From the field

Articles

Field-tested clinical writing on topics impacting prehospital emergency medicine, rescue and critical care. Practical deep dives in short- and long-form formats. New pieces publish here and on Substack. Subscription required for some content.

Trauma

BLS Management of Upper Extremity Fractures

radius ulna clavicle humerus fractures splinting BLS trauma falls

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CardiologyMembers

The Quiet Killer on the Monitor

Hyperkalemia, ECG changes, Potassium, K+, BRASH

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MedicalMembers

Understanding and Treating the Insulin-Dependent Diabetes

Hypoglycemia, ketoacidosis, pumps and sensors: what the field provider needs to know about the patient whose life depends upon insulin.

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TraumaMembers

Prehospital Ultrasound

Prehospital ultrasound for paramedics: how POCUS works, the FAST and eFAST exam, pneumothorax, cardiac activity in arrest, tube confirmation and the evidence.

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TraumaMembers

Understanding Base Excess in Critical Care Paramedicine

Base excess and base deficit for critical care paramedics: what the number measures, how it grades hemorrhagic shock, and how to use field blood gas results.

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Operations

What Artificial Intelligence Means for Paramedic First Response

What AI means for paramedics: where artificial intelligence shows up in EMS first response, AI ECG reads for coronary occlusion, and how to judge its output.

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Airway-Respiratory-VentilationMembers

Managing Infusion Pumps in Critical Care Transport

Infusion pump safety in critical care and flight transport: dead space and hidden boluses, the risky changeover, programming errors, and in-flight titration.

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TraumaMembers

Vehicle Extrication: Kinematics, Rescue Tools, EV Risks

Vehicle extrication for EMS: crash kinematics and injury patterns, vehicle construction, heavy rescue tools, and electric and hybrid vehicle hazards.

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Toxicology

Kratom (Mitragynine) Toxicity: What Paramedics Need to Know

Kratom (Mitragyna speciosa) in the United States: epidemiology, pharmacology, toxicity, and what paramedics need to know.

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Operations

Patient Safety in EMS: From Checklists to Team Culture

Patient safety in EMS: why prehospital medication errors happen, how checklists and crew safety culture catch them, and practical steps to safer care.

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Medical

Sepsis: Pathophysiology and Definition

Sepsis pathophysiology and definition for paramedics: how a dysregulated immune response to infection leads to organ dysfunction and septic shock.

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Operations

Quality Assurance and Quality Control 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: Normal Waveform, Phases and Patterns

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

Patellar Dislocation Reduction in the Field

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

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