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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 …

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…

No Quarter for Hiders

One of our outstanding young medics popped into my office for a chat. I was expecting him, having left him an open invitation to stop by. It was no surprise, either, when he launched into discussion about a pediatric arrest he'd responded to recently. I suspect he partially wanted to be sure he'd done everything right and that it wasn't his failure as a medic that left a family tragically short a child. Concerns such as this are commonplace following these kinds of calls - you wonder if there was something... anything that would have changed the outcome. Usually there's not, and from what I have been able to ascertain the child received excellent care from this medic, and all of the firefighters and police officers on scene.
Unfortunately, people die. Yes, even kids. This medic was struggling with a run that hit close to home for him. I could tell by the way he talked about it; he mentioned things that happened again and again. He keyed in on very minor points but with …