In EMS systems in which benzodiazepines are in-protocol, there is often a discussion about whether lorazepam is worth having on the ambulance, especially since it requires secure, refrigerated storage. In comparison, diazepam and midazolam, which are other commonly carried benzodiazepines, do not require refrigeration. An argument for lorazepam’s place on the ambulance can be made by […]
About Michael Spigner MD
Michael Spigner is a resident physician in the Emergency Department at the University of Cincinnati (USA). He currently serves multiple prehospital roles, including Team Physician for Cincinnati Police Department SWAT, Flight Physician for UC AirCare, and Assistant Medical Director for Reading Fire Department and Evandale Fire Department. He is a former Ambulance Unit President of the Manhasset-Lakeville Fire Department (NY), where he served as a firefighter, EMT-Critical Care, and member of the Technical Rescue Team for seven years. He has also held national leadership positions with the Emergency Medicine Residents’ Association, including as the Chair of Prehospital and Disaster Medicine. He is a former Assistant Medical Director of the Colerain Township Fire Department (OH). He has a vested interest in promoting evidence-based medicine in the prehospital environment, and empowering prehospital providers to advance their field through critical thinking and personal accountability.
Blood pressure is one of the four main vital signs, along with pulse, respirations, and temperature, which are aptly named to reflect their importance in the evaluation of a patient. Blood pressure is an especially important figure, as it is directly proportional to the perfusion pressure of various organs (the pressure needed to squeeze oxygen-carrying blood […]