Recent content by emtkrak

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    Legality of informing police about intoxication

    Imagine you and your partner are evaluating a patient who was the driver involved in a motor vehicle collision. The patient (for whatever reason) informs you that she has recently used recreational drugs, are you allowed to report this to the police? What if they ask you if the Pt appears to...
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    Pacing PEA

    One of our crews had a code last week. A medic on scene asked another medic if he wanted to try to pace a PEA, rate was around 60. This sparked a huge debate of why you would, why you wouldnt. I'm a really new medic, and we really didn't touch base on it, I just know I probably wouldnt...
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    The stair chair

    i tried, i tried. when i returned to station my boss told me to pick up my purse and leave... so i did!
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    CHF and nitrates

    I know. Our protocols are very very strange. The ones I am talking about just went into effect in July. The ones before this were worse. The state protocols have C-pap listed way towards the bottom, but our regional protocols say under 90%. For some reason the region's override the...
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    CHF and nitrates

    C-pap was not indicated per our protocols due to Pts SPO2 being above 90% w/ O2 therpay. And our protocol for CHF states the following for nitro: 3 SL tablets for SBP > 180 2 SL tablets for SBP 140 - 180 1 SL tablet for SBP 100 - 140 NTG may be repeated every 3-5 min as long as BP is...
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    CHF and nitrates

    I'm an EMT almost done w/ medic school. I was working for a BLS service the other day and we were dispatched for resp distress. Long story short, 69 y/o CHF hx, lasix 40mg bid, orthopnea, increased distress on exertion, lung sounds decreased w/ rails, pitting edema, obvioulsy CHF here. Vitals...
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    The stair chair

    like i said we have the old ones. the boss said that the new strykers dont fit in our trucks.
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    The stair chair

    yea i dislike the stairchair myself. i wish we had one of the new strykers with the treads. that way it doesnt actually come off the steps. i'm comfortable with it usually but its ackward being hunched over going backwards upstairs
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    The stair chair

    we did it with 2, but we just though that with the known information prior to the transport (250lbs, 30 steps) that 2 trucks may have been more appropriate. it worked out well. its nice to know that some EMT programs out there require some physical abilities of their students. PA anyone can...
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    The stair chair

    I agree that 2 people can handle it, but if you have the extra personnel sitting at station, why not lessen the risk of back injury and the Pt being dropped? I dont like our stairchairs. We have the old metal ones with the low backs. there are not handles for the person at the feet, and being...
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    The stair chair

    I did a transport today, 63 y/o male, status post CVA w/ left sided deficits. Pt was returning home. There were 29 steps to get Pt into his house. 4 flights of 7 steps. Pt weights 250lbs. I think the safest way for the EMS providers and for the Pt was a 4 man lift with the stair chair...
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