Scenario A: Marty, of the local public swimming pool, is preparing for the upcoming season. He enters the maintenance shed, where 55 gallon drums of liquid chlorine are being stored. Scenario B: Tabitha did not use her backyard pool last year, as she did not want to deal with the headache of maintaining the water quality throughout the season. […]
About Michael Spigner
Michael Spigner is an honorary member of the Manhasset-Lakeville Fire Department in Manhasset, NY (USA), where he served for seven years between 2009 and 2016. During this time, his roles included EMT-Critical Care, firefighter, and member of the Technical Rescue Team. For three consecutive years, he served as President of the Ambulance Unit, and has been continually involved in training and quality improvement ever since. Michael’s commitment to Emergency Medicine followed him into medical school at the Hofstra-Northwell School of Medicine, and was recognized in several ways. In 2014, he was named a runner-up for the Nassau County EMS Leadership Award, and in 2011 was named ‘EMT of the Year’ by the American Legion. He has served numerous leadership positions both within and beyond his fire department, including three years on the Emergency Medicine Residents’ Association (EMRA) Medical Student Council. Most recently, he was appointed the Vice Chair of the Prehospital and Disaster Medicine Division for EMRA. Several of his articles have been published in EM Resident, and he has involved himself in prehospital research as a lead investigator. He is presently an Emergency Medicine resident at the University of Cincinnati Medical Center, and serves as a Flight Physician for UC AirCare. He was recently appointed to Assistant Medical Director of Colerain Fire Department, an ISO Class 1 agency bordering Cincinnati.
Paramedic Humphrey has just responded to the residence of a lovely 72-year old woman who fell in her home. As he engages her in conversation, he makes a point of asking whether she “tripped”, or whether she had any preceding symptoms that may have induced her fall. She responds, “I don’t think I had any symptoms.” Humphrey is […]
Resuscitation protocols almost ubiquitously state the need for two large-bore IVs for rapid fluid administration. The fact that more fluid flows through a larger tube shouldn’t surprise anyone. It’s the reason that straws at fast food restaurants are so much wider than normal straws — larger diameter means more gulp per suck. It’s also the same reason […]
Let’s talk gas. As you lean over your keyboard breathing right now, you are inhaling a mixture of atmospheric gasses consisting primarily of oxygen (21%), nitrogen (78%), and carbon dioxide (0.04%). The total weight of the atmosphere on you is exerting a particular pressure. When you rise in altitude, the amount of atmosphere above you […]
When New York rolled out a massive protocol update in 2014, our fire department was fortunate enough to be able to add a few more trays to our drug box. Among the newcomers was norepinephrine, which was not unreasonably placed next to our existing stores of dopamine. Prior to this point, we had relied on dopamine as […]
Scoop-and-run or stay-and-play? The question has been asked countless times in the prehospital setting. While there is no disputing the fact that the hospital represents the ultimate destination for definitive care, there is always some question as to whether precious transport time should be compromised for prehospital interventions. In some instances, immediate therapy […]