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Defining Appropriate Responses in a Tiered System

High Performance EMS

Some computer-aided dispatch (CAD) software did better than others by considering the average travel time of an actual route instead of allowing nearness to be determined by a straight-line distance. Given the time, a BLS crew can begin life-sustaining measures or conduct an assessment for proper hand-off to the paramedics upon arrival.

BLS 264
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My First Delivery

My Paramedic Blog

I hop into the ambulance, and log onto the CAD (Computer Assisted Dispatch) device. The call pops up onto our CAD. Just as well I had a refresher on childbirth and obstetrics two weeks prior from an ITT (Infant Transport Team) paramedic instructor. I look at the notes on the CAD it read: Crowning. Me: “99 Fox.”

CAD 52
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An Odd Place

My Paramedic Blog

Of course we get called early in the evening and as we sit inside our ambulance, I hear dispatch announce over the radio… “Code 3 for a testicular bleed…” I remember looking at Jessica thinking… Oh nooo! Me: “Paramedics!!” Me: “Paramedics!! Me: “Pretty quiet here.”

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Normal ECG by many measures. Is it normal?

Dr. Smith's ECG Blog

Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. Pretty impressive for someone who has not yet attended med school, or even been a nurse or paramedic yet. He had an EKG recorded right away.