In the field Archives

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.

Bed bugs!

Bed bugs have become an increasingly alarming issue among EMS around the country. Make sure take care of EMS equipment to stop bed bugs from spreading!

Protect your patient too!

Most of us are guilty of poor EMS hygiene. This could be as simple as not gloving up to perform a patient assessment on a little old grandmother. But, when we think we could be exposing ourselves to anything yucky, we glove up… even double glove. Remember, gloves protect patients too!

The importance of chest x-ray interpretations

A large number of interfacility transfers involve very sick patients who have undergone invasive procedures prior to our arrival. Rather than just taking the word of our fellow health care providers, it is helpful if we can look at an X-ray to confirm things for ourselves visually as well.

Protecting EMS providers: Are bullet proof vests the answer?

The debate over whether to give EMS providers bullet proof vests is a crucial one to the safety of first responders. But, we man need more data around the subject in order to get legislation passed or convince private EMS outfits to equip their providers with bullet proof vests.