EMS Avenger

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06/02/2026

In the ongoing discussion of management of patients with suspicion of spinal injury, something that gets lost in the debate on EQUIPMENT is that we still want to develop strategies to handle these patients with care, and we want to also mitigate sequilae.

This is what is known as a Diffusion of Innovation adoption curve. The DOI demonstrates how new ideas or innovations are...
06/02/2026

This is what is known as a Diffusion of Innovation adoption curve. The DOI demonstrates how new ideas or innovations are adopted over time, from the innovators and early adopters to the late adopters and laggards. In a pivotal 2020 study by Grunau et al. of on-scene resuscitation VS intra-arrest transport with a cohort of over 43,000 patients where on-scene survival was double that of intra-arrest transport, the incidence of on-scene resuscitations was 75%. It is almost certainly higher now. This puts the hold-outs in laggard territory.

I mean, might as well keep adding to it.
06/01/2026

I mean, might as well keep adding to it.

06/01/2026

Last year a massive data review was published with multiple organizations signed on that demonstrated no associated benefit to any form of traditional spinal immobilization, and particularly rigid cervical collars. Dr. Abo was one of the co-authors and discusses what the path forward has been like with winning over the trauma surgeons. Also, the second reel I will release with Dr. Abo stresses that discontinuing the use of long backboards and rigid cervical collars doesn't mean discontinuing careful handling, motion limiting, and stabilization.

I had an early upward trajectory in EMS. I got in it for the right reasons and received early affirmation on my place wi...
06/01/2026

I had an early upward trajectory in EMS. I got in it for the right reasons and received early affirmation on my place within the field. At some point I became miserable. Not because of anything field-related. I just stopped taking care of myself. I eschewed personal growth and became stagnant. I eventually lost some of the qualities that I was known for when it came to practice, teaching, and interpersonal relationships. I became bitter and latched on to whatever was happening around me in the world as a vehicle to express that bitterness. Then a few years back a life event helped me become "unstuck" from that quicksand and I rediscovered that person who not only wanted to practice medicine, but wanted to be a good human and help other humans.

I've seen from this how it bears fruit in the way I relate to others arounds me and how it affects the quality of my care. Ultimately it reaffirms the answer that I have always stuck to when asked how one can become better at saving lives- First- take care of yourself, then make sure that you assign the utmost value to every life that you have had the good fortune of having been placed within your care.

Getting a pulse back is easy. But you may not have saved a life. Getting to a place where you no longer change your posture when you respond to "that person" and see yourself as possibly the only source of compassion they will receive on this one evening of their turbulent life- you may not have reversed a terminal physiological process, but you just might have saved yourself AND your patient.

There was data presented this year at NAEMSP demonstrating increased survival with pre-hospital administration of antibi...
05/31/2026

There was data presented this year at NAEMSP demonstrating increased survival with pre-hospital administration of antibiotics. Results from another large RCT are imminent and may look very good for EMS ABX. Sepsis is an EMS problem in the way that cardiac arrest is an EMS problem. Both require early recognition and early, aggressive intervention. EMS owns cardiac arrest. EMS will own early treatment of sepsis too, and the appropriate ED response will be too ensure smooth transition of care.

05/31/2026

Every time I think we've gotten to a point where the stigma of mental crisis is slipping away I see the evidence that it's still very present. Ironically, it comes from people who are living with unmitigated stress themselves manifesting itself through a loss of empathy who need to come out of their stress zones and get support.

05/31/2026

I've been exposed to so much AI-written content that I've become paranoid about my own writing. I'm working on a presentation right now that will be pre-recorded, so there are scripts I'm working on. But when reviewing it I keep thinking to myself, "Does this sound like AI?", and then I keep going back and rewriting it.

27 years I found myself feeling rudderless after my grandfather admitted right before he passed that he had other plans ...
05/30/2026

27 years I found myself feeling rudderless after my grandfather admitted right before he passed that he had other plans for his career that went unfulfilled. After several years of feeling super-imposed into my career as an electrician, I signed up for an EMT course, thinking that I could find fulfillment in serving my community. It didn't take long before I knew this was my calling, and I have pursued excellence in this career for every minute of it.

This week I moderated and presented at the Handtevy Innovation Summit along with a diverse group of subject matter experts, and I just keep looking back thinking about how lost I felt almost three decades ago. One thing I keep thinking about is how I wasn't just motivated by that lost feeling when I took that EMT course, I also wanted to set an example for my children. I wanted them to pursue their dreams and pursue excellence and to never be satisfied until you've found your calling. In light of that, I don't find it to be a coincidence that on this same day where I was humbled to be a part of this event that my youngest daughter and newly minted Paramedic also graduated from the Fire Academy. It's in this moment that I also understood how my grandfather still considered his life one that was lived without regrets- because it allowed him to be fulfilled by the accomplishments of his children.

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