From the field

Articles

Field-tested clinical writing from prehospital medicine — practical deep-dives you can use on shift. New pieces publish here first, then go out free on Substack.

Toxicology

The Kratom Epidemic in the United States

© Stephen A. Rinaldi, MBA, NRP

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Operations

Patient Safety in EMS: From Checklists to Team Culture

Patient Safety: Team Culture and Risk Considerations

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Medical

Sepsis: Pathophysiology and Definition

Sepsis represents a dysregulated systemic inflammatory response to infection characterized by organ dysfunction from uncontrolled activation of innate i…

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Operations

Quality Assurance in EMS

Measuring what actually matters, PDSA improvement cycles, and moving prehospital care from reactive to proactive.

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Airway-Respiratory-Ventilation

Waveform Capnography Basics

Reading the CO₂ waveform — its phases, key patterns, and using EtCO₂ to predict and guide patient outcomes.

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Medical

Aseptic Technique in Vascular Access

How field IV technique drives infection and phlebitis rates — and the steps that measurably lower the risk.

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Airway-Respiratory-Ventilation

Advanced Airway Management in Maxillofacial Trauma

A prehospital case in penetrating facial trauma — airway strategy, RSI decisions, video laryngoscopy, and submental intubation.

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Trauma

Reducing Patellar Dislocations in the Field

Assessment, neurovascular red flags, and a step-by-step reduction technique for the prehospital setting.

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