The body’s Nervous System

      The body’s Nervous System is a very complex system that controls all functions of the body from purposeful movement to regulation of homeostasis and everything in between. We will be dividing it into the Central nervous System (CNS) and the Peripheral Nervous System (PNS) for the purposes of this discussion. These two subdivisions [...]

Stroke Assessment and you!

Updating the stroke assessment   Direct percutaneous puncture of the cervical carotid artery remained the primary technique unto the 1960s to visualize intracranial blood vessels until Seldinger’s technique was introduced in 1953. This was a diagnostic procedure after the stroke or TIA (Varon, Varon, & Nyman, 2007) I was employed as a Radiologic Technologist (X-ray tech) in [...]

Are you pulling my leg????

Are you pulling my leg? -femur fractures The Thomas splint was first introduced by Hugh Owen Thomas in 1875, in his book titled, Diseases of the hip, knee and ankle joints with their deformities, treated by a new and efficient method.   Across the western front, the splint was adopted and by 1917, it had become standard issue [...]

Why do Navy Chiefs hate Kidney stones? It clogs the P ways…

The human renal system is responsible for not only filtering blood of impurities, it is also responsible for maintaining the acid base balance within very tight tolerances and discarding toxins and by products of cellular metabolism via urine.  It consists not only of the kidneys but also the ureters, urinary bladder and the urethra. The  nephron [...]

Heat-Related Respiratory Emergencies: Understanding and Managing the Risks

As temperatures rise, heat-related emergencies become a significant concern for emergency medical service (EMS) providers. While most people associate heat-related incidents with dehydration or heatstroke, respiratory emergencies induced by heat exposure are often overlooked. I would like to shed light on the topic of heat-related respiratory emergencies, providing EMS providers with essential knowledge and strategies to [...]

Congenital Heart Defects

Anytime I am teaching a class, talking about congenital heart defects, I always talk about a unique patient that I had many years ago. I was once dispatched to transport a two year old girl who was having cardiac issues.  When I arrived on scene, I found an unresponsive little girl, whose mother was doing CPR.  [...]

Whats new? Open AI and its surprising outcome.

I am a bit of a computer geek, ask anyone who knows me. When I was in the Navy, living on board ship,  my weekends off were spent with the brand-new computer system learning how to organize everything from storeroom supplies to schedules of the S2 division. My supervisors and shipmates all thought I was crazy [...]

Just Culture

  Just Culture has gained significant attention in the healthcare industry, but when I talk about it in our EMT and paramedic course it seems that the concept has a way to go. Too many of our peers do not feel comfortable making a mistake and owning it without punishment up to and including suspension or [...]

Environmental Emergencies….Whew! This is hot stuff.

Why Talk Heat in April? You might be thinking, “Scott, it’s April—why talk about heat? It’s cold where I am!” But with a mild winter behind us and an extreme summer ahead, it’s the perfect time to brush up on heat-related emergencies. From basic thermoregulation to the challenges of diagnosing and treating environmental heat illnesses in the field, this article revisits the essential physiology and prehospital considerations every provider should know. 🌡️🚑