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Large Vessel Occlusions - My latest EMS1.com article.

Please check out my latest article on EMS1.com!


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The Story That Wasn’t

Today I didn’t die. I didn’t come face to face with an armed criminal, and I didn’t have to fight for my life. Today I got to leave work, go home, and see my wife and children. So did everyone else that I work with. I call that a good day. Yet, regardless of whether you believe in fate or simply a Universe of random quantum fluctuations bubbling and foaming reality into existence, my day could have been much worse.
We dropped low on available ambulances late this morning and, as is our procedure, several managers got geared up to put ALS rigs in service. I donned my uniform, grabbed an out of service ambulance, and stocked it with portable equipment. I pulled the truck around to the side of the building where my office is, locked it up, and left it so that I could jump on as soon as a partner became available. As it turned out, we got several units back in service quickly and I did not end up going out. I did, however, leave the ambulance there outside of our training entrance just in …

I Don't Save Lives

When I tell people what I do for a living, I generally get one of two responses. The first is the nodding head accompanied by some form of the phrase "Oh, that's cool." I generally assume that these are the kind folks who, for the sake of social norms, asked me about myself without really wanting to know the answer. It's the same as when you ask someone "How are you?" Unless you are a medical provider, you aren't really looking for them to tell you about their hemorrhoids and how they're having difficulty getting an erection.

The second response, however, goes something like "Oh, wow! You save lives!" That's far better for the ego. I've thought about this many times throughout my career. "Saving lives " sounds so noble and so heroic. Upon hearing this phrase I picture myself shirtless with six pack abs and bulging biceps (neither of which I have ever had) standing atop a mountain of smoldering debris. The near -lifeless b…

Fight misinformation with DRAMA

EMS and the internet have something in common: both are super-efficient generators of sketchy or downright false information. In both places bad intel spreads like an STD causing inflammation and embarrassment. One would like to think that humans would have enough wit to filter what was true from what was not, but whether you call it fake news, lies, or simple deception, there are scores of individuals who will, without any thought, propagate rumors and falsehoods either out of malice or out of shear ignorance. While we certainly can’t stop the malicious, we can help the ignorant.
Regardless of where it appears - in the workplace, at school, or on the internet - following the Hulsman Five-Step Program “DRAMA” will help break anyone of the misinformation addiction.

DRAMA stands for: Date, Read, Analyze, Mediate, and Announce. These five steps, when followed by any person, can make the difference between an intelligent response, and a Hurculean display of ignorance. I urge everyone, regar…