The article linked below discusses two new laws in New York that expand the services EMS providers can offer.  EMS providers can now bill Medicaid and insurance for treatments at a patient’s home without requiring hospital transport, and they can also transport patients to non-hospital facilities like urgent care centers.  Another law permits EMS to…

Mallory-Weiss Syndrome is a condition characterized by a tear in the mucous membrane of the lower esophagus or upper stomach, typically caused by severe vomiting or retching. It is an example of an eponymous medical term. Mallory-Weiss Syndrome was first described in 1929 by George Kenneth Mallory and Soma Weiss, two American physicians at Boston City Hospital.…

Boerhaave Syndrome is a spontaneous rupture of the esophagus, typically caused by a sudden increase in intraesophageal pressure. Boerhaave Syndrome is named after the Dutch physician Herman Boerhaave (1668–1738), who first described the condition in 1724. He documented it after performing an autopsy on Baron Jan van Wassenaer, a Dutch admiral who died suddenly after…

Mackler’s Triad is a clinical diagnostic tool associated with spontaneous esophageal rupture, also known as Boerhaave syndrome. It includes three key symptoms: Vomiting: Usually forceful and occurs before the rupture. Lower Chest Pain: Sudden onset after vomiting. Subcutaneous Emphysema: Air trapped under the skin, often detected around the neck or chest, creating a crackling sensation…

EMS providers are critical in prehospital care, and strong leadership skills are essential for delivering high-quality, efficient service. Here’s a breakdown of key leadership principles based on your post 1. Communication Clear and Concise Communication: This is vital in ensuring effective teamwork, especially in high-pressure situations. EMS providers must develop the ability to deliver clear…

In the prehospital setting, effective teamwork is critical for the success of emergency medical services (EMS) operations.  EMS Providers must be able to work seamlessly together under high-pressure, time-sensitive conditions.  Here are some key elements of effective teamwork: 1. Clear Communication Closed-Loop Communication: When one team member gives a direction or request, the recipient should…

On September 11, 2001, the world witnessed unparalleled courage and sacrifice as hundreds of brave EMS providers, first responders, and firefighters raced into the heart of danger to save lives.  These selfless individuals ran toward the very chaos that others fled, driven by a call to serve, protect, and heal. In doing so, many paid…

For EMS providers, understanding the Murphy Endotracheal Tube and its key feature, the “Murphy Eye,” is essential for ensuring patient safety during airway management.  The Murphy eye serves as a critical safety mechanism that prevents complete airway obstruction if the main distal opening of the tube becomes blocked.  Recognizing this feature and the overall design…