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Author: flippedparamedic
Adaptive Support Ventilation™ (ASV)
Reading Time: 10 minutesThe Hamilton T1 Ventilator: A Paramedic’s Field Guide to ASV Mode Listen up, folks! After 20+ years of watching chests rise and fall in the back of a moving ambulance, I’ve seen my fair share of ventilators. But let me tell you about the Hamilton T1 and its fancy-pants Adaptive Support Ventilation…
Shock Index
Reading Time: 9 minutesHey there! Grab a seat (or your jump bag, whatever’s handy). After 15 years in the field and teaching more paramedic students than I can count, I want to share what’s become my favorite vital sign relationship. And no, it’s not the one between EMS and cold coffee. Your patient’s cardiovascular efficiency…
Awake
Reading Time: 12 minutesPlease watch first……. https://www.thehumbledmedic.com/wp-content/uploads/2025/01/Awake.mp4 “The most terrifying stories aren’t from horror movies. They’re from hospital rooms where patients are paralyzed but awake, silently screaming for hours.”— Anonymous Flight Paramedic PROLOGUE: A NOTE FROM THE AUTHOR I never thought I’d be writing a horror story about medication administration. After fifteen years as a…
Interrogations: The Pulse Ox
Reading Time: 14 minutesPicture this: You’re in a dimly lit room, a single lamp illuminating your subject. The pulse oximeter sits there, displaying its numbers with unwavering confidence. But after 20 years on the streets as a paramedic, I’ve learned that even our most trusted witnesses can be unreliable. Today, we’re going to put this…
Tiny Patients, Tiny Volumes: Why Syringe Pumps Rule the Road in Pediatric Transport
Reading Time: 6 minutesAfter 15 years of wrestling with IV pumps in the back of a moving ambulance while transporting our tiniest patients, I’ve developed some strong opinions. And let me tell you, when it comes to pediatric and NICU transport, syringe pumps are the unsung heroes of precision medication delivery. Let me break down…
The Osborne Wave: Not Just Another Squiggly Line
Reading Time: 4 minutesHey there, fellow EKG enthusiasts! After 15 years of staring at heart rhythms in the back of a moving ambulance (while trying not to spill my coffee), I’ve developed quite the appreciation for one of cardiology’s more interesting findings – the Osborne Wave, or as the cool kids call it, the J-Wave.…
Believe: Leadership Lessons from Ted Lasso for EMS Educators
Reading Time: 3 minutesAfter 20 years of wrestling with stretchers, teaching paramedic students, and trying to keep my cool during the third cardiac arrest of a night shift, I’ve learned that leadership in EMS isn’t just about knowing your protocols or having the fastest intubation time (though that doesn’t hurt). Sometimes, the best leadership lessons…
High Flow Nasal Cannula in Kids: Big Solutions for Little Noses!
Reading Time: 15 minutesReferences and Resources (Because Everything Worth Knowing Came from Somewhere) Clinical Research and Guidelines Transport-Specific Resources Practice Guidelines Equipment and Technical Considerations Pediatric-Specific Considerations Transport Safety and Monitoring Quality Improvement Resources Note: As medical knowledge evolves rapidly, always verify current best practices and guidelines with your local protocols and medical direction. These…