Shop
   

   Home > Ambulance Blogs and Stories

Show:   All  Police  Ambulance  Fire  Military

Epinephrine in Cardiac Arrest

Written by RSS Poster Medic Scribe on the 19th July 2018 at 13:15 - Posted in Ambulance Blogs

The use of epinephrine in prehospital cardiac arrest showed no difference versus placebo in determining favorable neurological outcome according to a long awaited randomized controlled study published yesterday (July 18, 2018) in the New England Medical Journal. The trial showed epinephrine produced a higher rate of survival at 30 days than placebo, but that was accompanied by almost twice the rate of severe neurological impairment. Over 8,000 patients were enrolled in the randomized double-blind
...
Continues, click Read More.

Read more Go!

Veins

Written by RSS Poster Medic Scribe on the 05th July 2018 at 15:45 - Posted in Ambulance Blogs

Kelly is as dispirited as I have seen her. “My veins are shot,” she says. “I can’t even get high.” IV users use 1 cc syringes which have a very small needle they only need to slip inside the vein. When they pull back and get blood they know they are in. They push the plunger slowly, sending the heroin directly into their vein and right into their circulation where quickly delivers its powerful payload to the brain. This is a faster and stronger route than swallowing a pill or inhaling
...
Continues, click Read More.

Read more Go!

Pulmonary Edema in Opioid Overdose

Written by RSS Poster Medic Scribe on the 23rd June 2018 at 14:06 - Posted in Ambulance Blogs

She finds him in the bathroom at seven in the morning and knows immediately he is using heroin again. Three weeks ago, they moved east from Seattle. She had a job offer and it also represented a chance to get him away from his junky friends. After three times in rehab, she didn’t think she could go through it with him again so she was thrilled when he agreed to move with her. They got a nice loft downtown, with plenty of light. It was close to her job, and from across the street, he could get
...
Continues, click Read More.

Read more Go!

Slipping Out

Written by RSS Poster Medic Scribe on the 21st May 2018 at 1:27 - Posted in Ambulance Blogs

The man is trembling, sitting on the bed in the spare motel room down by the highway. Sometimes, these rooms are filled with the patient’s worldly belongings, but this room seems to only have the bed, a dresser, a chair and the TV. The man is in his fifties, a portly man with white hair and liver spots on his hands. The Spanish woman in the room with him is of an indeterminate age. She wears a pink tank top and grey yoga pants with flip flops, even though it is cold and blustery out. She is the
...
Continues, click Read More.

Read more Go!

Diploma

Written by RSS Poster Medic Scribe on the 06th May 2018 at 1:20 - Posted in Ambulance Blogs

The man is on the nod, the only thing keeping him up is the fence he is leaning against. When the police officer tries to extricate him from the fence, he falls back and the officer has to lower him to the ground. I set my red bag down to get out my ambu-bag, but I can see the man is still breathing regularly. I shake his shoulder. He opens his eyes. No need to get out the Naloxone. I lift him up under his arms, while my partner grabs his legs. We get him on the stretcher. He nods back out. We find
...
Continues, click Read More.

Read more Go!

Naloxone’s Effect on Opioid Use

Written by RSS Poster Medic Scribe on the 26th April 2018 at 23:05 - Posted in Ambulance Blogs

Does access to naloxone influence an opioid user’s decision to use? That is the crux of a recently published (on-line) economics paper, The Moral Hazard of Lifesaving Innovations: Naloxone Access, Opioid Abuse, and Crime, which argues that increasing access to Naloxone sanctions risky behavior, unintentionally increases opioid abuse, leads to greater crime, and may increase the death rate. The paper has generated a great deal of controversy. (The authors have rewritten some of their paper
...
Continues, click Read More.

Read more Go!

Hartford Opioid Crisis Interview

Written by RSS Poster Medic Scribe on the 26th April 2018 at 2:58 - Posted in Ambulance Blogs

One of my EMS coworkers and a budding journalist Sean Freiman interviewed me recently about Hartford’s Opioid Crisis with a focus on the heroin bags. Click on the picture to view the interview.  

Read more Go!

Rescue Breaths or Compressions in Overdose?

Written by RSS Poster Medic Scribe on the 20th April 2018 at 20:09 - Posted in Ambulance Blogs

  Should unresponsive overdose victims receive rescue breaths or chest compressions from lay bystanders? If a person is apneic but not in cardiac arrest, failing to give rescue breaths may lead this person to fall into cardiac arrest. But, if the person is apneic and in cardiac arrest, failure to do quality chest compressions, will lead to their death. This is a difficult question that we debated in our opioid overdose working group last year. We chose to follow the American Heart Association
...
Continues, click Read More.

