Peter Canning

JANUARY 27, 2025

When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford. People in pulmonary edema got Lasix.

Allergic Reaction 90

Allergic Reaction Naloxone Paramedic STEMI 90

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ 2023 [book]. They report insufflating ‘a bundle’ of tranq dope per day. 2023 Aug 1;89(2):231.

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

Peter Canning

OCTOBER 30, 2023

The man’s hair is long and unmatted, his blue jeans are muddy and his books are wrapped with duct tape. They overdose behind the dumpster where I give them naloxone and put them in the ambulance. As I approach, I see he has the ambu bag out and is providing ventilations to a man who is dusky with agonal respirations. You found him.”

Overdose 52

Overdose BLS EMT EMT 52