The first chill of autumn is already in the air in many parts of the country, and though warmer regions still see tomato blossoms and gardenias, this last flush of summer will soon give way to cooler weather. The cold presents unique challenges to first responders. Now is the time to take stock of your equipment and winterize your first responder kit. Here are five steps to take now.

When you think about treating patients with head injuries, using an emergency suction pump may not be the first thing that comes to mind. Certainly, airway is your main priority, but we tend to focus more on level of consciousness, spinal immobilization, and assessing for additional trauma than we do on portable suction.

If you serve in an administrative position within your department, you have a lot on your plate. Certifications must be kept up, training requirements must be met, and your personnel must be prepared to respond to an ever-changing EMS landscape, from biological attacks to mass-casualty incidents.

When was the last time you worked a code? If you serve a busy, urban area, or a population heavy on retirees, you probably remain proficient in advanced cardiac life support (ACLS). Drug therapies and dosages, intubation procedures, and post-resuscitation care are part and parcel to busy EMS systems. But what if you work in a slow-paced, rural setting, where the calls are few and far between? What happens to your ACLS skills if you rarely use them? Most likely, you lose them.

Head injuries have been receiving a lot of press lately. Between the wars in Iraq and Afghanistan on the one hand and the National Football League on the other, traumatic brain injuries (TBIs) have been elevated to front-page news. It’s been a long time coming. The rate of TBIs in America (and among Americans returning from war) is reaching frightening proportions. Here are a few statistics from the Centers for Disease Control and Prevention:¹

If you were to design the ideal portable suction machine for emergency medical situations, what characteristics would you choose? The equipment used by EMS professionals takes a beating on a regular basis. Emergency calls happen in the most inopportune locations, at any time of the day or night. The tools must be designed to withstand inclement weather, temperature extremes, and the rough-and-tumble arena of prehospital medicine. And when it comes to something as vital as your portable suction machine, there's no room for error.

As you approached the patient, you could see instantly that he had multi-system trauma. While darting across a busy interstate, the young man had been struck by a pickup truck, which was now parked farther up the roadway, its windshield and front bumper exhibiting the damage of a high-speed impact. The patient was unconscious, his limbs splayed. He had massive head and facial trauma and deformity to both legs. Each gasping exhalation produced a bloody froth. Your mind immediately inventoried the injuries and you set to work.

Emergencies can happen anywhere. Wherever humans go, medical emergencies will follow, regardless of time of day, year, or location. It would be nice if every EMS call occurred indoors, under well lit and environmentally stable conditions. But that's usually not the case. In fact, some medical emergencies are the result of the patient being exposed to extreme weather, which affects not only the patient, but also the rescuers and their equipment. And in the case of vital tools like your portable suction unit, they, like you, had better be up to the task.

As an emergency responder, you have a lot of responsibility. You must be ready for anything: critical patients, natural disasters, and the ever-present threat of terrorist attacks. And a key to readiness is maintaining your equipment, for without your tools, you are little help to anyone.