Mostrando resultados por autor "Orlando E. Rivera" en Todas las categorías

You Can’t Stay Forever You do not wake up in a misaligned life by accident. You walk there slowly. If you work in a high-intensity career, you already know how to endure. What you may not see is when endurance turns into erosion. The real threat is not burnout. It is drift. The slow, unexamined years that turn strength into ceiling, loyalty into limitation, and identity into dependency. This book is a strategic blueprint for professionals who operate under pressure and refuse to drift into regret. It confronts the myths of loyalty and endurance and replaces them with architecture, ...

Trauma for the Streets: The First Ten Minutes Decide Everything The patient is talking. The vitals look normal. The bleeding is not obvious. And you have ten minutes. Trauma rarely presents as dramatic instability in the first few minutes. It compensates. It hides. It looks stable until it is not. Most preventable trauma errors are not caused by lack of skill. They are caused by early misinterpretation of risk. A mechanism underestimated. A compensated patient labeled stable. A transport decision delayed. A destination chosen too comfortably. By the time deterioration is obvious, the ...

You don’t lose your career on the obvious calls. You lose it in the gray ones. The EMS Decision Bible is a professional reference for EMTs, paramedics, and EMS leaders who know that judgment, not checklists, determines outcomes. This is not a memoir. This is not anti-protocol. It’s a field-tested framework for decision-making, documentation, and clinical judgment when protocols stop being enough covering high-risk call types, refusal and AMA language, gray-area patient assessment, and narrative phrasing that holds up under review. Written by a veteran EMS clinician and healthcare leader...

Cardiology for the Streets What Paramedics Actually Need to Know Before the Hospital Steals the Patient Most cardiology books are written for classrooms and hospitals. This one is written for the street. Cardiology for the Streets is a practical, experience-driven guide to cardiac decision-making in prehospital and frontline emergency care, where information is incomplete, ECGs are often nondiagnostic, and the most important decisions are made before labs, imaging, or cardiology consults exist. This is not a protocol manual. It is a book about judgment. Written by a registered nurse, ...

Sepsis doesn’t crash patients. It whispers first. Most sepsis books teach you what to do after organ failure shows up. This one is about the moment before it does. Sepsis for the Streets is written for paramedics, EMTs, and prehospital clinicians who meet sepsis while the patient still looks “fine.” Before the vitals fall apart. Before anyone agrees it’s serious. Before the miss becomes obvious in hindsight. This is not a protocol book. There are no checklists. No formulas. No sepsis scores to memorize. Instead, this book teaches how to see early sepsis when nothing forces your hand...

They call it just one more shift. As if it’s temporary. As if it doesn’t accumulate. As if nothing ever follows you home. One More Shift is a powerful, unflinching book about emergency medical services, loss, and the quiet cost of staying in a job that never truly lets go. Written from inside EMS, this is not a how-to manual or a collection of war stories. It is a reckoning with what happens when the job takes one of its own and keeps going anyway. When the radio goes silent. When the locker stays closed. When the calls don’t stop out of respect. This book explores the lived reality ...

Some people don’t leave relationships. They just stop arriving. You Can’t Love Me Like This is not a self-help book. It is not a relationship guide. And it is not written to make anyone feel comfortable. It is a raw, unfiltered look at what high-stakes professions quietly take from love, intimacy, and the people who wait at home. Written by healthcare leader and former frontline clinician Orlando E. Rivera, this book explores what happens after the shift ends, when the sirens stop, but survival mode doesn’t. It names the patterns most couples feel but rarely talk about: emotional ...

EMS does not have a burnout problem. It has a recognition problem. The Medic’s Unfair Advantages reveals why hard work, overtime, and loyalty stop paying off, and why medics consistently undersell skills that other fields quietly pay for. This is not a motivational book and not a side hustle guide. It is a translation manual for judgment, risk assessment, decision-making under uncertainty, documentation, and calm under pressure. If you feel competent on scene and invisible everywhere else, this book explains why, and what changes once you finally have language for what you do.

You are not “just an EMT.” And the system depends on you believing that you are. This book is for EMTs who arrive first, carry the weight, and disappear from the story. For the ones told their role is temporary, entry-level, or just a stepping stone. For those who feel the exhaustion, frustration, and quiet anger but have never had language for it. Written by a former EMT, paramedic, nurse, and flight nurse, this book exposes the unspoken realities of emergency medical services: hierarchy without protection, responsibility without authority, burnout without recognition, and the ...

