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Attention New Jersey Volunteer EMS Peeps

How healthy is your squad? Problems with staffing, recruitment and retention? Problems meeting your response time standards? Financial instability? Does your next equipment purchase depend on the proceeds from the next fish fry or bake sale? The folks at Emergency Resource Management, LLC might be able to help you find workable answers to those problems. Come by the Mendham Township ...

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Metro Atlanta EMS Conference

If any of you EMS or nursing types live within an easy drive of Atlanta, you really need to check out the Metro Atlanta EMS Conference. It’s March 6-8 at the Riverside EpiCenter in Austell, GA. Three days of quality EMS and nursing continuing education from excellent speakers. I’ll be doing one of the keynote addresses, and the speaker lineup ...

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Inside EMS Podcast: Peer Support for PTSD and Depression

Paramedic Greg Turner of Edmonton took his life on-duty on January 26. Last weekend, paramedic Debbie Crawford of Denver Health Paramedics took her life as well, mere hours after working a fatal train vs pedestrian accident. Debbie co-founded and chaired a committee aimed at helping paramedics deal with PTSD and depression, yet for her, even those resources were not enough. ...

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Eighteen and Invincible

Their beer of choice was Budweiser. I know it by the empty cans on scene, scattered among the detritus of the typical wreck scene; engine parts, trim pieces, windshield glass, brilliant shards of taillight lenses winking occasionally in the light reflected from our strobes. A ball cap, a leather purse. Four dead bodies. There are three empty cans on the ...

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Inside EMS Podcast: Is There Such A Thing As Too Much ALS?

In this week’s episode of Inside EMS, co-host Chris Cebollero and I discuss his five-year plan to implement a mostly BLS system at his agency. While there is no “one size, fits all” solution to EMS system design and optimal staffing configurations, my opinion is that we do not have an EMS shortage in this country. We have too much. ...

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Inside EMS Podcast: Healthy Eating Tips for EMTs

In last week’s episode of Inside EMS, co-host Chris Cebollero and I discuss the EMS news, and welcome fitness expert Bryan Fass to the show, where he provides some healthy eating tips aimed at EMS providers. If you’re like me, and struggle (fail, in my case) to maintain a healthy lifestyle while working on an ambulance, these are tips you ...

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A Good Day

Took advantage of the wonderful weather today to take a drive to the coast. The wildlife refuge in Cameron was teeming with birds. In one short drive, I saw snow geese, specklebelly geese, pintails, gadwalls, blue-winged teal, shovelers, coots, rails, gallinules, snipe, roseate spoonbills, snowy egrets, great blue herons, brown and white pelicans, gulls, terns, and ibis. At 75 degrees, ...

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About That Naloxone Thing…

… file this under: Unintended Consequences, Law Of. Want to know what’s driving the spike in naloxone prices? Making it available to every goober and his junkie-in-law might have something to do with it. This is what you get from legislators and state public health officials trying to keep up with the Joneses.

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Inside EMS Podcast: Better Documentation?

In this week’s episode of Inside EMS, co-host Chris Cebollero and I discuss the latest EMS news, including the impending strike of Southwest EMS, a Rural Metro subsidiary in Tucson, and an EMS system in Selma Township, MI that is shutting down. In the Clinical Issue, we discuss the value of thorough documentation. Not only do a great many EMS ...

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Is It Just Me, Or Is This Naloxone Bandwagon Getting A Little Crowded?

Way back in 2008, I called naloxone the most abused drug in the EMS drug box. That comment arose from a discussion on an EMS forum where a distressingly high number of paramedics saw nothing wrong with using maximum doses of naloxone to “wake someone up” or “ruin the high” of some junkie. Not to reverse opiate-induced respiratory depression. Not ...

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When It Comes to Health Care…

… you can have easy access, low cost, or high quality. Pick any two. Anyone that says you can have all three is either a liar, or a politician. But then, I repeat myself. (Hat tip to Roberta X.)

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Inside EMS Podcast: Should We Curtail Use of Lights and Siren?

In this week’s episode of Inside EMS, co-host Chris Cebollero and I kick over a hornet’s nest by daring to question: do we run hot way too much? Here’s my TL;DR version: Hell yes. Most of our patients could be adequately served with the cable installer’s response time; sometime next Tuesday between the hours of noon and 5:00 pm. All ...

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Calling All Shooters!

So, who’s up for another Shooter Self Care course at the NRA Annual Meeting in Nashville? Same story as last year; wound care and first aid targeted to shooters, taught by shooters with EMS and medical expertise. Length about four hours, cost around $100, basically to cover refreshments and the cost of your own personal blowout kit. Date still negotiable, ...

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Inside EMS Podcast: Are Mistakes Inevitable in EMS?

On this week’s episode of Inside EMS, EMS1 columnist Steve Whitehead and I duke it out with co-host Chris Cebollero and EMS1 Editor in Chief Greg Friese over whether mistakes are inevitable in EMS. Are they? Does accepting the fact that mistakes happen equate to condoning them? Does your QI process treat medical errors as teachable moments, or as grounds ...

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