Stigma causes people to hide their addiction, preventing them from seeking help. The stigma of being an “addict” implies that person is to blame for their actions. The words we use to describe someone not only affects how we view that person, but how that person comes to view themselves. When I started as a…
Recerts and New Protocols
I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. The certs are good for two years. That means it was the 17th time I had recerted each of these mandatory certifications. Our sponsor hospital, like all sponsor hospitals in Connecticut, requires their paramedics to have these certifications…
The Colorado Verdict
Many years ago I was asked if I wanted to be an expert witness/consultant in court cases involving paramedics. I declined. One of the reasons I declined was because I wrote a blog about being a paramedic that included descriptions of calls where things didn’t go as they do on TV (or as the public…
Christmas
This is an old Christmas story I wrote years ago, that I often repost on Christamas. ***Fifteen on the Scale It’s Christmas eve. We get called to one of the local nursing homes for rib pain. The room number sounds familiar. As we wheel our stretcher through the lobby, “Good King Wencelous” plays through the…
Generations
I was one of the last people to get a cell phone. My partner Arthur had a flip phone and he used to get so angry when he had to use it to call operations because he was paying by the minute. I remember working with a young partner one day who was on her…
Christmas Books
If you have enjoyed my blog over the years, please considered buying some of my books this Christmas, either as gifts or to read yourself. Johns Hopkins Press is holding a big sale on my book Killing Season: A Paramedic’s Dispatches from the Font Lines of the Opioid Epidemic. Only $6.95 in hardcover. My first…
Wrestler
“I can’t wake him up!” The mother says as we come into the bedroom. Her voice and hands are shaking. “He was fine when I went out for groceries. Now he won’t respond.” She is crying. “Honey! Honey!” she says. Her son lies limply back on his bed, breathing only about four times a…
Rock Bottom
We’re dispatched to an overdose on Ashley Street. I am in the fly car and a BLS crew is in the ambulance. We’re driving around looking for the victim. I don’t see anyone on two passes, but then I hear the BLS unit radio they’ve found him. I swing around to where they are now…
A Mother
The woman watched the man’s head fall back and his mouth open, but he didn’t slip from his seat on the city bus. He began to snore, but it was irregular and somewhat gasping, then he was quiet. “I wish I could sleep like that,” the man sitting across from her said. She wasn’t the…
Overdose Risk Factors
I am a member of Connecticut’s Overdose Fatality Review Panel. We meet on a regular basis to review selected cases of people who have died of overdose. We receive a file on each person that includes their age, gender and race, death location details and circumstances of their death, the autopsy and toxicology findings, their…
Back Posting
Thanks to everyone who has reached out to wonder if I am okay since I last posted 4 months ago. Yes, I am doing well. I have been very busy working on a new book, as well as with work, both as an EMS Coordinator and a road paramedic. I still hit the streets once…
Arthur
Arthur Gasparrini, my old partner from over twenty years ago, passed away this week at the age of 80. I’d lost touch with many years ago, only occasionally hearing updates. About ten years ago, I’d heard he’d had a stroke and was living in Florida. The obituary said he was living in Indiana. He was…
Joe Magarac, Man of Steel
When I was a new paramedic, I wanted to be the greatest paramedic ever. I took pride in never missing work. When I was at work, if I got a late call, I didn’t care. I welcomed it in fact. Cardiac arrest five minutes before my out time, send me! I took as many overtime…
Xylazine Decreases Overdose Deaths?
Could it be that xylazine, the latest hyped scourge of the opioid epidemic, might possibly lead to fewer opioid deaths instead of more? The story line has been that xylazine potentiates the effects of fentanyl making the two drugs together a lethal combo. And there is no doubt that the two drugs have been found…
Letter to a New Preceptee
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…
Baby Killers
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…
Outcry
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…
Thief
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…
Testify
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…
OTC Naloxone
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…