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Author: Bryan Selvage
Terminal Agitation
Reading Time: 6 minutesLook, we’ve all been there. It’s 3 AM, and dispatch sends you to a private residence for an “agitated hospice patient.” Your partner’s half-asleep, you’re on your fifth cup of coffee, and this kind of call needs you fully alert. Because what you’re about to walk into isn’t your typical agitation call…
Where Are Your Bags?
Reading Time: 8 minutesAfter 20 years in EMS and another decade teaching the next generation of life-savers, I’ve seen some things that make my mustache curl (and I don’t have one). But few things get under my skin quite like watching crews stroll into the ED with nothing but their good looks and a pulse…
Interrogations: PreHospital Ultrasound (POCUS)
Reading Time: 5 minutesBy that same paramedic who still watches too many crime shows Listen up, investigators. Today we’re conducting a thorough interrogation of an increasingly popular witness in our prehospital investigations – the point-of-care ultrasound. Like that rookie detective who just transferred from another precinct, this witness shows promise but needs careful questioning. Background…
The Mnemonic Overload
Reading Time: 6 minutesAfter 20 years in the field and 15 years teaching, I’ve developed what you might call a love-hate relationship with mnemonics. You know, those clever little memory devices we all learned in school? SAMPLE, OPQRST, DCAPBTLS – sometimes I feel like EMS is just one big alphabet soup. Don’t get me wrong…
The Painful Truth- Why RSI Protocols Are Missing The Most Important Medication
Reading Time: 4 minutesListen up, medical warriors. After years of developing Intubation/RSI Checklist and reviewing hundreds of Rapid Sequence Intubation (RSI) protocols, I’ve discovered something that makes me cringe harder than a first-year medic attempting cricoid pressure – between 80% to 90% of RSI protocols are dropping the ball on post-procedure pain control and sedation.…
Sweet But Deadly
Reading Time: 2 minutesYou associate sweet potatoes with many things: Thanksgiving and sweet potato fries! However, I recently had the chance to learn that sweet potatoes can be cold-blooded killers! Let me set the scene for you. It’s a day or two after Thanksgiving, and you are housing another sweet potato pie leftover from Thanksgiving!…