AAJT-Abdominal Aortic and Junctional Tourniquet

Recent wartime experience has demonstrated that tourniquets can save lives. Yet many common military and civilian injuries, particularly armpit and groin injuries and pelvic fractures, remain difficult to treat in the field. Patients with these injuries are at high risk for bleeding to death. Since 2012, special operations forces worldwide have been using an advanced tourniquet [...]

D.E.A.T.H. a mnemonic to remember

Many providers in EMS often strive to and eventually attain their certification to transport patients via rotorcraft and/or fixed wing modes of transport. While these modes of transport are often looked at as the apex of one’s EMS career, non pressurized flight comes with not only emotional and intellectual stressors due to the inherent acuity of [...]

Pediatric Stroke

Stroke is one of the top 10 causes of death in children in the U.S.  Signs of stroke are often missed in children and teens because of a lack of awareness, we think of geriatric, not pediatric stroke. AIS (arterial ischemic stroke) accounts for about half of all strokes in children, in contrast to adults in [...]

Opioid antagonist nalmefene 

  1961, Dr. Jack Fishman and Dr. Mozes Lewenstein applied for one of the first patents for naloxone. 1971, the Food and Drug Administration (FDA) approved using naloxone to treat overdoses. 1995, the FDA has granted OxyContin drugmaker Purdue Pharma, fast track designation for opioid overdose antidote Revex nalmefene hydrochloride (HCl) injection. However, the besieged firm [...]

Sepsis: A Paramedic’s Guide to Rapid Recognition and Lifesaving Interventions

As a paramedic or AEMT, you are on the frontlines of Sepsis care, providing crucial care in emergency situations. One condition that requires swift recognition and immediate action is sepsis. Sepsis is a life-threatening condition that can develop rapidly, making early detection and intervention essential. In this blog, we will explore what sepsis is, its [...]

Using ETCO2 to Diagnose Sepsis

End-tidal carbon dioxide (ETCO2) has been around for a while now.  We started with the main-stream (BVM/ ET tube attachment) that we can use on our mechanically ventilated patients, and then we progressed to having the side-stream (nasal cannula type device) that we can use on all of our breathing patients.  End-tidal has become the gold [...]

Special Healthcare Needs

The term “Special Healthcare Needs” means different things to different people. Collectively, patients with special healthcare needs encompasses the geriatric, bariatric, pediatric, sensory impaired, technologically dependent patients, behaviorally challenged patients and many others. Every group has special challenges, risk factors and needs as well as the fact that our approach to them as health care providers [...]

Ugg another CPR recert!?!?

As a medical professional, have you ever wondered why we have to do a CPR refresher class every two years?  It seems like you just took the class, and now it’s time to do it again.  While in the class, you might even be thinking “this is the exact same information from two years ago”.  Well, [...]

Opioids Overuse

Morphine, Dilaudid, Fentanyl… these are medications that we have been giving our patients for years, to treat their pain.  Chest pain, give an opioid.  Broken bone, give an opioid.  Abdominal pain, give an opioid.  Back pain, give an opioid.  For many years, these were our only pain medication options in an ambulance.  That is finally starting [...]

Emotional Aspect of Field Triage

In the medical profession, it is not unthinkable that we might have to triage people during a mass casualty incident, or MCI.  From multi-vehicle car crashes, mass shootings, terroristic attacks, and even weather-related incidents, such as tornados, earthquakes, or hurricanes.  Within just a matter of moments, we can easily become overwhelmed by patients, all begging for [...]