Airway Positioning Practices and Pitfalls
Airway management is often a skill that Paramedics and Critical Care Paramedics are thought to be experts on. It is a skill that we often practice, practice again and then practice again to become comfortable with. One pitfall of being an advanced provider is the fact that many advanced providers look for the shiny object in [...]
Why Did YOU get into EMS?
Learning from the Special Healthcare Needs Patient
Patients with special healthcare needs can be both unique and challenging when encountered by EMS. Their unique conditions can vary from barely perceptible to life altering. How we assess, communicate, treat and interact with this special population can make the difference between a smooth running patient encounter and a total disaster. The term “Special Healthcare [...]
ICP: What is All The Fuss About?
The human brain is an incredible organ. It contains billions of neurons and is responsible not only for the higher functions that set us apart from all other living things, but also is responsible for maintaining all of our life sustaining functions. It weighs about 3 pounds (approximately 2% of total body weight) yet it consumes [...]
The Balance of Spontaneous Ventilation
Managing the Obstetrical Airway
"When faced with managing the airway of the pregnant patient, it is important to understand the anatomic and physiologic changes that occur during gestation. Not only does the pregnant female have to oxygenate, ventilate, perfuse and nourish the developing fetus, specific anatomic changes occur due to hormonal changes and fluctuations due to pregnancy. Often, intubation and [...]
Airway Assessment To The Letter (Or Number)
Predicting the difficult airway is a combination of art and science. Sometimes the airway that looks relatively easy to manage can turn out to be a nightmare and the supposedly difficult airway based on external assessment can be managed relatively simple to maintain. A good rule of thumb is to always hope for the best [...]
Mechanical Ventilation: A Double Edge Sword
The role and consequences of mechanical ventilation during transport is something that must be both understood and respected. While it can free up much needed manpower and allow for more consistent delivery of oxygen and removal of carbon dioxide, it can also have negative effects if applied incorrectly. Broadly speaking, mechanical ventilation can be utilized [...]
Abdominal Trauma: The Silent Killer
Many traumatic injuries result in outwardly gruesome and visually grotesque injuries. Abdominal trauma however, often can go unnoticed and can be a silent killer if the injuries go unrecognized or untreated. While skeletal injuries often present with obvious deformity and are easily recognized, abdominal injuries are much more difficult to identify. In regards to traumatic injuries [...]
