Author Archives: James

A note on Clinical Practice Guidelines

Have you ever been annoyed at a change in your clinical practice guidelines? Have you ever been frustrated because of moving goal posts? Want to understand your clinical practice better? Start here. Continue reading

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Posted in Communication, Education, Research, Uncategorized | Tagged , , , , , , , | 6 Comments

Tick tock

Ultimately, a lot of what we’re doing in EMS is ferrying people towards their deaths.  In the literally-true-but-irrelevant sense, we’re all dying. But that’s not what I mean. Pre-hospital and Emergency workers spend a lot of time around people in … Continue reading

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Eustress in emergency medicine

Link time: First10EM.com has published an interesting article/brain dump on performing under pressure in the setting of emergency medicine. There’s a lot in there, but the key takeaways are that “stress” is inevitable, but varies a lot from person to … Continue reading

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Why I’m not thanking a Paramedic

According to my social media streams, yesterday was “Thank a Paramedic Day”. This seems to have been taken up with enthusiasm by various members of the public who have been telling their stories of being treated by paramedics, or more … Continue reading

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Tamiflail

Some people may remember the Great Swine Flu Epidemic of several years ago.  Paramedics and other frontline operators were wearing tyvek suits on a daily basis and the febrile media was spending most of its time freaking out about the … Continue reading

Posted in Ethics, Pharmacology, Respiratory | Tagged , , , | Leave a comment

Here’s a link to an interesting article on the pathophysiology, and more importantly, the significance of febrile illnesses. Science-Based Medicine – Fever Phobia Many people are terrified of fever, especially in children, with no real justification.  The key takeaways are … Continue reading

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Service

Around the middle of 2004 I found myself sitting at a desk in a huge hall with about five hundred other people. They fidgeted and sweated and nervously chatted amongst themselves. I tried not to get sucked in, but I … Continue reading

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How not to end your EMS career

My EMS career nearly ended last week. Not once, but three times. The first time I was treating an agitated patient, whether mental health related or behavioural we couldn’t tell. She required restraint from four police but continued to kick … Continue reading

Posted in Education, Uncategorized | 3 Comments

Surviving your first year on road part 5 – Clinical Concepts

The clinical concepts that no-one teaches you about at university   You’ve spent the last three years or so getting to know the intricacies of morphine metabolism and the cardiac cycle.  Those things are all important as background, but in … Continue reading

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Surviving your first year on the road Part 4 – Trauma

Trauma Psychological trauma When I first started the job, members of my family were convinced that I was going to be a gibbering wreck within the first week.  It wasn’t the case but I understand their concern.  The public perception … Continue reading

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