This ‘Not-So-Pocket Cardiology Cheatsheet’ has been in the making since I finished paramedic school. It lived in a binder on the ambulance when I was a brand-new medic and now sits in my locker as one of my go-to references. It’s grown with me over the years — built from real calls, real learning, and real mistakes.

Becoming a newly licensed paramedic is both exciting and terrifying. You’ve spent months studying protocols, memorizing drug dosages, and honing your skills. But now, it’s real.

There’s a moment that lives rent-free in my brain: a patient, mid-60s, pale and diaphoretic, insisting their only complaint is “a little indigestion.”

Let’s be real—shift rivalry has always been “a thing” in EMS.