All Blog Posts (694)



Added by MADONNA MORRIS on July 14, 2015 at 12:20am — No Comments

Professionalism and EMS

If you're like me, you probably have a number of news feeds related to EMS, emergency response, firefighting--all bookmarked in your browser and "liked" on Facebook.  You've read the articles about the EMTs and paramedics who have done great things, and others who have done horrible things.  You've read about the major incidents, rollovers, hazmat responses, and dash cam videos of crazy emergency driving and other "caught on cam" events.

But have you really read the comments…


Added by Street Level Paramedic on May 25, 2015 at 12:41am — No Comments

Honoring EMS Week and Memorializing Our “Ambulance Drivers”


Added by Andy Marsh on May 19, 2015 at 1:20am — No Comments

Have You Ever Regretted Calling Aero-medical?

Have you ever regretted calling aero-medical? I have. The death this week of yet another flight crew member leads me to continue to re-evaluate my use of aero medical. I find myself moving toward the end of the spectrum that calling the helicopter based entirely on mechanism of injury doesn't cut it any more (I'm not talking about getting them in the air--just in case--AS YOU RESPOND to a scene, I'm talking about having them CONTINUE in when you've arrived and done your preliminary…


Added by Street Level Paramedic on April 29, 2015 at 10:00am — No Comments

Job Opening: Operations Supervisor, Dominican Republic

The successful candidate will have a unique opportunity to mentor and develop members of a pioneering EMS system funded through grants from reputable international technology companies, including Google.

Strong Spanish language skills and 6 months required. Adventure guaranteed.

Learn more and apply today…


Added by Trek Medics Intl on April 16, 2015 at 4:30pm — No Comments

Note to Farkles

Note to farkles: I owned a scanner long before I became a paramedic. I listened to the police and fire departments do their work, and I enjoyed having a first-person sense of what was happening in the community. I learned a lot about law enforcement and emergency services, and I considered myself a supporter of all emergency services.

I also knew where the line is. I never put flashing lights in my personal vehicle. I didn't wear uniform-like apparel in the hopes that people would…


Added by Street Level Paramedic on March 26, 2015 at 3:09pm — No Comments

Would You Like Fries With That Shootout? The Calls We Just Can't Forget

     It was 8:45 on a Friday night and the best eateries in San Diego were entertaining lively crowds by churning out food by the ton. One of the liveliest, most expensive steak houses around was a place called the Oak Creek Cattle Company, nestled in a nook of woods out on Sweetwater Road. The array of fine sports cars in the parking lot was mute testimony that plenty of folks were willing to spend…


Added by K Patrick McDonald on March 4, 2015 at 1:30pm — No Comments

Changing New Jersey Protocols

I am interested in sending a change to our state protocols here in New Jersey.

I would like to see BLS providers be able to check and monitior blood glucose levels.  

I have been doing some research on this topic and I have seem to hit a brick wall, there does not seem to be alot of information out in cyber world on this topic.  

So I would like to…


Added by Fred I Ostry on March 4, 2015 at 10:36am — No Comments

The Pedigree of a Paramedic Heretic: Immutable Laws & Ethical Illusions

      I wasn’t always a heretic, of course. In my salad days I was as blissfully ignorant as interns tend to be, cheerfully willing to chomp onto the shiny, enticing fishhook called ‘rescue’ with no fear of consequence. Newbie’s to most professions are sodden with more limerence than common sense, and those of us who fairly leap into the quicksand of the emergency disciplines can be as…


Added by K Patrick McDonald on February 19, 2015 at 5:30pm — No Comments

I'm Not Dead Yet.. You'll be Stone Dead in a Minute

Contrary to popular belief, I’m not dead. It was apparently very close, as there was a long discussion about what to do with my organs. I’m going to tell my story as accurately as I can. There are large gaps in my memory, so I will indicate what I have been told for events I don’t remember.

First, I could have sworn that I went to hospital on 12/22/14 but apparently it was 12/26/14. I didn’t feel well for about 2 days prior. You know how you feel when you are getting a cold, you just…


Added by Brendan Oliver on February 12, 2015 at 5:59pm — No Comments

Private EMS Masochists: Thank You Sir, May I Have Another?

Like so many others, my first EMS experience was in private EMS.  I began my career at a large--very large--private ambulance company that provides interfacility transports, private EMS, and 911 response for a large midwestern, city. The city in which I worked is poverty-stricken and segregated. I travelled from my nice suburban home to the city, spend 24 hours responding to calls, then leave for the safety and green lawns of the outskirts.

Private EMS is a unique amalgam of low…


Added by Street Level Paramedic on January 14, 2015 at 7:35am — No Comments

Comments on Basic vs. Advanced Life Support Outcomes After Out-of-Hospital Cardiac Arrest Article

I originally began this blog post with an explanation of my education and training with regard to research.  It began to sound like a rooster crowing, so I moved it to the end in favor of beginning with the most important part of my message.

And here it is:

If good science isn't used in conducting research, the results are meaningless.

There is a corollary to this rule:

Conclusions aren't more…


Added by Street Level Paramedic on December 4, 2014 at 10:39pm — No Comments

Tired of the same street corners every day? How about a few shifts in the Caribbean? We buy, you fly!

 That's right! You heard it correct - We buy, you fly!

We're super excited to let everyone on JEMS Connect know that Trek Medics now has new volunteer positions open for field programs in…

Added by Trek Medics Intl on December 3, 2014 at 8:30pm — No Comments

Is diversity a good thing in public safety? Alan Perry December 2, 2014   Diversity is defined as “The fact or quality of being diverse; difference; a point or respect in which things differ; variety…

Is diversity a good thing in public safety?

Alan Perry

December 2, 2014


Diversity is defined as “The fact or quality of being diverse; difference; a point or respect in which things differ; variety or multiformity” according to The American…


Added by Alan E Perry on December 2, 2014 at 10:23am — No Comments

The Heart Attack That Made Me a Paramedic

Thanksgiving 2014 passed uneventfully (well, there was a house fire last night and the usual rush of medical calls, but basically uneventful).  I can't say the same for Thanksgiving 2007, the day I went into cardiac arrest twice.

Thanksgiving 2007 was a day that began quietly. No work needed to be done. Nothing was on the schedule except the Green Bay Packer's football game and a ridiculously large meal surrounded by my family in Madison, Wisconsin.  I missed both the game and…


Added by Street Level Paramedic on November 28, 2014 at 1:58pm — No Comments

Thankful this week and always

This time last week I realized how lucky we were that two providers were not seriously injured or killed in an accident.  On Monday the 17th our service sustained an accident involving a unit on a call.  We were responding to a possible injury accident in the early morning on a snow covered interstate.  The call no administrator or supervisor ever wants is that you have a crash involving personnel.  I was notified that we rolled a unit three times and that the crew was…


Added by Dave Sloane on November 25, 2014 at 8:43am — No Comments

Dead People Don't Need Rides to the Hospital

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…


Added by Street Level Paramedic on November 22, 2014 at 9:20am — No Comments

Quality Assurance and the Freedom to Suck

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…


Added by Street Level Paramedic on November 14, 2014 at 5:34pm — No Comments

HIPPA Can Be Your Friend: Sometimes I Just Don't Want to Share

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…


Added by Street Level Paramedic on November 6, 2014 at 9:45am — No Comments

The View From the Street is Different

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…


Added by Street Level Paramedic on November 6, 2014 at 9:06am — No Comments

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