How To Stop Nausea Without Medications

Management of a vomiting patient is typically an unpleasant experience for any provider.  Even if the sight, smell, or sound produced by someone vomiting does not bother you, there is often a particularly foul clean-up process that must occur after treatment has concluded.  However, there is a little-known trick that you can use to stop nausea quickly,

What The Heck Is Racemic Epinephrine?

What The Heck Is Racemic Epinephrine? So there are a few common points of confusion that I have noticed when it comes to epinephrine.  One of them is in regard to the dilution of epinephrine, and the other deals with racemic epinephrine. First, I will attempt to explain what the different dilutions of epinephrine actually mean.

No Hands CPR in 2020?

Healthcare providers around the world were shocked, but accepted “Hands Only CPR”.  A new document, however, reveals an even less aggressive stance on management of cardiac arrest. No Hands CPR in 2020? A recent leaked document has revealed that 2020 guidelines for the management of cardiac arrest will take an entirely “hands off” approach. According to

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

Triaging Triage ECGs

I’ve spent nine years working in an emergency department, which means I’ve also spent nine years performing electrocardiograms at triage. With a couple thousand waiting-room ECGs under my belt, I’ve noticed a few things: A lot of ECGs are ordered at triage. Many of them are performed on low-risk patients. Very few of those ECGs

ECG Mixtape: Vol. 2

Welcome to the second installment in our ECG Mixtape series! It looks like this will be an irregular publication while we streamline our process of picking cases and getting permission to reproduce them. Enjoy! Pick of the Week This weeks top pick comes from cardiologist Dr. Gianni Manzo in São Paulo, Brazil, who shared this