Comparing and Contrasting Placenta Previa and Abruptio Placenta

Many EMS providers have difficulty deciphering the difference between Placenta Previa and Abruptio Placenta in the field. While both conditions have some signs and symptoms as well as risk factors in common, each has its own defining factors and presenting symptomology such as the presence and consistency of vaginal bleeding. In this article we will outline [...]

The “Golden Hour” Fact or Fiction?

For those with more than a decade of experience in EMS, the concept of the "Golden Hour" is likely familiar. This principle emphasizes the importance of transporting trauma patients to a Level 1 trauma center within an hour of injury to reduce mortality and morbidity. Over the years, this concept has undergone revisions, and several [...]

Arterial Lines: A Balancing Act Between Positives and Negatives

Utilizing invasive hemodynamic monitoring utilizing an arterial line has both advantages and risks that healthcare providers need to be aware of. While it offers the ability to monitor real time beat to beat changes in perfusion status, it also has potential complications that non invasive monitoring devices do not have. All prehospital providers should be familiar [...]

The Vital Connection Between Healthcare Providers and Self-Care

Healthcare providers are often seen as the epitome of wellness, the go-to experts for advice on maintaining physical and mental health. They are the ones who diagnose, treat, and guide patients through complex medical journeys, offering compassion and expertise along the way. However, in the midst of caring for others, healthcare providers frequently neglect a [...]

Let’s get STARTED!

Mass Casualty incidents and natural or man made disasters are some of the most physically and emotionally charged and challenging calls that an EMS provider can face. Whether you are a first responder, EMT, AEMT, Paramedic or advanced provider, the fear of what lies ahead coupled with the overwhelming of the immediately available resources can [...]

Terrorism and EMS

Most people in EMS didn’t really think about terrorism before September 11th, but because of my military experience and being sort of a history nerd, it has been a topic that I have worried about since my late teens. Terrorism by definition is any act to create fear or disrupt a society. The motivation for [...]

Hot Topics in EMS: Staying Ahead in the Field

Emergency Medical Services (EMS) is a dynamic and rapidly evolving field, where staying up-to-date with the latest knowledge and skills is crucial for professionals dedicated to saving lives. EMS education is not just about meeting recertification requirements; it’s about being prepared for new challenges and advancements. This article explores some of the hottest topics in [...]

OSHA Requirements for Working in Emergency Flood Zones and Severe Weather Conditions

It is crucial to conduct a thorough hazard assessment to identify potential risks and provide comprehensive training on specific hazards and protective measures. Your department should have already identified all potential flood hazards in your response area. If this has not been done, it must be completed, and a detailed Emergency Action Pre-plan should be made a top priority.

The EZ-IO You Think You Know Part 4

In the previous articles, we talked about the indications, contraindications, use, landmarking, insertion and maintenance of the EZ-IO vascular access system.  In this final installment, we will cover insertion in the pediatric patient, pain control and removal of the device.  As stated earlier, this device like all other medical devices, has limitations.  No medical device fits [...]

The EZ-IO that you think you know Part 3

In parts 1 and 2 of this series, we have outlined the indications, contraindications, medications that can be infused through and IO, needle size selection and driver characteristics.  Now lets unpack how to landmark for EZ-IO insertion.  As stated in Part 2, the ends of long bones contain a large amount of red blood cells (RBC) [...]