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For Practitioners

The practice of cupping

The practice of cupping

Cupping is a traditional Chinese medicine modality. Practiced for centuries, it has again come into the forefront in the 2016 Summer Olympics in Rio where millions of people saw the dark circular marks on the back and torso of swimmer Michael Phelps as well as other athletes. In cupping, suction is created over the skin […]

10 Tips to Improve Your Differential Diagnostic Skills

10 Tips to Improve Your Differential Diagnostic Skills

Differential diagnosis is a hallmark skill for EMTs, AEMTs and paramedics. EMS has progressed beyond the “EMS doesn’t diagnose” days to become a critical thinking-oriented practice in which differential diagnosis is necessary. There’s a tenet stating that 90% of emergency medicine happens in the cognitive domain—the realm of thought. Although EMS providers’ practice is guided […]

10 Tips for Longevity in EMS

10 Tips for Longevity in EMS

You’ve finished your class. Your NREMT card came in the mail. The only thing left to do is to ride off into the sunset saving lives…. Not so fast. EMS seems challenging and fast-paced. That’s most likely why you’re here. When the ink on your card has dried, and you have one really bad call […]

10 Things to tell a new EMT or EMT student

10 Things to tell a new EMT or EMT student

1) Know the difference between respiratory distress and respiratory failure. 2) Be nice. 3) Oxygen isn’t the wonder drug anymore. 4) You won’t know everything in the beginning–and that is ok. 5) In medical patients you will find out most of what you need to know from the history. 6) Sometimes the most important decision […]

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.

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 […]