Featured Blog Posts (250)

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

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

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

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

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

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

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


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.…


Added by Street Level Paramedic on November 5, 2014 at 8:17pm — 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…


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

Saint Lucia EMS Education Program International Accomplishment and milestone

Please do take the time to look up what we have been accomplishing internationally with our program at the following links:

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…


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

Why EMS Providers Do What They Do.


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

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