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Plateau

Written by RSS Poster Medic Scribe on the 15th November 2018 at 1:40 - Posted in Ambulance Blogs

Plateau -(noun) “ a usually extensive land area having a relatively level surface raised sharply above adjacent land on at least one side.” Plateau-(verb)- to reach a level, period, or condition of stability or maximum attainment Merriam-Webster *** The United States Health Secretary announced recently that the opioid overdoses deaths appear to be plateauing across the country.  While some states have seen a decrease and others an increase, the overall numbers appear to have slowed after...
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Unforgiven

Written by RSS Poster Medic Scribe on the 26th October 2018 at 14:31 - Posted in Ambulance Blogs

He is walking down a side street off Park when he freezes in place. He sees the slow moving black Toyota blink its lights, then he sees the station wagon. Before he can take a step to flee, he sees the barrel come out of the back window. He feels the impact against his shin and another in the hip. He dives behind the bus stop shelter as more bullets splat against the wall of the boarded up store behind him.   He scrambles up and runs into the street. He takes the orange he has in his pocket...
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In Praise of Tim Phalen

Written by RSS Poster Medic Scribe on the 24th October 2018 at 18:06 - Posted in Ambulance Blogs

If you ever get a chance to take a 12-lead class from Tim Phalen, Don’t miss it. Tim has been teaching 12-lead classes across the country for over twenty years. I first took a class from him about that long ago. He is a great presenter with the gift of making complex concepts seem easy. When I first took his class, he told a story about Elvis the janitor, who he and his buddies taught how to read 12 lead ECGs. Elvis would be mopping the ED floor and then peer over the shoulder of a medical...
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Chains

Written by RSS Poster Medic Scribe on the 20th October 2018 at 16:01 - Posted in Ambulance Blogs

We’re sent to the courthouse where a marshal takes us back to a holding cell. A thin bearded man with cuffs around his wrists and his legs chained is bent over in the bare cell, grimacing. “Guess he got nervous about seeing the judge,” the marshal says to us, “Developed himself some back pain.” “I’ve had back pain all day,” the man says. “And I’m not ducking anything. I’m in here for panhandling for Christ sakes! I can’t fucking sit up.” “You didn’t tell that to the...
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Obituary

Written by RSS Poster Medic Scribe on the 19th October 2018 at 3:05 - Posted in Ambulance Blogs

I had three people tell me to read this obituary a woman wrote about her sister who died at thirty-two after a long struggle with addiction. Madelyn Linsenmeir, 1988-2018 Powerful.   While I am most moved by the first part that describes Madelyn and shows the clear love of her family for her, I am excerpting the end below because it contains a message for us as health care professionals. If you yourself are struggling from addiction, know that every breath is a fresh start. Know that hundreds...
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Spare Change

Written by RSS Poster Medic Scribe on the 09th October 2018 at 11:53 - Posted in Ambulance Blogs

I see Maria outside the Spanish market, squatting against the building. She is a tiny woman in her fifties who was introduced to heroin thirty years ago when she was living in New York. The father of her son used it occasionally and when he used, she was obligated to sniff some as well. It didn’t take her long to get addicted. She has grandkids, but she never sees them. Her father is still alive, but even though she misses him terribly, she doesn’t want him to see what she has become. She says...
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Supraglottic Versus ET

Written by RSS Poster Medic Scribe on the 06th October 2018 at 15:06 - Posted in Ambulance Blogs

“EMS personnel and physicians involved with protocol development for EMS systems in the United States, United Kingdom, and similar settings with limited exposure to advanced airway management should reconsider the routine use of endotracheal intubation as the first-line strategy for airway management in out-of-hospital cardiac arrest.” This is the conclusion of an editorial in the August 28, 2018 edition of the Journal of the American Medical Association. The editorial, “Pragmatic Airway Management...
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Connecticut Overdose Death Numbers

Written by RSS Poster Medic Scribe on the 14th September 2018 at 13:24 - Posted in Ambulance Blogs

The opioid overdose epidemic continues to rage in Connecticut, although numbers again show the carnage may be plateauing. The Connecticut Medical Examiner’s Office just released the overdose death numbers for the first six months of 2018. Connecticut Medical Examiner’s Statistics  515 people died in contrast to 500 and 538 in the two previous six month periods. The numbers continue to show the rise of fentanyl as the cause behind the overdose deaths, Source: Ct. Medical Examiner’s...
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A Walk in the Park

Written by RSS Poster Medic Scribe on the 10th September 2018 at 9:02 - Posted in Ambulance Blogs

  A walk in the park to stretch the legs while on post. The medic walks past a row of port o-potties from a weekend event. One port-o-potty is not fully closed.  A sneaker blocks the door door. On second glance the sneaker is attached to a foot. Open the door and an unresponsive man tumbles out. A syringe and empty heroin bags lay on the ground. The man is blue and breathes only on stimulation. One shake, one breath. The medic radios his partner who drives the ambulance across the sidewalk...
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The Opioid Chapters

Written by RSS Poster Medic Scribe on the 08th September 2018 at 16:44 - Posted in Ambulance Blogs

Check out this web site to read about eleven people affected by the opioid crisis, including a paramedic who injured his back on the job. The Opioid Chapters

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