It Ain’t Easy Being Wheezy: Pediatric Status Asthmaticus

Severe asthma is becoming more prevalent in American children, and mortality has risen sharply in the past decade. Any EMS professional may be faced with the asthmatic child in severe respiratory distress or impending respiratory failure that has not been relieved...

Special K

What is the difference between hypokalemia and hyperkalemia?  Should pre-hospital providers even care?  Absolutely!  Ever run a code or treat a dialysis patient, and despite everything done correctly the patient does not improve?  Remember the H’s and T’s?  By paying...

Crichy! Surgical Airway Access Realities

The pathway to mitigation of a true “can’t intubate, can’t oxygenate” situation is very short and very direct—a cricothyrotomy. Emergent surgical airway access via the cricothyroid membrane is a procedure that many paramedics will never perform in their career; are...

The Smiling Death

When responding to an entrapment situation, EMS should be prepared to manage a patient with crush syndrome. Having your patient die moments after being freed is a tragic end to a well-executed rescue.  EMS providers as part of these teams can reduce the chances of...

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