Traumatic Arrest Is a Different Game: Stop Defaulting to Medical CPR
High-speed MVC, driver unrestrained. You arrive and your patient is pulseless. Your partner grabs the Lucas device. Someone starts pulling […]
Clinical Pearls, Trauma
Clinical Pearls
Cold Sepsis: Why Hypothermia in Infection Should Terrify You
Dispatch sends you for a “generally unwell” patient. You walk in and find a 74-year-old man in his recliner. He
Clinical Pearls
What Sepsis Actually Is (And What It Isn’t)
You have seen the patient. Nursing home, found altered, temp of 38.9, heart rate in the 120s, blood pressure holding
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King County’s MCI Revolution: Why Triage Funnel Points Kill
Here’s the uncomfortable truth about how most EMS systems run mass casualty incidents: the structure we’ve been taught to build
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START Triage in 60 Seconds: The 30-2-Can Do Mnemonic
You’re first on scene. Multiple patients. Somebody’s screaming, somebody’s not moving, and three people are walking toward you asking what
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The 5-Minute Dementia Screen: Is This Confusion New or Baseline?
“She’s always confused.” The care aide says it with a shrug as you assess your 84-year-old patient. She is disoriented
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Naloxone Nuance: Why the Goal Is Breathing, Not Awake
You find him unresponsive in the bathroom stall. Pinpoint pupils, respiratory rate of 4, SpO2 in the 70s. Classic opioid
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The Sepsis Spot: Finding Sick Before the Blood Pressure Drops
The nursing home calls for “weakness.” Your patient is an 82-year-old woman who has “been off” for a day or
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Handoff Roulette: The 30-Second Report That Actually Gets Heard
You have just given the most thorough handoff of your career. Detailed history, complete vitals trending, mechanism of injury, treatments
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Silent STEMIs: The Chest Pain Calls That Do Not Feel Like Chest Pain
The call comes in as “nausea and weakness.” Your patient is a 67-year-old diabetic woman who swears it is not