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Robert E. Sippel, MS, MAEd, NREMT-P, LP

Robert E. Sippel, Major, USAF (Ret.), MS, MAEd, NREMT-P, LP, is an assistant professor and clinical coordinator in the Emergency Health Sciences Department at the University of Texas Health Science Center, San Antonio, TX.

Your patient is at home, lying on the sofa in the front room with his leg elevated on a stack of pillows. He has a cast on his left leg. He tells you he fractured his tibia and fibula on a ski trip…
You and your partner are dispatched mid-morning for “breathing difficulties.” When you arrive at your patient’s residence, you are met at the front door by the patient’s…
You and your partner respond to the scene of an industrial accident. One of the workers inhaled chlorine vapors when the valve on the tanker he was working on malfunctioned. Your patient was…
It’s 2:30 in the morning. You and your partner have been called to the parking lot of the local hot spot just after closing for a shooting. The police secured the scene prior to your arrival…
Spring is here and you’re off with your friends to Colorado for as much skiing as you can get in the next nine days. Departing Houston Intercontinental at 8 a.m., arriving in Denver at 11 a.m.…
There you are, in the bedroom of a brand-new mother who just delivered a full-term baby boy (7 lbs., 12 oz.) with some assistance from your partner. Your partner then hands this slick neonate to you…
The Cushing response refers to the changes the body experiences to compensate for rising intracranial pressure. Cushing’s triad of signs includes hypertension, bradycardia and apnea. Dr. Harvey…
Today, medics involved in tactical operations, mass casualty events, disasters or working in rural communities should consider the tourniquet as another method to prevent extremity exsanguinations.1…
  The Trendelenburg position originated as a method to improve surgical exposure of the pelvic organs by placing the patient in a head-down position of at least 45 degrees. During World War I,…
In the United States, almost 6% of the population suffers from diabetes, but only 3% are ever diagnosed. A serious medical emergency that can arise from uncontrolled diabetes is diabetic ketoacidosis…
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