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  1. H

    Real life senerio for you! Its a fairly easy one....

    Oh hey immagine that a low o2 sat...hmm go figure.. oh wait patirnts with PEs dont get low o2 sats just ask the expert respiratory therapis that knows it all!
  2. H

    Real life senerio for you! Its a fairly easy one....

    She was oxygenating really well and you would expect cyanosis, tachycardia or dead with a PE. she was pale with no cyanosis. I am no good at heart sounds so did not listen to them..I would assume given the oitcome they would have been normal
  3. H

    Real life senerio for you! Its a fairly easy one....

    Mr. Brown her cbs was within a normal range. She was NIDDM so no DKA, abdomen was flat, bur firm on palpatiin with no evidence of AAA rupture. Patient moving all extremities equally. Atropine was not given because the escape mechanism was venticular and she only had occational P waves that...
  4. H

    Real life senerio for you! Its a fairly easy one....

    Haha not that easy Exodus :) Son states he found her on the floor after he got home from a walk. We found her on the bed which was about 2 ft high. No outward signs of trquma prsent from the fall. She has hx of NIDDM, HTN, high cholesterol, and gait disturbance per the son. she has...
  5. H

    Real life senerio for you! Its a fairly easy one....

    Well that would depend on lung sounds which no one, suprisingly has aked for give her tachypnea and lack of o2 sat informatin.. Lung sounds are clearer then clear and she is given fluid wide open. BP goes up to 89/49 after 1200 mL Oxygen saturation is 100 percent on supplimental and her end...
  6. H

    Real life senerio for you! Its a fairly easy one....

    EKG shows a ventricular escape rhythm with occasional non conducted pwaves, but they are not consistent. No scars present and the son verifies no hx of a pacemaker. Pacing pads were applied and patient was paced at rate of 80 with mechanical and electircal capture. Radial pulses remained...
  7. H

    Refusal of Immobilization

    You could, maybe have a check box with a blank line so you can write it in, but paper has a habbit of getting lost.. that is the problem.
  8. H

    Refusal of Immobilization

    ahhh thats the name of the software, couldn't think of it!! :)
  9. H

    Real life senerio for you! Its a fairly easy one....

    Son doesn't know when she last ate, hasn't really had much of an appetite for several days. Carotid Pulse is 32 , no radial pulse is palpable BP 78/40 RR 42 Oxygen saturation unable to obtain at initial evaluation becuase of hypotension Patient is pale, COLD, and dry. CBS...
  10. H

    Real life senerio for you! Its a fairly easy one....

    Called to a house for the fall. Upon arriving you found a 69 year old female who is normally alert and oriented and able to ambulate laying supine on the floor with moaning and incomprehensible words when you ask her questions. Her son reports she fell out of bed while he was out for a walk...
  11. H

    What would you have done?

    Have you ever heard the term treat teh PATIENT AND NOT THE MONITOR! His sats were 93% ON A NON-REBREATHER and he became unresponsive with gasping respirations from respiratory failure. I am going to repeat myself TREAT THE PATIENT AND NOT THE OXYGEN SATURATION MACHINE!!! and his end tidal CO2...
  12. H

    Refusal of Immobilization

    We use Zoll computer charting and had them add a refusal form within all PCRs so that if the patient refuses a particular aspect of care ie. backboarding, being carried in a stair chair etc we can document it and have them sign a refusal on whatever they are refusing without adding another log...
  13. H

    Looking to rent a gurney for a video shoot

    I doubt you will get a compamy or service to let you use one only because of the liability if someone gets hurt.... Good luck. Happy
  14. H

    EMS Today 2011; Anyone going?

    DOH! I just read your post today, a bit to late. I was there and so to many goofy looking people to point you out... The fact that you didnt llok like a whacker may have significantly narrowed you down though! ;) Happy
  15. H

    ecg question

    The poster stated in his previous post that it was a 10 minute transport and he didnt want to stare at the patient for 10 minutes so he put him on the monitor! No it wont hurt the patient, but we as EMS professionals are trying to get recognition as such. Putting a 25 year old with no other...
  16. H

    CEN vs CCEMT-P

    CEN: Certified ER Nurse- One would have to become an RN (3-4) years of schooling, then work as an ER nurse for a minimum of one year to take the CEN exam. EMTP: Paramedic 1-2 years after obtaining EMTB certification and hopefully working as a basic for at least a year if not more prior...
  17. H

    What do you carry 24/7 while on or off the job?

    You all need a life...lol sorry, but who gives a kaka what ppl carry on them?!!
  18. H

    ecg question

    Here is an idea... taaaaaaaaallllllllllkkkkkk to your patient instead of performing needless things. The patient must have thought it was a little awkward to be put on a cardiac monitor when he is 25 with a leg injury! I am guessing per your protocols you are suppose to do a full APPROPRIATE...
  19. H

    ecg question

    My biggest question is why you would put a patient with leg trauma on the monitor?! Happy
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