From Provider to Clinician: The Mindset Shift That Improves Patient Care

Every EMS provider enters the field focused on doing the right thing. You learn the steps, memorize protocols, and work hard to perform every intervention correctly. That structure build safety, consistency, and confidence early in your career. But over time, something changes. You stop focusing on doing everything, and start focus on doing what matters. […]
EMS Narrative Writing: How to Document Clear Patient Care Reports

EMS documentation does more than record what happened on a call. A well-written patient care report supports continuity of care, legally protects providers, and helps agencies improve clinical performance through quality review and data reporting. The narrative report is where the story of the call comes together. Vital signs, procedures, and medications appear in structured […]
Adaptation Over Protocol: Lessons from a Field Amputation

Most EMS calls follow a familiar pattern: assess, stabilize, transport. Even high-acuity calls usually fall within well-practiced routines. Occasionally, however, providers encounter situations where the only path to patient survival involves procedures they studied in training and hoped to never encounter in real life. This is the story of one of those calls: a field […]
10 Skills Every EMT Needs (Beyond Medical Knowledge)

Every EMT remembers learning a million things in school and immediately forgetting half of them once the pager went off. That is normal. What separates solid EMTs from overwhelmed ones is not memorization. It is skill mastery. These are the essential EMT skills that show up again and again on real calls. Not the obscure […]
Trauma Triage and Tagging for EMS

Mass casualty incidents do not care how prepared you feel. One moment you are running a routine call and the next you are surrounded by more patients than resources. This is where trauma triage and tagging becomes one of the most important skills in EMS. Triage is not about being perfect. It is about doing […]
Women’s History Month: Celebrating the Women of EMS, Part 1

March is Women’s History Month and here at IMPACT EMS, we will be highlighting the work of a small handful of women who have blazed trails in the field of EMS. First up: Marie Marvingt, a world class multi-sport athlete, aviator, surgical nurse, and all around badass. She was the third woman IN THE HISTORY […]
Sudden Ambulance Death Syndrome

Stay and Play We’ve all had those critical patients: the ones circling the drain when we show up who bring the “pucker factor.” As EMTs and paramedics, our first reaction is to “grab and go” and get that patient to the familiar environment of our ambulance. It makes sense, right? That’s our office, all of […]
Well-Being is Well-Meaning

Well-Being Sounds Nice. Evidence shows that employees who participate in Wellness/Well-Being programs have reduced lifestyle diseases, reduced stress, and improved overall well-being [1,2,3]. You might also find Wellness topics on the interwebs, but when you read the advice and suggestions you quickly realize that Well-Being is Well-Meaning but translates poorly to EMS life! Common advice […]
A Day in The Life of a Flight Nurse

My mind wanders as the hum of a far off helicopter waxes and wanes in the distance. The action is hard to make out from where I sit next to the water, a pale blue pool shrouded in snow, but the echo of rotor blades slapping against the thin air fills the expanse of the […]
Recertifying Your BCEN® Certifications

Having an advanced certification in your specialty is a high accomplishment, and it probably took you quite a bit of studying, nail-biting, and nervous diarrhea to get through the exam. Don’t be a silly goose and wait until the eleventh hour to try to scrape together your CEUs to recertify, or worse, force yourself into […]