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Lights and Sirens

Written by RSS Poster Medic ScribeMedic Scribe on the 07th June 2015 at 20:21 - Posted in Ambulance Blogs

  Kevin Grange’s new memoir is now out. Lights and Sirens is an authentic, compelling narrative of Grange’s journey through UCLA paramedic school and field internship on Los Angeles’s dangerous streets as he trains to save the lives of victims of heart attack, stroke and trauma. Grange is an excellent writer who does a great service to his new profession in conveying not just the accurate details and heart-pounding excitement of the job, but also revealing the essential compassion of...
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Mirrors

Written by RSS Poster Medic ScribeMedic Scribe on the 04th June 2015 at 1:38 - Posted in Ambulance Blogs

In the late 1970s and 1980s, the G——Motor Lodge out on the Turnpike was the place to take your girl for a swinging good time.  Mirrored ceilings and heart shaped Love-Tubs.    The brochure featured a hairy-chested mustachioed man in a velvet bathroom holding a bottle of champagne in one hand and a filled glass of the same in the other.  Need I say more. Whenever I returned to Connecticut with a new friend from a different part of the country, my New England tour for her included...
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Intranasal Narcan for All

Written by RSS Poster Medic ScribeMedic Scribe on the 14th May 2015 at 13:17 - Posted in Ambulance Blogs

I was on Park Street last week headed in to El Mercado to get some pernil(roast pork), yucca and tostones for lunch when a gentleman came up to me and showed me his overdose kit.  He said he’d gotten it at the local needle exchange program.  He said he had already used it once when one of his buddies ODed and it worked great (though his friend was initially a little pissed at him, but later came to understand when the friend smacked him and said, “But you weren’t breathing, bro!”....
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ECG Quiz

Written by RSS Poster Medic ScribeMedic Scribe on the 07th May 2015 at 13:48 - Posted in Ambulance Blogs

I found a great (And Free!) new web site for practicing ECG interpretation. ECG Quiz Check it out!

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Intranasal Medication

Written by RSS Poster Medic ScribeMedic Scribe on the 26th April 2015 at 18:28 - Posted in Ambulance Blogs

One of the best innovations in EMS in recent years has been the introduction of intranasal medication through the use of an atomizer.  We currently carry three drugs that we can use intranasally.  These are Narcan, Fentanyl and Versed. After several years of experience now with all of these drugs through the intranasal route, here are my impressions of the utility of each. Narcan – I love intranasal Narcan.  I use it often and almost always for heroin overdoses.  It took a while for me to learn...
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The Jug

Written by RSS Poster Medic ScribeMedic Scribe on the 26th March 2015 at 2:44 - Posted in Ambulance Blogs

There is a clear plastic jug — actually it is an empty water cooler bottle — that several times a year gets put on the table by the check-in window in operations. A handwritten note is attached asking for donations to help a fellow employee in need. A lot of money has gone into the jug over the years. Few professions know about hard times as much as ours. And we are not immune to them ourselves. People in EMS don’t make a ton of money. That wasn’t why they went into this work...
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The Ideal Medic

Written by RSS Poster Medic ScribeMedic Scribe on the 24th March 2015 at 0:21 - Posted in Ambulance Blogs

I have been a full-time paramedic for over twenty years and a part-time hospital EMS coordinator for over six years. Over the years my ideas of who the best paramedic is have changed markedly. I used to think the best paramedic was the one with the swagger, the one without fear, who never hesitated to act, who never allowed doubt to enter the equation. And while I still admire many aspects of that paramedic archetype, from both my vantage of twenty plus years on the street and the newer position...
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AHA 2015 Guidelines- Guest Post

Written by RSS Poster Medic ScribeMedic Scribe on the 18th March 2015 at 16:41 - Posted in Ambulance Blogs

Hi- I don’t have guest posts as a matter of course, but Anthony Randazzo,a paramedic from Knoxville, Tennesse offered to do one on the updates to the 2015 AHA guidelines, which we are all anxious to learn about, so I happily agreed. Take it away, Andrew *** Back in January, Peter highlighted some of the upcoming guidelines for AHA. Today, Peter is letting me follow up with a post that will take a look at a few more changes and trends coming down the pike. No More Vasopressin This probably does...
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The Butler Did It

Written by RSS Poster Medic ScribeMedic Scribe on the 19th February 2015 at 1:22 - Posted in Ambulance Blogs

There are any number of different ways to give a verbal handover report at the ED. All sorts of mnemonics. What form you use may depend on what your hospital expects. I try to tell a story. But I don’t tell a story in the same way I would write one. A written story takes you from point A to point Z with all the twists and turns, ending with the Da Dumm! The Butler Did it. The other day I was listening to a new paramedic tell a triage nurse a great story of a very interesting call. Lots of...
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Gifts

Written by RSS Poster Medic ScribeMedic Scribe on the 25th January 2015 at 16:02 - Posted in Ambulance Blogs

I just hit my 20 year mark with the company. For this, I received my choice of anniversary gift. You go to a link and they have various gifts you can get depending on which anniversary it is. 10 years ago, I got a set of Henkels knives. 5 years ago, I got a GPS which I gave to my now wife because she was always calling me asking for directions. She lost the GPS so it was a bit of a wasted gift. This time around I got another set of knives. While I got 13 the last time, this time I only got...
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