Clinical decision-making for paramedics and EMS training leads: case breakdowns, protocol notes and what the data says, written with emergency physicians.
29 articles
Hypoglycemia is one of the few calls where the patient often wakes up in front of you. That is when the harder decisions start: which route, why it happened and whether it is safe to leave.
Sepsis rarely announces itself. This case breakdown follows a quiet, confused older patient and shows where field recognition, screening and an early pre-alert change the outcome.
The most important stroke question on scene is often not about the patient's arm. It is about the clock. A practical walk through last known well, stroke scales and destination decisions.
Pediatric calls are rare enough to feel unfamiliar and serious enough to rattle experienced crews. Here is how to think in kilograms, use the tape well and work with the family in the room.
A collapsed runner and an older adult found in a hot apartment can both have heat stroke, but they look different and need the same urgency. Why on-scene cooling matters.
The calls that matter most are the ones you see least. Simulation fills the gap, but not always the expensive kind. Here's how to think about fidelity, frequency and measuring decisions.
The goal of an overdose call isn't a patient who's wide awake. It's a patient who is breathing. Here's how ventilation, naloxone titration and harm reduction fit together.
Anaphylaxis rarely looks textbook on arrival. The patients who do worst are often the ones where epinephrine waited for a lower blood pressure or a second opinion.
Most crews know how to do good compressions. Where resuscitations lose time is in the gaps between them. A look at roles, pauses and the pit-crew model.