Syndicated Columnists

Unique patient signs: A case study

Syndicated Columnists - Tue, 08/20/2019 - 21:41
Paying attention to common eponyms discovered during a patient assessment and their associated pathology can identify a patient’s most critical needs
Categories: Syndicated Columnists

Thoughs on Narcan

Michael Morse - Rescuing Providence - Fri, 08/16/2019 - 15:37

Some thoughts on overdose and narcan for people not immersed in the opioid so called epidemic because I just passed a billboard advertising narcan at your local pharmacy. The slogan said “Overdose does not mean it’s over.”

Addiction is no picnic, I’ve been clean and sober for 19 years next month, and I understand the battle. Been to hundreds of AA and NA meetings and relate to people who struggle. The vast majority got ourselves addicted because we are a tad reckless, have little fear of consequences and are using whatever it is we use to cover something up, and that something is usually pain in one form or another.

Maybe I’m old and crabby, but I’ve seen my share of overdoses, and understand the complexity of recognizing the need for intervention and the potential repercussions from trying to help.

1. Narcan alone does not saves lives just as opiates do not cause overdose without conscious effort.

2. Very few, if any overdoses happen when people take their medications as directed.

3. The vast majority of addicts are addicted to opiates because they like the way they feel after taking them.

4. A few get addicted innocently as part of a pain management process.

5. Some are addicted and lead productive, satisfying lives and will take opiate based pain relief until the end of their days.

Alas, overdoses happen, seldom in public places, but it does happen. If narcan is available, and a person is not breathing but has a pulse, follow the directions and revive that person by all means.

If a person is pulseless and not breathing call 911 and start CPR!

If a person is breathing but obviously high, move on.

If a person is barely breathing but sort of conscious make certain somebody who cares is standing by, or do it yourself, and ride it out.

If the person stops breathing, or respiration dip below 6 per minute, use a bag valve device and assist resperations . . .

Wait! What the heck is a bag valve device?

That my friends is the million dollar question. Those little buggers would allow the public to save far more lives far more safely than over the counter narcan.

 

 

https://en.m.wikipedia.org/wiki/Bag_valve_mask

Categories: Syndicated Columnists

Paramedic Plans

EMScapades Cartoon - Fri, 08/16/2019 - 08:49
Categories: EMS, Syndicated Columnists

Training Day: Chest seals, tourniquets and trauma dressings

Syndicated Columnists - Fri, 08/16/2019 - 05:00
Challenge EMS providers’ critical thinking and appropriate skill deployment with these 3 penetrating trauma scenarios, ranging from moderate hemorrhage to exsanguination
Categories: Syndicated Columnists

Misconceptions about airway management and the industry gold standard

Syndicated Columnists - Fri, 08/16/2019 - 00:13
Our co-hosts discuss airway management and its important role in EMS, including common misconceptions and the standard all providers should strive for
Categories: Syndicated Columnists

Veinity Fair: Evaluating jugular venous distension

Syndicated Columnists - Thu, 08/15/2019 - 21:52
Ever ogle the veins of someone you're being introduced to? You're not alone
Categories: Syndicated Columnists

5 steps to address physical and cognitive issues in an aging EMS workforce

Syndicated Columnists - Thu, 08/15/2019 - 00:40
If an EMS provider’s diminished capacity prevents them from performing the job’s essential functions or puts anyone’s safety at risk, consider reasonable accommodations
Categories: Syndicated Columnists

Death and the intimacy of truth: A lesson for EMS leaders

Syndicated Columnists - Thu, 08/15/2019 - 00:25
Even when we as healthcare providers must deliver hard truths, there can be an intimacy and a human connection that comes with honesty in the worst of circumstances
Categories: Syndicated Columnists

EMS Pay, Career and Education…. Again

EMS Office Hours Podcast - Wed, 08/14/2019 - 09:36
This week Jim is joined by both Josh and Dave. We talk about everyones favorite EMS subject, pay, education and career options. However I don’t think this is your average talk on the subject. Take a listen below and be sure to share, leave a comment or subscribe to the podcast.

Get your Trial access to Turbo Medic On Demand by joining the ranks here.

The post EMS Pay, Career and Education…. Again appeared first on .

