Today’s my first day back at work after a great EMS Today conference. My whole outlook on what continuing education could be has changed since I saw Greg Friese’s session. Wake County EMS’s Advanced Practice Paramedic Program has given a new definition to high performance EMS, and I’m very excited about other services starting similar [...]
Armed EMS Should be Police-Based EMS
EMS 12-Leads: Early and Often
The 12 lead ECG to detect ST elevation MI’s (STEMI) is one of the most important things we do for our patients. I didn’t grasp how important they are until I started working in a system that integrates them into a hospital heart alert program. To answer the 12-lead non-believers at other organizations I worked [...]
Copy, Paste, & Send to Congress

Or better yet, join NAEMT and use their advocacy tool. The Field EMS Quality, Innovation, Cost-Effectiveness Improvement Act is a chance for us start being recognized as the essential public service that we are. Whether your service is fire-based, private, third service, or volunteer, this law will help define what quality care is across delivery [...]
My BA & EMS Part 2: Lost Prospects
My BA and EMS: Part 1

On a recent EMS Garage episode, there was a great discussion about whether paramedics should get, or be required to get, a Bachelor’s Degree. Not knowing what to do after high school, so I followed a quarter of my Catholic high school class mates down the street to Canisius College. I was fortunate that my [...]
Pyro-medics of WNY
In my home town of Buffalo, NY Rural/Metro Ambulance has gotten some national attention for two scandals. The Buffalo News reports that the company is being investigated for fraudulent billing and that management attempted to cover up being aware of two of their EMT’s starting fires. Fraudulent Medicare billing by ambulance services has become [...]
The Art of Persuasion
Last week on EMS Office Hours, we discussed when patients should be allowed to refuse to be transported to the hospital. This was brought up because of an incident Sean Eddy wrote about, where a seriously ill patient was going to refuse transport unless she could go to a hospital on diversion. I think Sean [...]


