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The Blog

Weekly posts about EMS education, patient treatment and whatever else comes to mind!


Blaring Misconception: Education Standards DON'T Fuel Staffing Shortages
EMS education standards have long been a contentious topic in our world and the more recent push around proposed degree requirements is...
Jul 29, 20243 min read
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Suboxone vs. Methadone
The opioid epidemic has likely affected someone you love in a negative way. If you have never experienced addiction grabbing a hold of a...
Jul 22, 20243 min read
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Kotter Change Model
Firefighters love change right? WRONG!!!! We've all heard the saying, “100 years of tradition, unimpeded by progress.” Many are...
Jul 15, 20242 min read
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Rx Spotlight: Hydroxycobalamin
Source: cyanokit.com As you likely know by now the CYANOKIT is to be administered without delay if you suspect cyanide poisoning. ...
Jul 8, 20242 min read
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DKA: Let's Get Cellular
Diabetes and its associated complications continue to run rampant across this country. The reasons why are multifactorial, and we won't...
Jul 1, 20243 min read
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Pre-eclampsia
This disease is progressive, and it can be unpredictable. It obviously affects pregnant women usually after 20 weeks' gestation. ...
Jun 24, 20243 min read
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BRASH Syndrome: Bad Synergy
"BRASH" is an acronym for the myriad of symptoms shown below... it's really a perfect storm all triggered by an AV nodal blocker. The...
Jun 17, 20242 min read
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Pericardial Effusions: A Pathologic Compression
Similar to the pleural cavity, the pericardial cavity is only a potential cavity formed by two serous membranes that are closely apposed...
Jun 10, 20243 min read
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Burn Management: A HOT Topic
The management of thermal injuries and their sequela will soon become top of mind again for EMS agencies as we approach the 4th of July...
Jun 3, 20243 min read
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Meningitis
Meningitis is a relatively uncommon diagnosis, but one that warrants our full attention. MENING - refers to the meninges which are three...
May 27, 20243 min read
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Rhabdomyolysis: A Breakdown of Sorts
The causative agent of this condition can vary widely, but the pathophysiology behind it remains the same, simply put "rhabdo" is nothing...
May 20, 20243 min read
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ARDS: P/F Ratio Explained
Acute respiratory distress syndrome (ARDS) is defined as an acute process, characterized by widespread inflammation and diffuse alveolar...
May 13, 20243 min read
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Urinary Tract Infections
In adults with urinary tract infections (UTI's) there are specific symptoms such as dysuria, hematuria or flank pain referable to the...
May 6, 20243 min read
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Vicarious Trauma - Drowning in Empathy
It can also be known as compassion fatigue and let's face it -- it's an occupational challenge. This condition has many parallels to...
Apr 29, 20242 min read
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Focal Seizures (Aware or Unaware)?
Source: teesneuro.org TO REVISIT THE TITLE ABOVE - WITH FOCAL SEIZURES, IT COULD GO EITHER WAY In the simplest explanation seizures can...
Apr 22, 20242 min read
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Succession Planning
Source: thehrteam.com EMS and Fire service leaders shouldn't stay at their post forever -- some would argue after a decade it can...
Apr 15, 20242 min read
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Rules of Patient Care
The image above represents a man considered "near royalty" in the trauma and pre-hospital arenas. This gentleman had an illustrious four...
Apr 8, 20242 min read
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Dunning-Kruger Effect (No Foolin')
Turn back the clock to when you received that paramedic and/or nursing license. The feeling of personal accomplishment after completing...
Apr 1, 20242 min read
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BRUE - Acute Events of Infancy
Also known as Brief Resolved Unexplained Events Formerly known as ALTE - Apparent Life-Threatening Events In the mid-1980's ALTE was used...
Mar 25, 20242 min read
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Rx Spotlight: Solu-Medrol
This corticosteroid also known as Methylprednisolone works by suppressing both chronic and acute inflammation and helps potentiate smooth...
Mar 18, 20243 min read
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Hepatic Encephalopathy
The diagnosis is certainly a mouthful and comes with a lot of syllables, but more simply put, Hepatic Encephalopathy (HE) is an abrupt or...
Mar 11, 20242 min read
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Upper GI Bleeds - Pathology and Risk Factors
Hematemesis, coffee ground emesis and melena will certainly get your attention as a prehospital provider. This is one of the hallmark...
Mar 4, 20242 min read
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RhoGam Background + Applications
RhoGAM is a sterile solution containing immunoglobulin G (IgG) anti-D (anti-Rh) for use in preventing Rh immunization. It is manufactured...
Feb 26, 20242 min read
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Acute Kidney Injury + ESRD
One definition of acute renal failure (ARF) is any condition, regardless of the cause or pathogenesis, resulting in sudden suppression of...
Feb 19, 20243 min read
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