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For Practitioners

The Story Behind the Picture

The Story Behind the Picture

By Dan Limmer There’s a shelf in my office where I keep copies of all the editions of all the books I’ve written. For me, each book carries memories—of the time when it was written, the curriculum that was in place at the time, and the advances in medicine that we were able to incorporate. […]

Volunteer EMS and Training: Mutually Exclusive?

Volunteer EMS and Training: Mutually Exclusive?

By Dan Limmer A recent article in the Press-Republican from upstate New York titled “Editorial: State must reduce obstacles to EMTs” stated: “Ever-increasing state training requirements are thinning the already strained ranks of emergency medical technicians and costing communities money.” Hogwash. Yup. You heard it. Hogwash. I totally agree that volunteer EMS has personnel issues. But […]

Educators in the Field: Preceptors and FTOs

Educators in the Field: Preceptors and FTOs

By Dan Limmer How “street ready” is an EMT student when he or she passes a class and the NREMT? Agencies want providers who are well prepared, but in most cases that isn’t the reality. To be prepared to do the job, a new EMT needs time in the field with either a preceptor or […]

10 Things You Should Know About Medical Emergencies

10 Things You Should Know About Medical Emergencies

In EMT class, many students don’t realize there’s a significant difference between the medical patient and the trauma patient. The difference begins at assessment and continues through care. The medical patient’s assessment is focused more on history. And in contrast to many traumatic conditions for which surgery is the main treatment, there are a lot […]

Are New Paramedics Like Labrador Retrievers?

Are New Paramedics Like Labrador Retrievers?

Yes. In one main way. When you show a Labrador retriever a stick or a ball, they start to go a little nuts. They shake and whine until they get to retrieve. This same thing can happen when new paramedics see the drug box. Instead of shifting into deep clinical decision making, they shake and […]

A Tale of Five Geriatric Patients

A Tale of Five Geriatric Patients

By Dan Limmer We hear a lot about the differences between the geriatric patient and younger adult patients. Rather than list the differences between patient types, I’d rather use five of my favorite geriatric calls to highlight some of the important elements. For additional details and insights I have recorded an audio debrief of each patient […]

10 Commandments for EMS Survival

10 Commandments for EMS Survival

By Dan Limmer It was in the early 1990s when I wrote Ten Commandments for EMS Survival. Never did I believe it would get the exposure it has in the past 20+ years. It was first presented at a great little conference in Binghamton, NY run by Bill Loller. They even made t-shirts out of […]

Oxygen is the Wonder Drug No More

Oxygen is the Wonder Drug No More

Last summer, we wrote a blog post in response to the 2010 AHA guidelines and the guidelines for oxygen administration in patients with ACS and stroke. People were all over our Facebook posts and YouTube videos telling us we were wrong when we presented a scenario or test question that involved oxygen decisions. Patients with chest […]

Suction Decision Making

Suction Decision Making

We recently received a question from an EMT student: If an unresponsive patient is vomiting would you suction first or roll the patient on his/her side and then suction? In answering this question we realized just how much we need to get away from one definite answer and discuss guidelines instead. Then the realization hit that the answer […]

[QUIZ] Test Your Medical Terminology Knowledge

[QUIZ] Test Your Medical Terminology Knowledge

This quiz contains medical terms taken from the Instructional Guidelines that accompany the National EMS Education Standards. Each of the terms in this quiz are found within that document and are in the scope of an EMT to know. How well do you know your EMT terms? Make sure to share your results and challenge […]