Category: Uncategorized

The hospitals have been really overcrowded lately. I had two calls the other day that are becoming increasingly common.* The first was for a woman with a low oxygen saturation called in by the visiting nurse who was concerned the 90-year-old woman’s oxygen saturation was at 90, her heart rate 100, and her BP 180/90….

Received a fascinating comment on my 29 Ways to Lift Your Tongue post. “Check into this but from what I was just told by my mentor is that Nitro Spray doesn’t have to go under the tongue. You can just spray it like breath spray or aim for a cheek. I haven’t checked but it’s…

I think I am finally getting over my illness, although I am still dragging a bit. Since going most of the winter without being sick, this one has hit me hard. I think I may in fact have been knocked down by one bug and then been dinged by another on top of it. Here’s…

We can’t use digital cameras on the ambulance, which if you leave aside the patient’s important right to privacy, is a shame because I could really post interesting pictures about this line of work. I was thinking yesterday while trying to spray some nitro under a patient’s tongue about doing a photo montage/art exhibit called…

I had an interesting scenario this weekend that I think could be a harbinger of things to come in EMS. With the growing obesity in the population, ambulance companies have started putting bariatric ambulances on line. The ambulances come equipped with special wide load stretchers that more comfortably accommodate the larger patient. Years ago before…

I had a patient a few days ago who I found very annoying. She was a woman in her late sixties with cold and flu symptoms. What was annoying to me was she refused to speak in anything but a whisper. I can’t hear you, I would say. But she would keep whispering. I asked…

Baby Medic just posted about doing three codes in two days. He includes this snippet: Thirty-nine years old, the family said, and they thought she was alive this morning but they couldn’t be sure. Someone thought they heard her get up and make coffee. “The lady deserves a chance at that age,” the doctor said…

If you are a football fan, have you noticed lately how many more players sport dreadlocks under their helmets. You watch the player on the team you are rooting against run with the ball and you can’t help but think, someone ought to grab that guy by his hair and tackle him. That would be…

Methicillin-resistant Staphylococcus aureus (MRSA) This happens all the time. You get called to the nursing home. There is a sign on the patient door that says “Contact Precautions.” The staff tells you you have to wear a mask and a gown to enter, so you put it on. You are told the patient has MRSA…

In my post of yesterday, I wrote the following: While my preceptee prepared the tube, and our crew did CPR, as an experiment I applied a nasal capnography cannula to the patient to see how well we were ventilating with just CPR and bagging. I have heard it suggested that this is an excellent way…

At night I empty my pockets on the dresser. Once a week I clean the dresser top off. Crumpled gloves. ECG strips. Narcotics slips. Med lists scribbled on a notepad. An empty drug or saline vial. Four ECG electrodes stuck together. The call is for the man who can’t be woken up, cold to the…

I have been thinking about all this rant business, and promised some thoughts on it. I was on the phone the other day trying to get an issue resolved with a telephone person and I was frustrated and trying to get her to understand my dilemma and how it wasn’t my problem, but their problem….

Why do we rant in EMS? That’s what I want to write about. I want to write about it in a way that is not a rant, and I want to write about it in a way that will help to stop me from ranting because I don’t think it is a particularly attractive quality….

I’ve pretty much been a stickler over the years about carrying gear. You get a call — whether its chest pain, a fever, or a fall — you bring all your gear in. Monitor, house bag, 02. You never know. Many years ago, I was working with a partner named Steve. Good partner. We had…

I consider myself on the cutting edge of pain management. I have worked within the state and region to increase the amount of morphine paramedics can give patients on standing order and I am very aggressive with my use of morphine. You have pain, I want to take it away. Instead of screaming with pain,…

The call is for a possible stroke — a fifty-year old cancer patient can’t move her right side. I’m thinking it’s not a stroke. Maybe weakness, maybe a tumor. But it could be a stroke. We’ll see when we get there. The woman is lying in bed. Her eyes look up at me as I…

For years I have been on the regional medical advisory council. One of our responsibilities is to come out with the regional paramedic guidelines. It is always very exciting for me to get to use a new guideline for the first time. I think we worked on this for so long, went though many drafts…

Some towns’ police departments call us to check out prisoners’ medical complaints, typically those suffering from jailitis. The cops get annoyed when we bring the stretcher in. He’s not going to the hospital, we just want you to check him out, they say. If you want to make the cops happy, you finesse a refusal…