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. 🌡️🚑

BLS Review of the Autonomic Nervous System

The autonomic nervous system, which is subdivided into the sympathetic and parasympathetic nervous system, plays a critical role in how the body responds to the stressors we encounter.  Our body uses a negative feedback loop to respond to those stressors.  As our body encounters a stressor, the sympathetic nervous system releases hormones into the bloodstream.  Epinephrine, [...]

Numbers, Numbers everywhere but not a drop to drink!

As an industry we love to throw out numbers, the most repetitive being 500 mL.  We hear that number several times over the course of our initial training courses.  And I do not know about the other DistanceCME (DCME) faculty, but I feel like I mention 500 mL at least once a week, and usually more.  [...]

Safe Haven Laws

The television show Chicago Fire recently came under fire, no pun intended, by the Chicago Fire Department (CFD) after a recent episode depicting the use of a Baby Box in the show’s fire station.  A Baby Box is a safety device that allows a parent to place a newborn into it and anonymously surrender the child [...]

Narcan over the counter!

It was announced by Emergent BioSolutions Inc. on Dec. 21, 2022, that the Food and Drug Administration (FDA) is going to review the potential classification of Narcan spray as an over-the-counter medication making it widely available as early as March 29th.  This is great news considering that the U.S. Drug Enforcement Agency (DEA) is reporting that [...]

Another tragedy, Why prone!?!?!

Last week two emergency medical services (EMS) employees of Lifestar Ambulance Service in Springfield, Illinois, were charged with first-degree murder.  Peter Cadigan and Pegy Finley, their certification levels were not disclosed in the article, were called by law enforcement to transport a man by the name if Earl Moore Jr., 35 years old, to St. Johns [...]

Are you seeing an increase in RSV cases?

Respiratory syncytial virus (RSV) is a very common illness that infects almost every child by the age of 2.  RSV presents with cold-like symptoms, runny nose, a cough, and fever and it is highly contagious and can spread very quickly through daycares, school settings, and long-term care facilities.  Once a person is infected, they remain contagious [...]