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Sam Ireland
8 min read
;) Oh, and I would try vagal maneuvers ;)
There has been a plethora of articles on management of SVT. ALiEM and REBELEM are two that stick out in recent years to me (references...
Sam Ireland
7 min read
The Brown 20
I once worked with a prehospital practitioner who at one time worked for a service that drilled 20 minute scene times in their head. If...
Sam Ireland
4 min read
Brains and Eyes - 2
Consider a couple possible scenarios that may occur while testing a patient's pupillary reflex: Scenario 1: While shining a light into...
Sam Ireland
4 min read
Brains and Eyes - 1
Eyes and Brains Sometimes I choose my blog subjects based off of a subject that I’m going to be teaching, or other times something I just...
Sam Ireland
6 min read
The Stages of Knowing
A while back I was introduced to a concept called ‘the stages of knowing.’ These three stages are based on the work of Dr. William Perry....
Sam Ireland
4 min read
The Chest Tube!
Chest tubes are great. They can overcome all kinds of obstructions in the chest - air (pneumothorax), blood (hemothorax), air and blood...
Sam Ireland
18 min read
Reform Paramedic Education!
Once upon a time I had a critical care paramedic as a trainee. This individual had been in EMS for approximately two years, and was an...
Sam Ireland
7 min read
The MAP to Clarity
When do you consider your patient hypotensive? Many providers would answer with some sort of systolic blood pressure measurement, like...
Sam Ireland
5 min read
The EPI Mixer - Should EMS Use Push Dose Pressors?
The patient absolutely cannot wait. Their blood pressure has been dropping for the last several minutes and there is no doubt in your...
Sam Ireland
5 min read
How NOT to Mess Up DKA - Metabolic Acidosis Part 1
It's super easy to screw up your DKA patient. Whether you are the treating physician or the transporting paramedic, you need to...
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