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The RAD-57 oximeter is pretty popular, and the new LP has it built in (as an option). But how are people using this information? In particular, are people using this in rehab at fires, checking FFs before they are "cleared" to return to duty? I've seen so different permutations, but it...

"Do not spend more than 20 minutes on scene for a medical call." Has anyone heard of this? Better yet, anybody have a reference to a textbook or article that describes this teaching?

One of the surprising results I found when I interviewed medics about prehospital analgesia was the belief that it would be helpful to add a benzo to whatever opiod you are giving. (link to study at http://www.ncbi.nlm.nih.gov/pubmed/22971168 The medics offered various reasons, mostly having...

It is no longer an official "reversible cause" per ACLS, but many folks are still checking the finger stick in cardiac arrest, and giving D50 for hypoglycemia. Has anyone actually had a "save" that they believe was because of the dextrose? I'm preparing a talk, and I'd love to hear any...

Does anyone have experience with being called for a likely heatstroke patient at an athletic event, but having the trainers refuse to have the patient transported until they have cooled the patient? There are some position statements from the athletic trainers that seem to support this...

The ResQGARD ITD 7 is supposed to work like the ResQPOD, but in spontaneously breathing patients, raising the blood pressure. I have plenty of doubts about the usefulness of this expensive device, but I wanted to hear if folks have had personal experiences with it.

From "Culture of silence," in ACEP News, June 2013 An emergency physician has written an essay describing what he views as some significant obstacles to giving feedback to EMS crews, and I want to see what sorts of reactions people have to his perspective. Does this strike a chord with folks...

I caused this once in an elderly female - gave her nitro, and watched her brady down to the 30s for a few minutes. Of course, being in the ED, it's hard to get a "STAT" ECG. Irony. One of the AMR medics coming to our ED, fortunately, was a little quicker on the draw, and managed to get a great...

Looking for some help here. I'm going to talk to a paramedic class about "assessment." Kind of a broad topic, but I want to have a discussion focusing on the patient who doesn't fall nicely into one protocol or another. Or who straddles two protocols at once. Two examples - a patient with...

Hey folks - I'm one of the new attendings at an ED in Southern CT. A few of us are pretty interested in EMS, and this blog was started so that we had a place to discuss new research, describe interesting calls. or tackle other EMS topics. Check out Mill Hill Ave Command. Please leave...

Hey folks. I'll be talking to a medic class about endocrine emergencies in a few days. Besides the basics of diabetes, as well as thyroid and adrenal emergencies, I'm going to emphasize a few topics. In particular, I'll spend some time on the pitfalls of signing off a hypoglycemic patient, as...