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