Photo of the Week: AMR Georgia empowers citizens

Syndicated Columnists - Wed, 08/14/2019 - 02:33
This week's photo features Brian Noll, Shandeana Price, Jake Wall and Antoine Meadows at the NAACP Health & Safety Fair at the South DeKalb Mall, which AMR Georgia participated in. AMR’s Stop The Bleed and CPR trainings are intended to empower and equip bystanders to take simple steps that may help save a life before help arrives. [Read: Resilient communities train citizens to be...
Categories: Syndicated Columnists

Feel the heat: Managing exertional heat stroke

Syndicated Columnists - Tue, 08/13/2019 - 22:46
NAEMSP and NATA recommend a cool first, transport second approach to exertional heat stroke treatment with cold water immersion therapy
Categories: Syndicated Columnists

Isolation

Michael Morse - Rescuing Providence - Tue, 08/13/2019 - 15:48

By Michael Morse

I’ve been thinking of suicide a lot lately. Been reading a lot about it, too. Isolation is a common thread in most of the lives of the people I know of who ended it all. Suicidal people feel alone in a crowd, so it is near impossible to detect.

Ultimately, it is the responsibility of all of us to maintain connection to the world around us. The world will leave us alone if we do not participate, and it won’t miss a turn if we cease to exist. Firefighters and first responders are extremely vulnerable.

It is vitally important to maintain family and friendships outside of the first responder world and have something worth living for when the shift is over.
The last person I knew who put a bullet in his head was much like the rest of us; a little sad sometimes, disappointed in his life sometimes, and angry at the world—sometimes. The rest of the time, he acted as if all was as well as could be expected. Nobody could possibly have known his intent because he likely did not know his intent until his final days or moments.

Lots of things have been written about warning signs and reasons: depression, isolation, despair, triggers, and how to intervene when we notice something just isn’t right with somebody; I don’t know about all that. The reasons behind a person’s choice to end his life are complex and private and nearly impossible to detect.

I believe that inside of all of us is a built-in escape hatch, a forbidden but alive place we seldom venture to, a place that exists, and scares us back from whatever cliff on which we find ourselves. Part of the human condition includes having a way out and, when things get heavy, it seems as if they will just get worse, we will always have an option. Far too often, a person finds comfort in that place and embraces it; instead of running from it like usual, he runs toward it. And over it. And then, it’s over, and there wasn’t a damn thing any of us could have done to prevent it.

When someone we know takes his own life, we replay our interactions with him, and find the clues and the reasons, and beat ourselves up for not seeing them. But truth is, any of us who have lived, loved, and lost, when examined closely, show cracks in our stability. Parts of most of us have visited that dark, comforting place where there is no pain, shame, guilt, or sadness.

I know for certain that the thought has crossed my mind, and I never told a soul, until now. It has taken me a very long time to peel back the layers that make my life manageable and to expose the things that I don’t like to think about, and to look at those things objectively.

So, rather than obsess about what I missed and what I could have done to prevent my friend from dying, I choose to mourn his passing without guilt. His was a life well lived, until the end. There is absolutely nothing I could have done differently that would have changed his mind. However, there are a lot of things that might help the rest of us.

Being aware of the dangerous places to where our conscious or subconscious minds wander makes wandering back more likely. Knowing that thoughts of suicide are not reserved for people who actually do it makes those thoughts a little more manageable should they appear when life seems impossible.

Originally published in Fire Engineering

Categories: Syndicated Columnists

Fixing The Problem

EMScapades Cartoon - Tue, 08/13/2019 - 07:48
Categories: EMS, Syndicated Columnists

What is the right way to observe Memorial Day?

Syndicated Columnists - Mon, 08/12/2019 - 06:05
People have the right to do whatever it is that makes them happy, provided it does not infringe upon another's right to do the same
Categories: Syndicated Columnists

Degree requirements, Pink Floyd, and a seat at the adults’ table

Syndicated Columnists - Mon, 08/12/2019 - 05:53
Despite the growing pains and staffing shortages, degree requirements will improve EMS in the long-run
Categories: Syndicated Columnists

What should EMS providers consider before carrying a concealed weapon on duty?

Syndicated Columnists - Mon, 08/12/2019 - 05:27
EMS1 columnists react to a Kansas law that prohibits public employers from preventing their employees from carrying a concealed weapon while on duty
Categories: Syndicated Columnists

Double LODD and violent attacks on EMS

Syndicated Columnists - Mon, 08/12/2019 - 02:21
Understanding the risks inherent in EMS is critical to taking action to prevent death and injury in the line of duty
Categories: Syndicated Columnists

How to project integrity as an EMS leader

Syndicated Columnists - Mon, 08/12/2019 - 00:37
Being true to your core values is always the better road to choose
Categories: Syndicated Columnists

The evolution of a regional system of care in large vessel occlusion stroke

Syndicated Columnists - Mon, 08/12/2019 - 00:33
The Montgomery County Hospital District EMS experience paired a novel stroke assessment endovascular pathway with specialized training
Categories: Syndicated Columnists

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