Category: AmboFOAM

The call of the recliner

Paramedics tend to think of our job as being quite physical. It is, but maybe not in good ways. This is my step counter, as recorded by my phone. I keep it running in the background and my phone is always on me. Wednesday to Saturday I was off duty. Sunday to Tuesday I was

Have a very EMS Christmas

Hello from the world of ambulances and other emergency services! We hope you have an excellent Christmas and holiday period. It’s a fun time and people are usually in a good mood at the end of a working year. It’s a time to spend with family and friends, to eat and drink, and generally try

A note on Clinical Practice Guidelines

Have you ever been annoyed at a change in your clinical practice guidelines? Have you ever been frustrated because of moving goal posts? Want to understand your clinical practice better? Start here.   1.  No-one knows what “right” is.  Occasionally I hear people complain about changes in paramedic guidelines. “I can’t keep up!”. “They’re always

Talk less, listen more, drop the attitude

Sometimes I just have to scratch the itch and have a rant.  This time the itch is a recurrent one, about radio communication. We have a large number of graduate paramedics starting with Ambulance Victoria this year, so it’s probably a good time to revisit a topic that seems to receive surprisingly little attention in

Tick tock

Ultimately, a lot of what we’re doing in EMS is ferrying people towards their deaths.  In the literally-true-but-irrelevant sense, we’re all dying. But that’s not what I mean. Pre-hospital and Emergency workers spend a lot of time around people in their final hours and days, even though we don’t always think about it.  It’s easy

A better bridge?

Head on over to Emcrit to read Rory Spiegel’s take on mechanical CPR.  I’m fairly sure Rory has been reading the sporadic ranting of a certain paramedic on this topic, hence his brilliant, insightful work.  I’ll let him have his moment though The key to mCPR being useful is selecting the right patient who can benefit from

Seriously, just Kalm Down!

Following on from my previous post on managing the agitated patient… Now that we know that these patients are sick, and we know why we need MICA support, we will have a look at some practical tips for managing the extremely agitated patient. First of all, we probably need to know what we are looking for