Category Archives: Patient Management

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 […]

Some More Help on Writing EMS Narrative Reports

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Buried down deep in the 450 or some odd blog posts I have on this site, you’ll find a few that cover how to write an EMS narrative report. It’s a skill that each and every EMT and Paramedic has to practice and perfect over the course of their careers lest they find themselves without a job, […]

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 […]

Everyone Gets a Card! The Diminishing Importance of ACLS

My Boy Scout first-aid merit badge was a big achievement in my formative years. Little did I know that decades later as a professional paramedic I would get to consistently re-live the experience.

BLS vs ALS – Cold War or Misunderstanding?

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BLS vs. ALS? ALS providers behaving badly? BLS providers protecting their egos at the expense of patient care? It happens. We’re exploring it.

You BLS guys have got this, right?

You BLS guys have got this, right? There’s like, no way that you need paramedic mucking up you scene… right?

Listen for ALL of the Hoof Beats – Aphorisms and Diagnoses in EMS

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Is Occam using a razor to shave Zebras while Hickam dictates? I’m no good at titles. Anywho, here’s a case about a patient that may be more than he seems

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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.

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