The EMS Judgment Workbook Training the Decisions That Define You Most EMS education teaches protocols. This workbook trains what actually saves you when protocols stop helping: judgment under uncertainty. The EMS Judgment Workbook is a scenario-driven, mission-focused training tool designed for EMTs, paramedics, EMS students, FTOs, and clinical educators who want to sharpen decision-making in the moments that matter most. This is not a protocol review. It is not a test. It is not a feelings journal. It is a structured system for practicing how you think when information is incomplete, ...

When seconds turn hostile, training alone is not enough. Every EMS provider has felt it. The shift in the air. The voice rising. The posture tightening. The moment a medical call becomes volatile. You can know the protocol. You can know the law. You can know the clinical pathway. And still lose the room. In When Seconds Turn Hostile: The Street Guide to De-Escalation for EMS, Orlando E. Rivera takes you inside the calls most providers never openly debrief, the escalation that almost happened, the force that weighed heavier than expected, the partner whose tone shifted the scene, and the ...

No Puedes Registrar el Instinto Lo que nunca te enseñarán sobre ser paramédico Este no es un libro aprobado por protocolos. Está aprobado por la experiencia. No Puedes Registrar el Instinto es un libro crudo, honesto y profundamente humano sobre la vida en EMS, escrito para paramédicos, EMT, técnicos en emergencias, primeros respondedores y profesionales de la salud que han vivido el trabajo en carne propia… y todavía cargan con el peso de cada llamada. Aquí no hay definiciones de manual. No hay listas de verificación. No hay respuestas fáciles. Lo que encontrarás son las ...

Read This Before You Get Blamed A Survival Guide for When Everything Goes Wrong This is not a book about mistakes. It is a book about what happens after them. When something goes wrong, facts do not decide the outcome. Narratives do. If you have ever been told: “Explain your thinking.” “We need clarification.” “This is about accountability.” This book was written for you. Read This Before You Get Blamed shows how blame actually works inside organizations when a decision fails or looks bad in hindsight. Not theory. Reality. You will learn: Why blame is assigned before facts are ...

What if the most dangerous patients are the ones who don’t look sick? In emergency medicine, nursing, and prehospital care, decisions are often made in seconds, under pressure, with incomplete information. Experience sharpens instinct, but it also creates shortcuts. Familiar stories feel safe. Certain patients feel predictable. And sometimes, that certainty arrives too early. The Patient Who Didn’t Look Sick explores how clinical judgment is shaped long before tests are ordered or diagnoses are made. This book examines cognitive bias, premature closure, labeling, authority influence, ...

You’re Having a Heart Attack What No One Tells You Until It’s Almost Too Late Most heart attacks don’t look like heart attacks. They look like discomfort. Fatigue. Indigestion. Anxiety. A bad day you plan to push through. They look almost normal until suddenly they aren’t. Written by Orlando E. Rivera, a former EMT, paramedic, emergency nurse, cath lab nurse, and cardiovascular quality leader, You’re Having a Heart Attack exposes the uncomfortable reality behind cardiac emergencies, survival, and what happens after the hospital saves your life. This is not a feel-good health book....

Most of the work in emergency services never shows up in a report. It happens before anyone speaks. Before a decision is voiced. Before control is tested. This book is about that work. Written for EMTs, paramedics, and EMS professionals, this book explores the unseen discipline behind calm scenes, defensible decisions, and professional restraint under pressure. Not protocols. Not algorithms. Not what anyone sees. But how experienced providers think when certainty is incomplete and judgment matters most. This is not a how-to guide. It is a recognition of the internal skill set that develops ...

Before You Choose Nursing The Honest Teen Guide to Nursing Life Nursing looks good online. Scrubs. Coffee. Aesthetic routines. But that is not the job. This book answers one real question every future nurse needs to face early: Do you want nursing, or do you want the idea of nursing? Written for teens considering nursing and for parents who want the truth, Before You Choose Nursing pulls back the filter and shows what the profession actually feels like before you commit years of your life to it. This is not discouraging. It is clarifying. Inside this honest guide, teens will learn: • What...