Life as a paramedic means intense highs when you save lives and tend to grateful patients, as well as bottomless lows when patients die, suffer, or become combative and angry. You’ll need to be prepared for the sudden adrenaline rush of a patient in need, as well as the slow and methodical approach of intubation, explaining procedures to patients, as well as gaining the trust of seniors and children. Paramedic jobs consistently top lists of the most stressful professions. Over time, this stress can affect both your physical and mental health.

Though your team may have a general disaster preparedness plan that you can fall back on if a tornado were to strike, or if a large flood were to inundate surrounding communities, how often do you evaluate this plan and the effectiveness of the disaster resources, protocols and equipment you have in place? 

As an emergency provider, you may not initially be in the mindset of preventing long-term complications with your patient. You stabilize and treat your patient’s condition or injury, and then you focus on how to manage the patient moving forward. This is the nature of prehospital and emergency medicine—assess, stabilize, and “package” the patient for further care. But let’s take it a step further. Your initial actions, especially when it comes to protecting your patient’s airway, make a big difference in your patient’s future outcomes.

You’ve responded to the same nightclub three times this month. Every call is the same: a young adult found unresponsive, most likely the result of an overdose on heroin. The patient is a male in his mid-twenties, pupils pinpoint, he’s barely breathing and showing the early signs of cyanosis. You load him onto the stretcher, place him in your unit, and race to the nearest hospital.

In prehospital and emergency settings, oral suctioning may be overlooked as a basic task that is performed without harm to the patient. The reality is, oral suctioning is not without its risks and complications. In addition to complications related to the procedure itself, oral suctioning complications may arise because of ineffective or incorrect technique. Let’s explore the various oral suctioning procedure complications and discuss ways you can prevent them in your patients.

Precision and skill is required for Advanced airway management, especially in vulnerable patients. When performed correctly, initiating nasopharyngeal airways is very safe—and much safer than the alternative of doing nothing. Many first responders are reluctant to initiate a nasopharyngeal airway, citing fears of complications. But this route can enable intubation in patients with an intact gag reflex. Proper training can promote greater confidence, so don’t let fear deter you from practicing this life-saving technique. Forewarned is forearmed, so let’s look at some potential complications. 

Media depictions of natural disaster preparedness tend to highlight immediate needs, such as clothing, food, shelter, and access to medical care. Long after the glaring lights of the news media have turned to another natural disaster, however, survivors of the previous disaster may continue to face health issues. First responders must prepare not only for the immediate effects of natural disasters, but also for the long-term health consequences. Here are the most common lingering effects of natural disasters.

While the EMS industry has been struggling with a labor shortage for years, the COVID-19 pandemic turned this shortage into a nationwide crisis. According to the American Ambulance Association, annual turnover among paramedics and EMTs ranges from 20% to 30%. Employees are also starting to leave their jobs faster, as almost one-third of EMS workers left their ambulance company after less than a year in 2020. Across many parts of the country, we are seeing cuts to services and longer wait times for ambulances, leaving companies scrambling to find solutions. 

Some patients have a high risk of pulmonary aspiration when under anesthesia and require a technique called rapid sequence intubation (sometimes referred to as rapid sequence induction). It helps prevent aspiration by reducing the interval of time between loss of consciousness and inflation of the endotracheal tube cuff. Without the right equipment, rapid sequence intubation becomes impossible. Here’s what you need to have on hand to properly perform this technique.

The stats speak for themselves. Respiratory distress is what sends 10% of children to emergency departments. Additionally, one in seven seniors has a lung disease. Between 1980-2014, more than 4.6 million American adults died from chronic respiratory diseases.