Quick reads with practical field wisdom from working paramedics. Free forever.
Oxygen Is a Drug: The Dangers of the Reflex Non-Rebreather
July 12, 2026
The patient is breathing hard and you reach for the oxygen. It is the most reflexive move in EMS —...
Read more →Shock Lives in the Microcirculation: Why a Normal Blood Pressure Can Lie
July 12, 2026
You are called for a "weak and dizzy" patient. A 68-year-old woman, pale but talking, sitting on the edge of...
Read more →Traumatic Arrest Is a Different Game: Stop Defaulting to Medical CPR
March 6, 2026
High-speed MVC, driver unrestrained. You arrive and your patient is pulseless. Your partner grabs the Lucas device. Someone starts pulling...
Read more →Cold Sepsis: Why Hypothermia in Infection Should Terrify You
March 6, 2026
Dispatch sends you for a "generally unwell" patient. You walk in and find a 74-year-old man in his recliner. He...
Read more →What Sepsis Actually Is (And What It Isn't)
March 6, 2026
You have seen the patient. Nursing home, found altered, temp of 38.9, heart rate in the 120s, blood pressure holding...
Read more →King County's MCI Revolution: Why Triage Funnel Points Kill
February 25, 2026
Here's the uncomfortable truth about how most EMS systems run mass casualty incidents: the structure we've been taught to build...
Read more →START Triage in 60 Seconds: The 30-2-Can Do Mnemonic
February 25, 2026
You're first on scene. Multiple patients. Somebody's screaming, somebody's not moving, and three people are walking toward you asking what...
Read more →The 5-Minute Dementia Screen: Is This Confusion New or Baseline?
December 3, 2025
"She's always confused." The care aide says it with a shrug as you assess your 84-year-old patient. She is disoriented...
Read more →Naloxone Nuance: Why the Goal Is Breathing, Not Awake
December 3, 2025
You find him unresponsive in the bathroom stall. Pinpoint pupils, respiratory rate of 4, SpO2 in the 70s. Classic opioid...
Read more →The Sepsis Spot: Finding Sick Before the Blood Pressure Drops
December 3, 2025
The nursing home calls for "weakness." Your patient is an 82-year-old woman who has "been off" for a day or...
Read more →Handoff Roulette: The 30-Second Report That Actually Gets Heard
December 3, 2025
You have just given the most thorough handoff of your career. Detailed history, complete vitals trending, mechanism of injury, treatments...
Read more →Silent STEMIs: The Chest Pain Calls That Do Not Feel Like Chest Pain
December 3, 2025
The call comes in as "nausea and weakness." Your patient is a 67-year-old diabetic woman who swears it is not...
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