Active Shooter Survival

Nearly 20 years since Columbine I am distraught that we aren’t better prepared to survive an active shooter incident at a school. The Parkland commission released a lengthy and comprehensive report of the February...

This Rhythm is Hilarious

  Click on the image to make it larger.   Apparently, the second 12 lead was after 150 mg of amiodarone. The hilarity is the amiodarone. I received this in an email. It is reported to have been...

Starting The New Year With A Bang

We had unseasonably warm weather in the northeast on New Years Day. Since I had nothing else to do, I decided to head over to my gun club and do some shooting. I loaded up...

Fire Department EMS: Are They Becoming Antithetical Terms?

It’s no secret that I am not a fan of the fire department EMS model. I’ve written about it a number of times: Marriage Counseling Part I: The Dysfunctional Fire-EMS Relationship Marriage Counseling Part...

What Treatments May Be De-Emphasized by EM/EMS in 2019? Part I

  EM (Emergency Medicine) and EMS (Emergency Medical Services) have already started to eliminate/decrease use of a lot of our failed treatments, because people started to see through our excuses. Atropine for asystole stuck around...

The Patient With The 105 Degree Fever

Happy New Year! The very first episode of the podcast for 2019 is live. I wanted to make it quick but also wanted to get you in the right mindset for the new year....

Dysrhythmias | Cardiovascular Emergencies | EMS Study Help

What dysrhythmias will you see in cardiovascular emergencies and what can cause them? This episode of the EMS quick study help tips talks about the things that can cause irregular heart rhythms and how knowing...

Chili Exchange

We hosted a fun family gathering to eat and exchange chili. We provided chili toppings and attendees each brought a crockpot of chili, along with containers to bring home a couple of bowls. The...

The Grinch Who Stole Reality

  And the Grinch, with his Grinch-feet ice cold in the snow, stood puzzling and puzzling, how could it be so? It came without ribbons epi. It came without tags amio. It came without packages...

ECG Monitoring | Cardiovascular Emergencies | EMS Study Help Tips

ECG monitoring is a big part of being a paramedic in EMS. When we assess our cardiovascular emergency patients there are key elements you must know and understand. This helps you make appropriate treatment...