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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…

It was twenty minutes before my crew change when the tones went off. A fall at a local restaurant. I shook my head. I had dinner out plans for the evening that were going to get shot to hell now. Outside the restaurant we found a polite well dressed man in his sixties sitting on…

We were there last night. The call came in five minutes before my crew change. Husband said wife was too weak to get up and he was too weak to pick her up. Sounded like a lift assist. Pick her up, put her in bed, get a signed refusal. I could still get home at…

We’re on our way back from the hospital when we get sent non-priority to a motor vehicle accident for shoulder pain. The accident happened awhile ago, but one of the patients has decided they want to go to the hospital now so we are being sent. The police direct us to our patient — a…

A long procession of cars, many with their windows whitewashed “RIP Hector” line both sides of the narrow road deep in the cemetery. I kneel on the lush grass. Family and friends dressed in black suits and dresses press against me as I try to calm the young woman who thrashes about and cries out…

Tuesday night (Tuesday, July 10, 2007) at 10:00 P.M. EST Jamie Davis will be hosting MedicCast Live an internet call-in show “Running the Code: CPR oversight and team leadership” discussing managing cardiac arrests and other difficult calls. MedicCast MedicCast Live Visit Talkshoe.com to register for free and get a pin number to login. Talkshoe.com The…

Congratulations to Baby Medic on completing his precepting. He is out there now on his own doing some good. I look forward to his fresh, insight posts.

Listening. It seems like such a simple thing, but we’re all so busy. I had a patient the other day — an old man who has been losing weight and growing weak. He had his esophagus removed 10 years ago and has had problems ever since — diarrhea, loss of appetite. Now almost ninety, he…

At our regional medical advisory committee’s meeting last week I listed a number of issues I wanted us to address when we reconvened in the fall, including changing our state’s DNR regulations to enable paramedics to accept a family’s verbal wishes not to initiate resuscitation in a patient with a terminal condition in cardiac arrest….

Last October I got the crazy idea* in my head that I could be a triathlete, meaning I could enter and finish one of those swim, bike and run distance races. I read an article in Men’s Health called: Anyone Can Be a Triathlete. And I met a nurse on one of my Dominican trips…

Yesterday was my last day riding with my preceptee. She rides with the chief paramedic on Friday to get cut loose. She will do great. She was a pleasure to precept. We were still checking out our equipment when we were sent for a difficulty breathing. It was an area of one of the towns…

Giving a verbal report at the hospital is an art form. You want to be able to tell a story clearly and with brevity and nuance so you can accurately convey the issues the patient presents. You want to encapsulate the entirety of your physical exam, history, treatment and thirty minutes spent with the patient…

There are certain calls you get that usually turn out to be nothing — baby choking, person slumped over wheel of car, fall with severe bleeding. In fact, just about every call you get, usually turns out to be nothing much. That’s good. Over time it is a great calmer. I usually say to myself,…

I just finished reading* a great EMS-police crime/thriller written by Katherine Howell, a former Australian “ambulance officer.” One of the main characters is a woman paramedic, the other is a female detective. The paramedic’s husband, a police officer, gets shot and their baby is kidnapped. From that point on it is a nonstop rush to…

Circus atmosphere:Yankees come up big, top Red Sox in series opener Connecticut is divided in a diagonal line between Red Sox and Yankees territory. The Red Sox rule the North Eastern section, the Yankees the South Western. There is much intermixing, however, and the center of the state (where I live) is up for grabs….

File under: Something New Every Day The group home patient with a history of mental retardation was found unresponsive in his wheel chair. The small frail man has significant kifofis. His body is flaccid and he cannot even hold his head up. The quick story is he was found that way this morning. Normally he…