Clinical decision-making for paramedics and EMS training leads: case breakdowns, protocol notes and what the data says, written with emergency physicians.
29 articles
Two breathless patients, two different diseases, one shared trap: mistaking exhaustion for improvement. A case-based look at asthma and COPD flare-ups on the road.
Drowning resuscitation turns the usual cardiac arrest priorities around. We break down a lakeside call to show why ventilation comes first, when spinal precautions are warranted and what aftercare needs.
Most calls end with a quick 'good job' in the truck. Here is how to turn that moment, and a later structured conversation, into learning crews actually use.
When bleeding is life-threatening, the order of operations changes. A case breakdown of recognising major hemorrhage, placing a tourniquet well and packing wounds a tourniquet cannot reach.
Advanced airways get the attention, but oxygenation is the goal. A practical look at BVM technique, preoxygenation and the failed-airway thinking every paramedic needs before the first attempt.
A vague complaint of indigestion, an early 12-lead and a fast pre-alert. We break down the decisions that get a STEMI patient to the cath lab sooner, and the mimics that trip crews up.
Scenario scores, attempt logs and remediation notes are personal information. Here is how paramedic services can use training data well without exposing the people behind it.
Cold patients punish rough handling and reward patience. A case breakdown of a hypothermia call from the snowbank to the right hospital, including the cardiac arrest decisions most crews rarely face.
Most scene errors are not knowledge gaps. They are thinking traps that catch skilled clinicians on busy days. Here is how anchoring and premature closure happen, and what actually helps.