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CPER Digest Archive

CPER Digest 2026 - Issue 2

Naloxone Review

Just as the sun begins to set you are called on a Code 4/Delta/Red response for a 30 year old patient that is "not moving" on a park bench. Upon arrival the caller points out your patient who is laying on the bench  nconscious. They moan to painful stimulus and immediately return to their altered state. There is a small pipe on the ground next to the patient. The caller states they are not sure how long the patient has been here and they called as soon as they found them. The patient is dressed appropriately for the weather.

 

CPER Digest 2026 - Issue 1

Noisy Breathing

At 0100hrs you are called to a private residence on an urgent response for a pediatric patient (age 5) reported to be short of breath. On arrival you find the child in their mother's arms. They are anxious but alert. You hear a loud, harsh sound on inspiration and a cough that sounds distinctly like a seal barking. They have had a runny nose for two days, and stayed home from school today due to a fever and lethargy. They woke up suddenly tonight gasping for air and the parents called 9-1-1 immediately because of the odd cough.

CPER Digest 2025 - Issue 12

Year in Review

Every year in December the Digest highlights and links the entire years issues into one convenient space. The year end is a great time to review any material and catch up on issues you may have missed. Stay tuned for all new cases, scenarios, and great information returning in 2026! Do you have an idea for a digest? Send it our way!

CPER Digest 2025 - Issue 11

The Frailty Factor

This month we present two examples that highlight unique considerations in the geriatric population who have experienced trauma.

CPER Digest 2025 - Issue 10

Quality of Care

Every fall season the CPER Digest and CPER Staff take a brief pause on our clinical content to congratulate the recent winners of the annual CPER Quality of Care Award.

CPER Digest 2025 - Issue 9

Cardiac Care cases

This month we're running through a gamut of cardiac arrest cases that have come up through quality or education discussions. Principles, tips, and reminders are presented for each scenario.

CPER Digest 2025 - Issue 8

More than a remark

You are called to a chaotic scene at a public park for a 5 year old patient with a known peanut allergy who was accidentally exposed. Upon arrival, you find them sitting on their mother's lap crying. They have diffuse urticaria, facial swelling, and an audible expiratory wheeze. Their parents are understandably frantic.

CPER Digest 2025 - Issue 7

Analgesia Tips

You are called to a private residence for reports of a male patient complaining of chest pain. Upon arrival the patient is a 62 year old male who states that yesterday afternoon he tripped over his carpet at home and fell into his kitchen island on his left side, and has been having L sided chest wall pain with tenderness ever since. There was no LOC or head injury and he has functioned fine since the fall. He states that he is managing but would now like to get an x-ray. He hasn't taken anything yet for the pain however he did take some ASA at the request of CACC during his 9-1-1 call.