All Blog Posts (700)

An Argument Against Community Paramedicine

Let's see how many people I can make angry with this one...

Community paramedicine isn't paramedicine, it's social work.  It might be economically advantageous to a department because it reduces the number of repeat, unnecessary calls the department receives.  It might bring some relief to EMS workers who immediately recognize the address they were just dispatched to and who know that the person calling simply needs some attention.  But it's not paramedicine, and it's not a…


Added by Street Level Paramedic on September 27, 2015 at 9:41am — No Comments

Alright Mr. DeMille, I’m Ready For My Close-Up

From my weekly CME Blog - Medical Mondays

Are you?

Every day that we are doing our duty, whether in an ambulance, skiing or providing clinical care we are but mere moments from being broadcast to the world.

A tragic event of a few weeks ago by a deranged individual took the life of a reporter and cameraman on live TV. Beyond the tragedy of this event, he was also wearing a personal…


Added by Jay S. Van Zeeland on September 23, 2015 at 3:47am — No Comments

August JEMS Cartoon

NEW JEMS editorial cartoon for August: Change Lynching

Heaven forbid!!

Visit my cartoon gallery at:…


Added by Paul Combs on August 17, 2015 at 10:21pm — No Comments

Dad's Taxi Blog

my name is lee roberts and i live in the vancouver area of british columbia, canada. i'm employed as a primary care paramedic (bls) and am stationed in the metro vancouver post. i love my job. and i look forward to witnessing all the crazy weird and of course medical calls i see every shift. this blog is about the things i see and hear. most of it will come from the streets. some will come from co-workers. and there may be the odd story from my home life. i love tech. I love gadgets. and this… Continue

Added by Lee Roberts on August 17, 2015 at 6:00pm — No Comments

The Ghosts on the Corners

Do this job long enough, and you start to believe in ghosts.  I see them all the time.

Sitting in the front of the ambulance, returning from a call, I see the tire marks veering off the highway and ending at a tree where that girl lost control and lost her life.

I see the gas station where the car ended up after an elderly male had a stroke while driving.  The accident didn't kill him, but the stroke did.

I watch as a house drifts past my window.…


Added by Street Level Paramedic on August 16, 2015 at 10:00am — No Comments

Leadership Isn't Hard Work, It's Just Work

My first supervisory experience came in the hardware department at The Home Depot.  Oh, stop rolling your eyes.  This is back in the days when the founders, Bernie Marcus and Arthur Blank, still ran the place.  Their leadership philosophy was evident in everything that happened in that company.  Their philosophy on leadership was simple:  Take care of your people.  If you do that, your people will take care of the customers, and everything else falls into line.

That philosophy…


Added by Street Level Paramedic on August 14, 2015 at 5:53am — No Comments



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

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