In the field Archives

Patient safety challenges our healthcare system

Despite the increase in sound healthcare practices, there is still a high number of injuries to patients. If we approach every single patient with safety in mind, we will be less likely to skip important steps.

Learn how to provide empathy in healthcare as an EMS

Empathy is a big part of our jobs, and we need to teach it to our students, our employees and each other. People need to feel that it’s OK to be empathetic and that it’s a natural part of the whole EMS picture.

Anterior cord syndrome is serious — act accordingly

When a patient presents with traumatic anterior cord syndrome, your primary responsibility and focus is supporting vital function and attending to concomitant injuries, stabilization and transport to a trauma facility.

Watch for autonomic dysreflexia in patients with spinal cord injuries

Autonomic dysreflexia proves far more common among patients who have suffered a spinal cord injury than among the general population. We review the signs and symptoms of autonomic dysreflexia, especially among patients who have suffered a spinal cord injury, so you can provide better care in the field.

Lightning strike calls are rare, but can be deadly

There are several forms of lightning — some of which are not dangerous — such as cloud-to-cloud flashes that account for 70% to 90% of all lightening strikes. But other types of strikes can cause burns, cardiac arrest and even death. Make sure you're prepared when the call comes in.

What is fentanyl-induced chest wall rigidity?

Fentanyl induced chest wall rigidity is uncommon, but the syndrome is potentially fatal if not recognized immediately and corrected. All providers should be aware of the syndrome and be adequately prepared to manage it should it occur.

Learn about laryngospasm causes and cures

Laryngospasm is defined as an uncontrolled or involuntary muscular contraction of the vocal cords and ligaments. The condition effects the cricoarytenoid, thyroarytenoid and the lateral cricoarytenoid. Learn how to treat the condition.

Make a difference: EMS and human trafficking

We review the humanitarian issue of human trafficking so that you, as a first responder, can spot the signs of human trafficking when responding to a call, and work to get the victim the help they need.

CPP or Cerebral Perfusion Pressure

Studies have shown that even one incidence of a systolic pressure less than 90 can double the mortality rate in a head injured patient with increasing intra-cranial pressure. While watching the systolic pressure is acceptable, MAP is a more informed way to maintain adequate Cerebral Perfusion Pressure (CPP).

Is Narcan the answer?

Longtime EMS and DistanceCME founder discusses the pros and cons of using Narcan in the field, and how EMS can approach the debate.