faces of patients where it will not do any good and probably causes harm, have […]

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