Entries by Quinn Rydell

Prehospital Fluid Management in TBI: What EMTs and Paramedics Need to Know

Prehospital Fluid Management in Traumatic Brain Injury: Balancing Perfusion and Intracranial Pressure For EMS providers, managing traumatic brain injury (TBI) in the field presents a unique challenge: maintaining adequate cerebral perfusion while avoiding interventions that could worsen intracranial pressure (ICP). The delicate balance between these competing priorities has evolved significantly in recent years, with new […]

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Why Waiting Until the Last Minute for NREMT Recertification Is Risky:

NREMT recertification is not something EMS professionals can afford to treat casually. Certification is directly tied to your ability to practice, respond to emergencies, and maintain employment. Yet every cycle, many providers wait until the final weeks before their expiration date to begin the recertification process.  Waiting until the last minute may feel manageable, but […]

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Rural EMS and Health Equity: Closing the Emergency Care Gap:

When a medical emergency strikes in rural America, the challenges extend far beyond the immediate health crisis. Geographic isolation, limited resources, and systemic barriers create profound disparities in emergency medical services (EMS), disparities that directly determine who lives and who dies. The Rural EMS Crisis: By the Numbers Rural communities face unique and measurable obstacles […]

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Why Designated Infection Control Officer Training Is Critical for EMS Agencies:

Infection control is not a box to check in emergency medical services. It is a daily operational requirement that protects crews, patients, and the communities EMS agencies serve. Every shift brings unpredictable environments, unknown patient histories, exposure to body fluids, and high contact surfaces inside ambulances and equipment bags. A single missed step in cleaning […]

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Medication Math: The most dangerous skill we don’t practice enough as EMS Providers.

Medication math represents a critical safety vulnerability in EMS, with 28-35% of prehospital pediatric medication administrations containing dosing errors despite implementation of dosing reference aids.[1-2] Among practicing paramedics, mean performance on drug calculation examinations is only 51.4%, with conceptual errors (incorrect problem setup) more prevalent than mathematical errors.[3] The prehospital environment creates unique challenges that […]

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Mechanical CPR: Essential Tool or Overhyped Technology?

What the Evidence Shows Mechanical CPR devices are widely used in many different medical settings. You can mainly find them in ambulances, emergency departments, clinics, and cath labs. They offer consistent compressions, reduced rescuer fatigue, and safer operations in difficult environments (e.g., patient transport). However, the scientific evidence shows that mechanical CPR does not improve […]

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12-Lead ECG in EMS

A patient calls 911 for indigestion and weakness. No severe chest pain, no dramatic distress, just a feeling that something is not right. Minutes later, a 12 lead ECG reveals ST segment elevation. That single test changes everything. What sounded minor is actually a time sensitive cardiac emergency. This is why the 12 lead ECG […]

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