RsqCrack: because the doctors don't always take the time to check things, including looking at the medication list and more importantly the drug allergy list:
In many areas EMS is better at diagnosing (or at least faster) Sepsis, and CVA's than ED's
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We have talked about it at my PT job; thought and talked a lot about doing it on a patient in and out of Cardiac arrest back in January: 135 mile transport, in and out 7 times. We we decided to do it the next time he coded, (we were 35 miles into the transport: no cell or radio service) he...
Asking a history on every person is where you learn.
When you have time between runs, look at the medications that the patient takes: figure out what those medications are for, and you can start figuring out the medical histories of patients without asking them.
Pay attention and learn from...
I wok for the Army, (Civilian), and we have to do the "I will work '3 x' any training the Army pays for. I did a 7.5 hour class they paid for and had to sign a form that I would work 22.5 hours afterwards before i took my ABLS cert and quit.
Some times I wish I had gotten a degree; I have no idea what I would have taken; and for the most part it doesn't seem to help other paramedics who have gotten one be a better medic. Sure doesn't help them write better run reports.
A couple of friends are going to nursing school, and other...
So: Elko County EMS is based out of Elko City, and they do IFT and 911. Elko City FD also transports. Elko city is the west end of Elko County. Elko City has a Small 15-20 bed ED, and 70 or so in patient rooms, and does Cardiac Caths and has decent Physc help.
MedX covers Wells Nevada...
It is hard, I have been in EMS for going on 26 years; and last week at my PT job we had 3 deaths in 22 hours. Got ROSC back 4 times on 1 of them, and transported him 135 miles to a hospital and he was alive when we got there.
It is hard, I remember most of my dead patients, but I remember a...
Had someone's Fitbit tell him to call 911, his HR was 150.
He bought some Gummies designed to help adults with ADHD, and the package said if you have never taken them before to take half of one.
He took 6 (out of a package of 12).
Not totally related, but starting this year, if you are a 1st Responder already, with 5 years of experience: Utah will pay your way through College to become a Psychologist or Psychiatric.
They decided that we need counselors who have 1st Responder background
2 doses of Midazolam doesn't cause that much of a respiratory problem. Heck, 15mg Midazolam plus 10mg Haldol doesn't cause that much respiratory problems