Category Archives: Uncategorized

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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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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Seriously, just Kalm Down!

Following on from my previous post on managing the agitated patient…

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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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Just Kalm Down!

It’s time for another post on everyone’s favourite drug: ketamine!  Hooray! Ok, so this is not entirely about ketamine, but ketamine does come into it.  AV paramedics have recently received training to administer IM ketamine to agitated patients as part … Continue reading

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Esmolol for Refractory VFib

Originally posted on The PharmERToxGuy:
Up until two years ago, beta blocker use for refractory ventricular fibrillation (VFib) had only been studied in animal models with sporadic human case reports. Two studies in humans have now been published and may…

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Angling for Trouble? Catch and Release for Heroin Overdose.

Ok, I’ll make this quick, as it’s half time during the Bledisloe Cup, and nothing is more important than seeing Straya get beaten (again).  Therefore, no references – but I’ll follow up with some data once another study has been … 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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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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Robbie Rants: Professionalism

Sorry for the technical difficulties, this time everything should work…. Play Download Professionalism

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