The only treatment for patients in cardiac arrest that is universally confirmed to be beneficial is high-quality CPR. Everything else we do for patients in cardiac arrest has controversy and doubt. Fluids? Pressors? Anti-dysrhythmics? Epinephrine? Stacked shocks? Three holes (bilateral needle decompression and pericardiocentesis for traumatic PNBs)? Everything else is grey, not black and white. High-quality CPR is what has the best chance of helping. As far as we…Continue
Added by Street Level Paramedic on November 22, 2014 at 9:20am — No Comments
One of the greatest honors I've ever received is a compliment from a man who doesn't know I ever heard it. I started as a paramedic in a different fire department, earning my chops there, before my current position. When I applied to and was offered a job in my current department, my new co-workers were still forming their opinions of me. One of them, and his wife, happened to know my previous lieutenant, and found themselves talking to him and my name came up in…Continue
Added by Street Level Paramedic on November 14, 2014 at 5:34pm — No Comments
I don't hate HIPPA, unlike some of my colleagues. True, there are some who take it to extremes. Also true, HIPPA can be a convenient means of firing someone you really don't want around but you don't have specific cause to fire them for other reasons. Sometimes, though, it's a very useful tool to help you just keep your mouth shut.
Patient story: Fat Bastard
Fat Bastard (name taken from the Austin Powers movies) was a 400+ pound jerk who required frequent…Continue
Added by Street Level Paramedic on November 6, 2014 at 9:45am — No Comments
The view from the ER is a bit different than the view from the street. I am convinced much of the conflict between paramedics and nurses originates from this fact. Social psychologists and people who like fancy phrases refer to something called "cognitive dissonance." Cognitive dissonance is the stress and internal turmoil someone feels when what they see something that conflicts with their internal values and beliefs. It creates a certain kind of blindness--an inability to see something…Continue
Added by Street Level Paramedic on November 6, 2014 at 9:06am — No Comments
Ebola. Yeah, I bet you rolled your eyes just now. I'm sick of hearing about it, too. In our midwestern state, in our upscale suburban county, the odds are....well it doesn't really matter what the odds are, does it? Our job is to be prepared.
Any time I'm thinking about preparing for the unlikely, I think about the United Airlines Flight 232 crash in Sioux City, Iowa in 1989. I went to graduate school in Des Moines in 1990 for my Master of Public Administration degree.…Continue
Added by Street Level Paramedic on November 5, 2014 at 8:17pm — No Comments
Added by Trisha Woody~Finley on November 4, 2014 at 3:44pm — No Comments
If you have a little grey in your hair, you might have understood the reference in the title of this blog post. For the rest of you, David Carradine had a career before Kill Bill, and one of my favorite televisions series was Kung Fu, which ran from 1972-1975. Carradine plays a Showlin monk, studying under a Kung Fu master, and he's told he'll be ready to leave the monestary and seek his destiny in the world when he can snatch the pebble from his master's outstretched…Continue
Added by Street Level Paramedic on October 31, 2014 at 8:00pm — No Comments
Mobile Integrated Healthcare and the EMS provider
By Alan Perry
The EMS Agenda for the Future identified the need for Emergency Medical Services (EMS) to seek a broader and more integrated role in the healthcare system. Many variations of that vision have been pursued successfully and are now known as…Continue
Added by Alan E Perry on September 24, 2014 at 12:59pm — No Comments
Added by Alan E Perry on September 5, 2014 at 6:33pm — No Comments
My new EMS Blog Site for providers, instructors, and managers.
Have you ever had a person ask you what you do, or how was your day? As much as an EMS provider would love to respond, oftentimes, we don’t. Why don’t we you ask? Because if you had, this might be what you would hear. I…
Added by Christopher G Graham on August 13, 2014 at 8:30pm — No Comments
Added by Alan E Perry on August 6, 2014 at 11:33am — No Comments
Be Physically Ready for Duty- Your Daily Fitness Checkoffs.
At the beginning of each and every shift firefighters, EMTs and medic meticulously go through and check their gear (or at least they should be) to make sure that it is ready for the challenges of the day. Our equipment must be functioning properly and our rigs must be fueled and ready to go. The question that I also want you to think about is whether or not your…
Added by Aaron Zamzow on August 4, 2014 at 11:21pm — No Comments
In the effort to redefine EMS delivery, organizations (both public and private) are rushing to hang out their shingle as ‘Community Paramedicine’ or ‘Mobile Integrated Health Care’ (MIHC) Providers.
The fact remains, that aside from a few pilot projects, there has been no compensation mechanism provided or identified for these services. One thing remains clear in the age of value driven care; there will be no compensation unless clear value can be demonstrated. So what are the…Continue
Added by Chris Carlson, PhD on August 1, 2014 at 12:19pm — No Comments
At three thirty eight in the morning I was sitting at Station Three, working on a report, when the telephone rang. I was first up for a call, which means the next time the phone rang, it was my job to answer it and respond to whatever call that might be. Oftentimes it's nothing special–a nursing home resident who was treated in an emergency room who is now being discharged and needs to be returned to the facility, for example. Other times, it's something ridiculous, like someone with a…Continue
Added by Street Level Paramedic on June 19, 2014 at 8:05am — No Comments
Para-Gods. It seems the newer and less experienced the paramedic is, the more arrogant and intolerable the tendency to be a "para-God." Example: Our paid-on-call fire department has made the transition to a paramedic level service. Numerous new people were hired to fill the roster, including "MacGuyver," the subject of this story. MacGuyver is a brand new paramedic. He's smart and has an excellent memory. He can remember what he's read, repeat anatomy, statistics, diagnoses, and…Continue
Added by Street Level Paramedic on June 19, 2014 at 7:30am — No Comments
HAPPY MOTHERS DAY TO ALL THE MOMS AND MAY YOUR DAY BE WONDERFUL AND SPEND TIME WITH YOUR FAMILY ON THIS BEAUTIFUL DAY GOD BLESS
Added by MADONNA MORRIS on May 11, 2014 at 3:43am — No Comments
An EMS instructor once told me that 90 percent of patients are going to live no matter what I do or don't do for them. Five percent are going to die no matter what I do or don't do for them. It's the other five percent that I prepare for with my training, education, and experience. You can argue about the numbers, but they seem to be in the ballpark.
Much of what we do is give rides to the hospital for people who prefer not to ask their friends or family to take them. Sure,…Continue
Added by Street Level Paramedic on May 4, 2014 at 3:00am — No Comments
Late each summer, paramedics who were trained in the same program as I are invited to meet with the next incoming class of paramedics to provide advice on how they can successfully navigate the program and achieve their goals. I always attend. It's partly paying it forward, partly dedication to my program and my instructor, and partly schadenfreude (the German term for "experiencing amusement from other people's pain").
I stand in front of the group, look at their…Continue
Added by Street Level Paramedic on April 8, 2014 at 7:30am — No Comments
Georgia Institute of EMS would like to announce its upcoming EMT and AEMT Online / Hybrid training courses. Our new offerings will begin with the EMT class starting on April 22, 2014 and our AEMT course beginning on April 29, 2014. If you would like more information regarding our EMT class, please go to our April 2014 EMT Course Announcement…Continue
Added by Thomas Kamplain on March 15, 2014 at 6:30pm — No Comments