Burnt But Not Crispy

So I’m not going to lie, every time I look at an EMS conference and see a topic like managing burn-out or managing EMS providers mental health there’s still part of me that scoffs; not again, another hour of people telling me to take care of myself, another story that’s just not me or how I [...]

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 [...]

Career Development and Advancement for EMTs

Emergency Medical Technicians (EMTs) and Emergency Room Technicians (ERTs) serve as crucial frontline responders in the healthcare system, delivering prehospital and in-hospital emergency care to patients.  However, the career paths for both EMTs and ERTs can extend far beyond these initial roles, offering numerous opportunities for growth, specialization, and transition into other healthcare positions.   The [...]

NREMT changed their test?!

For the last several months, everyone has been hearing about the dramatic changes coming to the National Registry of EMT (NREMT) testing process for AEMTs and Paramedics. Driven by input from stakeholders and the National Commission for Certifying Agencies (NCCA) which is the accrediting agency for NREMT, significant changes have been made to the testing process effective July 1, 2024.

The Circulatory System: The Plumbing of Our Body

In the two previous installments, we talked about the role of cardiac output and blood volume as it pertains to overall perfusion in the human body. Today we will finish up with the circulatory system and how it assists the body not only in day to day maintenance of homeostasis but also how it responds to [...]

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.