The start of the new year provides a perfect opportunity for reflection. What are your goals for the coming months? Is there a professional milestone you hope to achieve? A degree you plan to complete? Whether you are an EMS responder, a flight medic or nurse, or a hospital-based caregiver, you work in an environment that is ever-changing. And you must be willing to stay up to date: through continuing education, learning new skills, and keeping up on the latest technical breakthroughs in the dynamic field of medicine.

Every day, millions of Americans reap the benefits of our modern medical system. From advances in cancer treatment to surgical implants, we are living longer, healthier lives thanks to new technology, more effective drugs, and greater diagnostic precision.

We all know the saying “You get what you pay for.” In a world where we are bombarded by inexpensive, substandard imports, it’s easy to lose sight of what’s important. But when it comes to EMS equipment, there is no substitute for effective, high-quality gear, and one of the most important tools of the trade is a well-made portable suction unit.

The rookie showed up at the station, gear in hand, to begin his first shift on the rescue. Fresh out of paramedic school, he was ready for action, his pockets stuffed with gadgets, his gear shiny and new. As a seasoned medic, what kind of advice would you give him? How about starting with teamwork?

Your hospital staff is working its third code in as many days, and, once again, the portable monitor you rely on for pacing and defibrillation has become disconnected. You’ve asked your manager repeatedly for a replacement, and as you fumble with the cord, you decide something must be done.

The extrication has been ongoing for over half an hour, but the crews are still struggling to free the trapped driver. As the medic in charge, you are wedged into the passenger seat, trying to control the blood streaming from the patient’s nose and mouth. The victim is conscious, but his blood pressure is dropping, his pulse is weak and thready, and he’s fighting agonizing pain from his crushed legs. All you can do is continue suctioning his airway, when suddenly your catheter becomes clogged. What do you do?

For any emergency responder who has ever run on a “child choking,” you know it is typically a frantic scenario. Not only is it horrific to witness a child who is unable to breathe, but you have mere seconds to correct the event or face an inevitable pediatric code.

Respiratory emergencies are some of the most critical cases you will encounter. Every second counts, so you had better be ready. Recognizing a patient in distress, treating him or her immediately, and transferring him or her to an appropriate facility are some of the ways you can help improve patient outcomes, but there are other concerns that you as a medic must keep in mind. Here are three of them:

This morning, you glanced at your calendar and realized the quarterly meeting with your paramedic lieutenants was quickly approaching. As an EMS manager, you know these meetings provide a great opportunity for feedback from the field: which treatment strategies are working, and which ones are not; what common problems their personnel encounter on scenes; and if there are any equipment issues that must be addressed.

As an EMS professional, you know that the elderly make up a large percentage of your patients, especially if you work in one of the more common retiree zones (Florida or Arizona, for example). According to the CDC, that number is only increasing. In the last century, our country has seen unprecedented growth in the number of geriatrics. Longer life spans and aging Baby Boomers are the leading factors in this increase, and by 2030, elderly people are expected to account for roughly 20 percent of the U.S. population.¹ Which for you means that the number of geriatric patients you run on each year will only increase.