Read more Go!

Follow Up

Written by RSS Poster Medic Scribe on the 10th April 2018 at 15:11 - Posted in Ambulance Blogs

Overdose on Babcock Street. In an alley behind a building. Fire is there before us. A familiar scene. As I approach I can see them hunched over the patient, the bag valve mask out. They have already given her four of narcan. I stand over them looking at the patient. I can’t see her face because the mask obscures it, but I notice that she is quite tiny. I look at her neck then and can see the butterfly tattoo sticking out from under her winter coat. It is Veronica. I last saw her a month and half
...
Continues, click Read More.

Read more Go!

Undetermined

Written by RSS Poster Medic Scribe on the 01st April 2018 at 1:48 - Posted in Ambulance Blogs

Opioid deaths are generally classified as accidental overdoses. In 2017 Massachusetts began reporting opioid deaths as “All Intents” where they previously reported them as “Unintentional/Undetermined.” They point out that adding suicide deaths only marginally adds to the count. By their statistics only 2 percent of the total opioid deaths were confirmed as suicides. Massachusetts Opioid Death Data Connecticut reports opioid deaths under the term accidental drug related deaths. If a person
...
Continues, click Read More.

Read more Go!

INSIDE LOOK AT LIFE AS AN EMT

Written by RSS Poster Medic Scribe on the 29th March 2018 at 12:35 - Posted in Ambulance Blogs

I recently participated in a project to describe the daily routine of an EMT to help people considering a career in EMS.  The final product was published this week on the website below. INSIDE LOOK AT LIFE AS AN EMT Here is an excerpt: 5:30 AM: I punch in and checkout my equipment, my house bag which contains my medications, IV and airway supplies, my heart monitor, and then the equipment on the ambulance shelves, while my partner checks the ambulance to see that the siren and emergency
...
Continues, click Read More.

Read more Go!

Connecticut Overdose Deaths Plateau

Written by RSS Poster Medic Scribe on the 28th February 2018 at 22:32 - Posted in Ambulance Blogs

  Overdose deaths are declining in some states, but appear to be plateauing in Connecticut. Overdose Deaths Fall in 14 States In data released by the CDC, covering the time period July 2016-June 2017, 14 states showed a decline in overdose deaths, while nationwide deaths rose 14 percent. The data showed an 15.9% increase in Connecticut, but even more recent data released from the Connecticut Medical Examiner’s office tells a more promising story.  Number of Connecticut overdose deaths
...
Continues, click Read More.

Read more Go!

Mother and Son

Written by RSS Poster Medic Scribe on the 25th January 2018 at 12:15 - Posted in Ambulance Blogs

She curls on the couch sobbing. She found her son not breathing when she came home from her midnight shift. He is on the floor now.  The fire department first responders do compressions on his bare chest. The man is lean and muscled with jailhouse tattoos on his arms, chest, and neck. It isn’t a stretch to think heroin. His mother’s boyfriend confirms this to us. The man on the floor was a user.  They argued about it every day, but he kept using. Two torn heroin bags are found on the
...
Continues, click Read More.

Read more Go!

Hunt lied and the DH continue to hide the truth......

Written by RSS Poster Garth Marenghi on the 19th January 2018 at 17:06 - Posted in Ambulance Blogs

Above is a response from the Department of Health (DH) to my MP, Layla Moran who very kindly sent them a question about pre-conditions to negotiation of the junior doctor contract.  The background to this is complex but this specific issue can be summarised fairly concisely.  Jeremy Hunt has repeatedly stated that there were never any 'pre-conditions' to negotiating the junior doctor

Read more Go!

Dancer

Written by RSS Poster Medic Scribe on the 19th January 2018 at 13:06 - Posted in Ambulance Blogs

  I first picked Veronica up on Hungerford Street one afternoon two years ago. We had been called for an unresponsive, but instead, we found a small woman with a club foot staggering along the street.  She was half on the nod and covered with leaves. I asked her if she was okay, as we walked up.  She just mumbled, and tried to keep walking. We stood in front of her and at twice her size, it became hard for her to ignore us. We were called, we have to at least see if she was okay,
...
Continues, click Read More.

Read more Go!