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Ketamine, Shock Index, and Avoiding the Post-RSI “Crash”

Recently, I had the opportunity to perform a rapid sequence intubation on a patient who presented in compensated(ish) traumatic shock, with an altered mental status, and ventilatory compromise.

Posted by Michael Carunchio on June 17, 2022

What to Expect When You Come to the Emergency Room

Coming to the emergency room isn’t fun for anyone. Our hope, at MedicineWithout, is that we can at least explain a few things to set your expectations for your next visit.

Posted by Jonathan Bar on May 29, 2021

The Age of the Supraglottic Airway

Recently, a lot of EMS agencies have adjusted their protocols regarding endotracheal intubation in cardiac arrest. Essentially, paramedics are being instructed to place a supraglottic airway instead of intubating.

Posted by Jonathan Bar on May 23, 2021

Surviving Hell: Preventing Sudden Cardiac Death in Firefighters

A wise flight medic once told me, “I love my job, but I don’t want to die doing it.” At MedicineWithout, we want everyone to come home everyday. This one is for our firefighter brethren.

Posted by Jonathan Bar on December 31, 2020

Silent but Deadly: The “Happy” Hypoxemic

At this point, we’ve all seen it and have all been humbled by it.

Posted by Jonathan Bar on December 29, 2020