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Written by RSS Poster Medic Scribe on the 12th March 2019 at 9:43 - Posted in Ambulance Blogs

I’m on scene of an overdose. A fifty year old man in an unkempt apartment went unresponsive after sniffing two bags of heroin. His neighbor found him, giving him 4 mgs of Naloxone IN, and then called us. The man is alert and oriented by our arrival and does not wish to go to the hospital. The neighbor says he will watch the man. He still has another Naloxone in case the man goes out again. He says he gets his Naloxone from the local harm reduction agency. The cop on scene shakes his head and says,...
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How We Feel Versus What Dispatch Hears

Written by RSS Poster Medic Scribe on the 09th March 2019 at 12:01 - Posted in Ambulance Blogs

It has been busy at work lately and the crews have been getting pounded.  An EMT posted this video (found on the internet) on our employee Facebook page.  I laugh every time I think of it.  If you have never worked commercial EMS in a high volume system, you might not appreciate it.  I can only say, over thirty years, I have witnessed similar scenes hundreds of times with scores of partners. Accurate?🤣#soundon #emshumor #emt #paramedic #dispatchproblemsvideo: @summerofrudes...
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Connecticut Overdose Deaths 2018

Written by RSS Poster Medic Scribe on the 08th March 2019 at 15:55 - Posted in Ambulance Blogs

The official death numbers for 2018 are out from the Connecticut Medical Examiner’s office. Connecticut Accidental Drug Intoxication Deaths 1017 people died in Connecticut of accidental overdoses, down 21 from 2017.  This is the first decline (albeit minor) after six years of escalation. 746 people died in Connecticut due to the presence of Fentanyl, up 71 from 2017. Still  much work to go before we can rest. *** Here’s a town by town breakdowns of deaths by residence and...
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Cameras in Ambulances

Written by RSS Poster Medic Scribe on the 28th February 2019 at 2:21 - Posted in Ambulance Blogs

They have installed cameras in our ambulance just behind the rear view mirror. The camera records both the traffic in front of the ambulance and inside the front cab of the ambulance. It does not record the passenger compartment, and it (supposedly) is only a video recording.  Audio would be illegal in our state. The camera is programmed to record in the case of an accident or sudden deceleration or swerve. It can also turn on if the driver or front seat passenger hit a button on the device....
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Sepsis

Written by RSS Poster Medic Scribe on the 24th February 2019 at 15:10 - Posted in Ambulance Blogs

EMS has focused on trauma, stroke and STEMI in recent years with resulting improvements in outcomes.  Many health care systems are now turning attention to sepsis care and the considerable role EMS can play in early recognition and treatment. Here in Connecticut we have Sepsis Alerts, which while rarely generating the full response of Trauma, Stroke and STEMI Alerts are important to help hospitals be able to quickly recognize sick people on entry and devote them more immediate attention than...
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Goals and Globetrotters

Written by RSS Poster Medic Scribe on the 23rd February 2019 at 14:19 - Posted in Ambulance Blogs

Saturday night saw one of the pinnacle achievements of my life.  Twelve months before, while attending a Harlem Globetrotters game with my daughter, I announced that I was going to learn how to expertly spin a basketball on my finger just like the Globetrotters do.   Ever since then, I have carried a basketball in the ambulance.  In between calls while at posting locations, I have taken the ball out and practiced.  At home I have a basketball in every room of the house.  I...
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Common Cardiac Arrest Mistakes: Naloxone

Written by RSS Poster Medic Scribe on the 21st February 2019 at 17:21 - Posted in Ambulance Blogs

This is the third in a series of posts on common drug mistakes some EMS responders make during cardiac arrests. You find the fifty year old man supine on the floor with the fire department doing CPR. Their AED announces, “No shock advised. Continue CPR.” You set your monitor by the man’s head and connect the fire department’s pads to your monitor, while your paramedic student quickly places an IO in the man’s tibia. As you approach the two minute mark, you charge the monitor, and then...
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Common Cardiac Arrest Mistakes: Sodium Bicarbonate

Written by RSS Poster Medic Scribe on the 21st February 2019 at 16:13 - Posted in Ambulance Blogs

This is the second of three posts about common cardiac arrest drug mistakes some EMS personnel make on a routine basis. You have been working a cardiac arrest for a 54-year-old male with no prior medical history who collapsed after grabbing his chest.  You shocked him twice for fine vfib, but now he is in a PEA. It’s been 20 minutes since you started ALS interventions and another medic suggests you try sodium bicarb.  What do you do? Remember it 2019, not 1979, 1989, 1999 or 2009. Unless...
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Cardiac Arrest Mistakes: Amiodarone

Written by RSS Poster Medic Scribe on the 19th February 2019 at 18:11 - Posted in Ambulance Blogs

You and another medic are on the scene of a cardiac arrest. You find the patient in ventricular fibrillation and immediately defibrillate him into a narrow complex rhythm. You have pulses back and while you take a blood pressure – 130/84, the other medic inserts an IV. The other medic then says to you, “Pass me the amiodarone.” What do you do? A. Pass it to him. B. Say, “No.” C. Say “Why?” You go with C. The other medic says, “To give to the patient (Dummy!). He was in v-fib.” You...
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Service Dogs for First Responders

Written by RSS Poster Medic Scribe on the 09th February 2019 at 22:47 - Posted in Ambulance Blogs

A fellow paramedic here in Hartford, Greg Shovak runs a great educational program called EMS and PTSD – Learning from Combat Veterans to Understand PTSD.  I attended one of his sessions a few years ago and thought it was excellent.  I learned a lot of PTSD, and also had my first introduction to service dogs. Here is his organization’s facebook page, which has lots of great information: EMS and PTSD Service dogs are not just for combat veterans, but also for first responders. ...
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