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Patient Care

The Tomato Philosophy

The Tomato Philosophy

“Knowledge is knowing that a tomato is a fruit. Wisdom is not putting it in a fruit salad.” Miles Kington, probably never thought his quote could be used for EMS. Now let’s talk about our knowledge and wisdom of oxygen.

On Seizures, Syncope and Science

On Seizures, Syncope and Science

Not all research papers provide everything you need to know about a topic. It is up to the reader to carefully read, analyze, think and apply each bit of information to clinical practice. How can published research impact EMS thoughts and practices in the field?

Mastering Burn Formulas

Mastering Burn Formulas

There is a good chance you’ll see a burn question on the NREMT exam.  Here are a few tips for mastering the burn knowledge and formulas you may need to be successful both on the exam and in the field.

Do you fail if you kill a patient?

Do you fail if you kill a patient?

Our friend, Becky Valentine, posted a note on her Facebook page telling a story where she heard a student waiting to take their final practical ask, “Is it a fail if you kill the patient?” It is a great anecdote—and one of the many questions our students ask that make us both smile and shake […]

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 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 […]

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 […]

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 Knowledge of Cardiac Emergencies

[QUIZ] Test your Knowledge of Cardiac Emergencies

Chest pain is a frequent patient complaint, but not all chest pain is due to a cardiac emergency. As an EMS provider understanding the anatomy and physiology of the cardiac and respiratory systems, as well as the mechanism of action for treatments, like defibrillation, aspirin, and nitroglycerin, is important for effective patient care. Take our […]