All Blog Posts (683)

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…

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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…

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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…

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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…

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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…

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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…

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

Ready...set....PANIC!!!!!

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.…

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Added by Street Level Paramedic on November 5, 2014 at 8:17pm — No Comments

Red Light Camera Related Accidents

Question to EMS Personal currently working in the field: Do you feel Red Light Cameras used for the purpose of catching people breaking the law is causing an increase in traffic related accident? Just a simple question...

Added by Trisha Woody~Finley on November 4, 2014 at 3:44pm — No Comments

Snatch the Pebble From my Hand, Grasshopper: The Medic Meets the Teacher

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…

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Added by Street Level Paramedic on October 31, 2014 at 8:00pm — No Comments

Saint Lucia EMS Education Program International Accomplishment and milestone

Greetings,
Please do take the time to look up what we have been accomplishing internationally with our program at the following links:
 
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Added by Craig Herman on October 11, 2014 at 9:21am — 1 Comment

MIH and the EMS provider

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…

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Added by Alan E Perry on September 24, 2014 at 12:59pm — No Comments

Why EMS Providers Do What They Do.

http://educatedemsconsumer.blogspot.com

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…

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Added by Christopher G Graham on August 13, 2014 at 8:30pm — No Comments

Firefighter/ EMTs Daily Fitness Checkoff List

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…

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Added by Aaron Zamzow on August 4, 2014 at 11:21pm — No Comments

Funding for MIHC - 5 Points of Conventional Wisdom being Formed by Your Likely Sources of Revenue

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…

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Added by Chris Carlson, PhD on August 1, 2014 at 12:19pm — No Comments

Calls You Remember: 9 YO F Rape, Caller Refuses Additional Info

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…

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Added by Street Level Paramedic on June 19, 2014 at 8:05am — No Comments

Newbie Paragod

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…

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Added by Street Level Paramedic on June 19, 2014 at 7:30am — No Comments

HAPPY MOTHERS DAY

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

Circling the Drain

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,…

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Added by Street Level Paramedic on May 4, 2014 at 3:00am — No Comments

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