Syndicated Columnists

Always Choose Kindness

EMScapades Cartoon - Tue, 06/18/2019 - 07:33
Categories: EMS, Syndicated Columnists

How to avoid costly turnover in your EMS service

Syndicated Columnists - Tue, 06/18/2019 - 04:55
From engaging staff in strategic planning, and collaboration in organization goals, 5 strategies to EMS staff retention
Categories: Syndicated Columnists

Article Bites: How often do they get more than one? Naloxone redosing in the age of the opioid epidemic

Syndicated Columnists - Tue, 06/18/2019 - 02:42
BLS and law enforcement naloxone administration improves already stretched EMS systems management of increased opioid overdoses
Categories: Syndicated Columnists

5 EMS timekeeping problems and how to navigate with software

Syndicated Columnists - Mon, 06/17/2019 - 05:00
Manually calculating hours worked, tracking PTO requests and verifying daily schedule questions is time consuming, and vulnerable to human error
Categories: Syndicated Columnists

It ain’t easy being wheezy: A pediatric case study

Syndicated Columnists - Mon, 06/17/2019 - 00:26
Learn how to assess, monitor and manage pediatric asthma emergencies, as well as underlying pathophysiologic changes
Categories: Syndicated Columnists

6 tips for drowning prevention and response

Syndicated Columnists - Sun, 06/16/2019 - 22:36
First responders can use their status as respected community figures to reduce the risk for drowning
Categories: Syndicated Columnists

Yup, I said that

Michael Morse - Rescuing Providence - Fri, 06/14/2019 - 12:39

Yup. I said that;

“It’s a good thing I blew my back out or the job would have killed me.”

My truck was running 5000 plus

Ain’t that right Mr. Wilson!

calls a year, I was working every overtime shift I could, my brain had stopped functioning properly and my outside life was in tatters. My inside life wasn’t much better.

My body knew what my brain didn’t. Enough was enough. If my back hadn’t given out I very well might have put a bullet in my head.

There is no escape in EMS for job related stress. But a busted back will do.

Life is worth living. Don’t be an idiot like me. Start living before it’s too late. I’m fortunate, I pulled it together just in time. Now if I can just get those discs back…

Categories: Syndicated Columnists

Rainy Day Refusals

EMScapades Cartoon - Fri, 06/14/2019 - 07:59
Categories: EMS, Syndicated Columnists

How to determine if a patient has the mental capacity to decline care

Syndicated Columnists - Fri, 06/14/2019 - 05:00
Our co-hosts discuss the three techniques EMS providers should use to determine if a patient has the mental capacity to decline medical treatment
Categories: Syndicated Columnists

4 things EMS providers need to know about hyperventilation syndrome

Syndicated Columnists - Thu, 06/13/2019 - 22:00
Understand the role of pulse oximetry and waveform capnography to assess and treat patients who are hyperventilating
Categories: Syndicated Columnists

Spinal motion restriction

Syndicated Columnists - Mon, 06/10/2019 - 05:56
Present the following points from the ACS, ACEP, NAEMSP spinal motion restriction guidelines to help EMS students make transport, device decisions
Categories: Syndicated Columnists

Spinal motion restriction

Syndicated Columnists - Mon, 06/10/2019 - 05:56
Present the following points from the ACS, ACEP, NAEMSP spinal motion restriction guidelines to help EMS students make transport, device decisions
Categories: Syndicated Columnists

Patient positioning is a critical skill for EMS providers

Syndicated Columnists - Sun, 06/09/2019 - 23:18
A broad range of very important devices that are now available for patient packaging, but it is our earliest days of medic training that will often be critical to patient outcome
Categories: Syndicated Columnists

But Is It?

EMScapades Cartoon - Fri, 06/07/2019 - 10:43
Categories: EMS, Syndicated Columnists

How to implement mental health and wellness support into your agency's culture

Syndicated Columnists - Fri, 06/07/2019 - 00:29
Our co-hosts sit down with Burnsville Fire Department Chief BJ Jungmann, who discusses how to support mental health and wellness for first responders
Categories: Syndicated Columnists

How to implement mental health and wellness support into your agency's culture

Syndicated Columnists - Fri, 06/07/2019 - 00:29
Our co-hosts sit down with Burnsville Fire Department Chief BJ Jungmann, who discusses how to support mental health and wellness for first responders
Categories: Syndicated Columnists

Fentanyl fever and MIH opiate interventions

Syndicated Columnists - Thu, 06/06/2019 - 23:29
Separating fact from fiction on the opioid crisis, fentanyl and its derivatives, and community paramedicine initiatives
Categories: Syndicated Columnists

Everybody will be Different

Michael Morse - Rescuing Providence - Wed, 06/05/2019 - 14:28

“But the further away I get from that life the more I realize there is always somebody waiting to take our place. What I did mattered, but only for the time I was doing it. Now, somebody else has filled the shoes I once thought only I could wear.”

 

One hundred years from now

I took a walk today, slow at first, then faster until I was almost running. Then I was running, not a graceful sprint by any means, just arms and legs pumping, my heart racing, feeling good just to be alive and well. The neighborhood where I now live is like a park where people planted homes. Different trees sprout different flowers; the ground erupts with different colors every day. The grass, freshly cut this weekend glistens with moisture from an early morning shower, only now the sun has appeared, and with the warmth the water evaporates giving the air a freshly showered feel.

No cars today, most people are at work. It’s just me and the birds. When I think my heart is ready to explode I slow down and stroll the last half-mile, simply enjoying the sounds around me. A fox sprints away from my bird feeder as I walk up my driveway. He looks a little old, gray around the whiskers and not as fast as you might think a fox would be. My neighbor who knows everything told me that foxes are not necessarily nocturnal, so rabies probably isn’t a factor. Too bad Mr. Fox didn’t hang around; we could have had breakfast together. I’ve been told my Grandfather had a pet fox named Reginald. Maybe I’ll catch this guy and keep him.

We scramble around, working like a fools; taking care of this, of that, taking care of everything we need to take care of so the paychecks don’t stop, trying to make a difference, thinking we have, hoping it isn’t all for nothing. We all know, deep down in that place we seldom go that in a hundred years us and every person living now, at this moment will be gone, and all new people will inhabit the earth. The overpowering urge to do something that matters dominates our thoughts when we think of things like that, how fleeting our time here actually is, and how soon we will be forgotten. It’s a crazy world we live in; I wonder if it will be as crazy for the people who will replace us in a hundred years.

That I was a Rescue Captain on one of the busiest ALS vehicles in the country counted for something – I think. At least I tell myself so. But the further away I get from that life the more I realize there is always somebody waiting to take our place. What I did mattered, but only for the time I was doing it. Now, somebody else has filled the shoes I once thought only I could wear. The past is over, the future a mystery and the present just a gift that slips through our fingers before we are able to truly grab hold of it.

I delivered babies, pulled people from wrecked cars, administered the right drugs at the right time and truly made a difference in those people’s lives, most of the time. Yet more often I dwell on the other times, those times when everything I did made no difference at all, and all I could do was wonder about what had been lost.

I decided to let the fox go.

 

By Michael Morse

From the Providence Journal June 6, 2019

Categories: Syndicated Columnists

Prove It: Is sodium bicarbonate indicated for prolonged cardiac arrest?

Syndicated Columnists - Tue, 06/04/2019 - 22:23
Research suggests an association between sodium bicarbonate and decreased survival-to-hospital discharge and worsened neurological status
Categories: Syndicated Columnists

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