The Prehospitalist

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🚁 Critical care flight paramedic & prehospital educator (MS, FP-C)
🚑 Prehospital pearls & tidbits
⚠️ Not a replacement for protocols, formal education
🗣️ Conversations primarily monitored on IG .prehospitalist

Leave your heat stroke experiences and creative cold water immersion methods👇🏻• • • • •📚: Korey Stringer Institute at Un...
06/19/2026

Leave your heat stroke experiences and creative cold water immersion methods👇🏻

• • • • •

📚: Korey Stringer Institute at University of Connecticut Korey Stringer Institute
📚: Dollée, Nathalie & Alsma, Jelmer & Goedhart, Rob & Bultstra, Ankie & Haagsma, Juanita & Hoek, Amber. (2024). Exertional Heat Stroke: Are We Cool Enough? Retrospective Observational Study of Patients of Running Events. The Journal of Emergency Medicine. 71. 10.1016/j.jemermed.2024.11.002.

06/18/2026

This video from NEJM Group on YouTube (“Larson maneuver”) is referring to post-extubation laryngospasm, but the same concept can be used in drowning patients who are experiencing laryngospasm. Remember that excellent PPV may break the spasm, but if not, keep this in your back pocket.

“The Larson maneuver is a technique used to treat laryngospasm, a common complication after extubation. It involves applying firm pressure with the middle finger to the laryngospasm notch, located behind the earlobe and anterior to the mastoid process, in a cephalad direction. Some jaw thrust may also be applied.”

From the paper: Acute hyponatremia (developing in
06/17/2026

From the paper: Acute hyponatremia (developing in

When human emotions stop, it’s time to step away.
06/15/2026

When human emotions stop, it’s time to step away.

My paramedic class is wrapping up OB and peds so this is mostly for them but also for you 😅 Will pin correct answers sho...
06/15/2026

My paramedic class is wrapping up OB and peds so this is mostly for them but also for you 😅 Will pin correct answers shortly 📌

06/14/2026

If you’ve ever transported a viable trauma arrest or peri-arrest patient to a trauma center, you’ve likely seen or been on the outskirts of an emergency (resuscitative) thoracotomy - not to be confused with finger thoracoStomy. This procedure is intended to immediately provide access to treat reversible life threats (severe bleeding from heart and great vessels, severe lower body bleeding by cross-clamping aorta, tamponade) in trauma, even in the absence of an OR. This can also be done prehospitally by physician-led HEMS teams (not common in the US, since docs on are not common on helicopters here). Penetrating trauma yields the highest survival. Here’s what’s happening.

🎥: “Thoracotomy” from Agency for Clinical Innovation on Vimeo (2019)

Leave your answers below👇🏻
06/13/2026

Leave your answers below👇🏻

Pain can be traumatizing and it can take significant time for patients to get analgesia upon arrival in the ER. Honestly...
06/12/2026

Pain can be traumatizing and it can take significant time for patients to get analgesia upon arrival in the ER. Honestly, how awesome is it that we can treat it so quickly with the tools at our fingertips?

Anecdotally, the clinicians who beat themselves up the most are often the strongest clinicians - especially in their gre...
06/11/2026

Anecdotally, the clinicians who beat themselves up the most are often the strongest clinicians - especially in their greener days when still finding their feet. Give yourself some grace. You got this.

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