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I have a few EMS-related domains for sale that might be of interest to anyone wanting to start a blog, or a business. They are: 1. e-paramedic.com 2. kiwimedic.com 3. aussiemedic.com 4. dutchmedic.com 5. paramedicinparadise.com 6. nomorenightshifts.com 7. texmexmedic.com Find...

We recently did a cardiac arrest call in which the patient had ingested a cobalt-blue powder, dissolved in water. We have no clue what the substance was, and it left me wondering if there is anyone here who has seen this before and may have an idea on what it could have been?

Maybe not your first call of the day, but certainly this one particular call that´s worth sharing with us. Maybe because it was a though one, or maybe beause there was a suprising turn of events. Or maybe it is the nature of the call that triggered a WTF moment. Maybe there is another reason why...

An emergency call comes in from a group of clubbing teens at 5 a.m. for an unresponsive male who is lying in prone position in a pool of blood at a metro station. Upon our arrival (ALS unit) we find a patient in his thirties, cyanotic with labored breathing, gurgling and snoring breathing sounds...

This interesting case has been presented somewhere else on the internet, and is worth sharing with you guys: A patient is brought in by EMS with an ´´allergic reaction with a swollen purple tongue and bruising of the chin and neck´´. The ED physician identifies the situation as coumadin toxicity...

This one is definately worth sharing with you guys, and I am especially interested in hearing from the guys that have previous experience in the (sub)tropics: Last week our ALS-unit responded to the following call: ´´Unresponsive 30yo female with high fever, just returned from Africa.´´ We...

We are an ALS-unit and we are dispatched to a residential fire, where a resident has been rescued by bystanders. We find a 35yo male with signs and symptoms of chemical and thermal inhalation injury: The patient is awake, with a GCS of 3/6/5, he is hoarse, has 1st and 2nd degree burns to the...

How do you feel about sedating a patient who is waking up post-CPR with 2,5 to 5mg Versed? The rational behind this would be to reduce anxiety, reduce oxygen consumption, reduce awareness and prevent memories from the resuscitation setting. I know that there are a few contraindications, eg...

I have an unused original uniform jacket of the Medellin Fire Department (one of the most prestigeous professional fire services of Colombia). It goes with its uniform belt and a few additional patches of the fire service. The whole package can go for USD 30 plus shipment cost.

I work in Europe and I am trying to understand how legal accountability works in paramedic practice in Canada. I´ve read about the laws, but how are they applied to these (common) situations, and how would you resolve these cases: 1. Physically or chemically restraining a combative patient...

I am curious if any of you has had calls involving the side effects or complications of any sort of alternative therapy? To name a few: chiropractic, neural therapy, acupuncture, Ayurveda, naturopathic medicine, chinese medicine, orthomolecular medicine, self-treatment with food supplements...

We were called to a homeless shelter at the end of our evening shift the other day for a 41yo male with seizures. Upon arrival we find the man under his blankets. He is alert, oriented and agitated. His skin is flushed, warm and diaphoretic, he is drooling. He is complaining of palpitations and...

What actions have been taken by your agency, to support the physical wellbeing of your EMS personnel? For example our ambulances are build, with ergonomics in mind: the attendant seat is facing forward instead of facing the stretcher, the monitor and Thoughbook can be reached without getting...

Patient is a 87yo in a nursing home with an acute onset of dyspnea. Upon arrival patient presents a GCS of 1-1-1, severe tachypnea, sweating, audible rales (confirmed by auscultation on four lung areas), fluid in the throat, sternal and intracostal retractions and surprisingly an initial oxygen...

For me it's the 3 A.M. GI-bleed. I just can't take the smell at that time of the night.

Good morning folks, As an ambulance nurse (paramedic) I've been working fulltime for the last eight years for an all-ALS ambulance service in a busy urban environment in the Netherlands. I am trilingual (Spanish, English, Dutch). I would love to continue my career in EMS in the United States...

This question to try to understand how the system works in Canada: Here in the Netherlands, we have an RN and an ambulance driver on each ambulance. The system is nurse-based, therefore every nurse has the same skill set and autorization to make decisions and act according to the national...

In my country a choice has to be made whether to continue with a nurse-based ambulanceservice or to start with a EMT/paramedic-based EMS-system. Can anyone give me good arguments why EMT/paramedics would be better than nurses (with ED or ICU-background)?

Does anyone have experience with hospital-based EMS? What are the pro's and contra's of having your whole EMS-system being part of a hospital?

Can anyone tell me which conference is bigger...the texas ems conference or EMS expo? Any other large conferences at the end of this year?