I wrote Letter to a New Preceptee back in 2007. It holds true to this day. You are probably excited and apprehensive about starting your preceptorship. I know I was many years ago when it was my turn. I wondered whether I would make it – whether I was cut out for this job, whether…
Last week my partner and I were called Baby Killers on a call. We haven’t been the only crew to have names shouted at us in the last two weeks. This all stems from a news story about a delayed ambulance response — the implication being if the ambulance had arrived quickly the patient would…
An ambulance is late. Someone dies. There is public outcry. Calls for an investigation. If you want to understand how this could happen, here are some questions you will want answered. Who provides ambulance coverage in your town. It is a full-time municipal service with pensioned employees. Is it a volunteer service? Or does the…
It’s been a bad year for EMS. Between the Illinois crew charged with first degree murder for their treatment of a man in alcohol withdrawal who died of restraint asphyxia to the new story of the Shameless paramedic filmed stealing £60 from woman, 94, moments after she collapsed and DIED, it has not been a…
On March 22, 2023, the Connecticut Public Health Committee held a hearing on a series of bills it was debating. One of the bills was to create pilot overdose prevention sites in Connecticut. Two hundred and seventeen people signed up to speak that day on a variety of issues, but a good many of them…
The illicit drug supply in America today is as dangerous as it has ever been. Fentanyl, badly mixed into $4 bags, cross contaminated into cocaine or hidden in counterfeit pills, is poisoning our people, This week the Federal Food and Drug Administration (FDA) approved a Naloxone nasal spray for over-the-counter (OTC) sales. This is a tremendous step toward…
I am proud to be a paramedic. I believe paramedics save lives. If I or one of my family members were critically ill, I would want a seasoned paramedic taking care of me rather than a brand new basic EMT. When I say paramedic, i mean that in the sense of a health care provider…
“XYLAZINE, A DEADLY SKIN-ROTTING ZOMBIE DRUG, OFTEN MIXED W FENTANYL, IS ON THE DOORSTEP …ALREADY FUELING A HORRIFIC WAVE OF OVERDOSES.”” America has a history of hysteria over the drug war. From Reefer Madness to the insanity of telling people they could die from just touching fentanyl or that dealers are giving rainbow fentanyl to…
The state Office of the Medical Examiner yesterday released the final overdose deaths numbers for 2022, showing a 4.7% decrease in all overdose deaths and a 5.2% decrease in opioid deaths. This is better news than another increase but is still 5.7% above the 2020 overdose death number and 5.1% above the 2020 number for…
I went home injured a couple weeks ago. This wasn’t the first time I was injured on the job, but the first time I couldn’t finish a shift. How it happened is embarrassing. I coughed and didn’t splint myself properly. I pulled a muscle in my lower back on the left side. I couldn’t bend…
In this post, I will explain how opioids affect the brain, what steps you should take to reverse an overdose, how naloxone works and where it can be obtained, and what to do in the immediate aftermath of overdose. How Opioids Kill Opioids kill by shutting down our breathing or slowing it to a rate…
The third and deadliest wave of the opioid epidemic began in 2013 with the increasing adulteration of the heroin supply with illegally produced fentanyl. Fentanyl is a synthetic opioid manufactured in laboratories. Fentanyl was approved by the US Food and Drug Administration in 1968. It is a pain killer, with a rapid onset and a…
I recently had a patient who still had his discharge papers on him from a recent trip to the ED following an overdose. The instructions were fairly simple. Please do not use fentanyl again. If you are looking for any sponsors or help we do recommend that you purse Narcotics Anonymous. He admitted that he…
I participated in a powerful documentary about the Fentanyl epidemic in Hartford. The documentary is part of the Frontlines docuseries by Kennard Ray exploring life in Hartford. It focuses on the frontline harm reduction workers and their clients in the battle to keep people alive.
I joined Twitter a year or so ago, and while I am not crazy for the app, every now and then, there is a really good thread. Recently I found one started by HighPerformance EMS. One of the greatest privileges of this job is having conversations with your patients who have lived amazing lives. There…
Two paramedics in Illinois were charged with first degree murder of their patient, a 35-year-old man reportedly experiencing alcohol withdrawal. The paramedics did not put a Berretta to the man’s head and pull the trigger nor did they stab him repeatedly with a Bowie knife. Police body camera footage shows they were rude to him,…
The on-field cardiac arrest of 24-year-old Buffalo Bills safety Damar Hamlin on Monday Night Football captured the attention of our sports-watching nation. The TV producers were hailed for their decision not to continually reshow the clip or show closeups of the rescue on the field. I understand medical privacy rights and as a working paramedic…
I recently worked with the New England High Intensity Drug Trafficking Area (HIDTA) Health and Public Safety Analysts to put together a Naloxone training video aimed at Connecticut first responders, the type of video that can be played during roll call at the start of a shift. It was great working with the HIDTA people…
With Emergency Departments becoming increasingly crowded and extended EMS wall time becoming more common, I raise the question should EMS ever bring their equipment into the hospital to treat their patient while waiting for bed assignment and transfer of care? I am not talking about continuing treatments such as oxygen or a medication drip started…
In 1988, from my second story apartment over a liquor store on Springfield’s Main Street, I watched a paramedic and his partner attend to the chaos at the accident scene below as the red strobes of their ambulance lights illuminated the street. Then for just a moment, the paramedic, a tall roughened man in his…