The Logistics of Two-Week Paramedic Training

Last week’s hot EMS topic around social media, and the Inside EMS Podcast Clinical Issue, was Creighton University offering a two-week paramedic certification course for selected healthcare providers.  This came as quite a surprise from a university that offers bachelor’s and master’s paramedics programs taught by highly respected faculty.  I believe that this is bad […]

The Flawed Logic of EMT Before Paramedic

This morning I caught Chris Cebollero debate Kelly Grayson on the Inside EMS podcast about whether experience as an EMT should be required before entry into paramedic school.   Chris’s position is that it should be required, and is necessary to have experience interacting with patients before paramedic school.  Kelly believes it does not, and that […]

The Logistics Of Managing a Patient With Anaphylaxis

This week I taught the immunology section for my paramedic class.  I broke the class into groups to do case studies, and one was for a 12-year-old with anaphylaxis with stridor and difficulty breathing.  Towards the end of their treatment plan on the white board, the group wrote that they would intubate if the patient’s […]

What Should I Teach About Anaphylaxis?

I’m seeking some advice from my educator friends about what to teach about anaphylaxis to my paramedic class next week.  The textbook we use, which for the most part I like, states in a “words of wisdom” box: Flushing (from vasodilation) and tachycardia are so characteristic of anaphylactic shock that it is very questionable to […]

How I Got My Master’s Degree

Yesterday I graduated from Wilmington University with a master’s degree in healthcare administration.  It took three years to complete, over which our second child was born and I changed jobs, and would not have been possible without the support of my family.  I hope that sharing why I did this, how I paid for it, […]

How Many Words Does It Take to Describe How Your System Works?

For my master’s thesis, I spent a great deal of time figuring out how to explain the EMS system in my area  in a language that would be understood by non-EMS people.  It took 227 words: Ambulances in the study are staffed exclusively at the BLS level. They are operated and overseen by 21 independent […]

Planting the Community Paramedic Seeds

Once a week I precept a group of my paramedic students in the emergency department.  It is one of the highlights of my work week.  I get to watch the students apply what we cover in the class, get my own contact with patients, and interact with the ED staff.  One day two of the […]

The Adrenaline Rush Is a Bonus

Last week I got a email from an author who is writing a book about career options.  She asked if she could speak to me about career or volunteer opportunities in EMS.  I wrote back and we chatted for about 20 minutes later that day.  One of her questions was what kind of qualities it […]

Generation Gap

There was a buzz in the office a few weeks ago when a number of students documented that they had performed digital intubations during their operating room rotations.  When asked if this was a mistake they said no, and went onto explain that a video laryngoscope was used for each one. D’oh. Digital intubation is […]

Making Our Lowest Common Denominator EMT Even Lower

Kudos to NAEMT, which sent a letter to Virginia House Delegate Kathy Byron opposing a bill that would require less time to become an EMR and EMT. VA House Bill 1010… Provides that regulations of the Board of Health governing qualifications for certification of emergency medical services providers shall require no more than 40 hours […]