Search results

  1. M

    Prehospital Sedation of the Combative Patient in the presence of a TBI

    Did you ask your FTO how they would have treated this pt then? If you think the answer might be incorrect I would talk to a doctor and inquire about what would be the right thing to do. I find it interesting that this doesn't fall into the combative pt... because he was fighting. In my...
  2. M

    Prehospital Sedation of the Combative Patient in the presence of a TBI

    Rob it is good to see that you analyze this call to see what you can improve on. There is some interesting literature on being prepared and reviewing a difficult call. We all learn, sometimes quickly and painfully, but it is key to analyze what worked and what didn't This is an...
  3. M

    Prehospital Sedation of the Combative Patient in the presence of a TBI

    Nor would it be mine- "Although since this is not a psychosis related illness I might stay away from Haldol". This pt is still combative (whether he is knowingly resisting or it is base reflex to resist being strapped down and poked/prodded doesn't matter) and will be sedated, or slowed down...
  4. M

    Use of clot busting drugs in cardiac arrest

    EMCrit talks about lysing intra-arrest. http://emcrit.org/podcasts/mind-resuscitationist-reid/
  5. M

    Prehospital Sedation of the Combative Patient in the presence of a TBI

    Rob, I fully agree that it is a trauma pt. But my point was you must gain control of the pt before you can manage his injuries- which for me means this is a behavioral pt. And my guess is that is the protocol you would be under for giving him meds- unless you have RSI protocols, or a trauma...
  6. M

    Prehospital Sedation of the Combative Patient in the presence of a TBI

    This pt would absolutely get chemicals from me. To a certain extent he is not a trauma pt until he can be controlled. I have a few options where I work. The first option is Versed or Versed/Haldol up to 5mg/10mg. Although since this is not a psychosis related illness I might stay away from...
  7. M

    motor vehicle accident

    Similar sort of conundrum over at Life In The Fastlane- http://lifeinthefastlane.com/2012/09/household-words-chapter-1/ There is a part two already published so make sure to check that out.
  8. M

    Hennepin EMS

    Saw this online- http://www.facebook.com/photo.php?fbid=351551461591887&set=a.110144105732625.18943.109295612484141&type=1&theater Looks cool!
  9. M

    Car crash and acute MI

    Ohhh read my links!! haha
  10. M

    Car crash and acute MI

    http://hqmeded-ecg.blogspot.com/2012/08/gunshot-wound-to-chest-with-st-elevation.html http://hqmeded-ecg.blogspot.com/2012/07/right-bundle-branch-block-after-blunt.html Dr. Smith highlights two cases where there are EKG findings not associated with ACS. This guy you are talking about...
  11. M

    Pt had been on the computer

    I had a guy, right in front of me brady down to 23. I caught it with a 12 lead at 27bpm then it went right back up to the mid 70s. He was talking right the way through it like nothing had happened. This guy almost sounds like a panic attack/hyperventilation.
  12. M

    Help choosing medic schools

    University of Iowa Hospitals and Clinics. Reasonable chance of a job someplace in iowa. But I'd do the program then choose a place to do your ride time where you want to live.
  13. M

    Iowa State university paramedic program

    Quality of the instructors is everything. One of the primary instructors has decades of ER nursing, flew as a critical care nurse, is a paramedic, and has been teaching for years (oh yeah... she wrote the Iowa CCP guidelines- one of two nationally recognized CCP curriculums). Another instructor...
  14. M

    Iowa State university paramedic program

    Awesome program. Fantastic hospital where you receive your training (only level 1 for hundreds of miles), fantastic instructors (many specialty instructors come in and give lectures), you get to ride in a heli. Very high first time pass rates of the NREMT (ask them- they know all their...
  15. M

    the 100% directionless thread

    Saw a guy with a core temp of 110 degrees. This was taken after the cooling process had been started already!
  16. M

    C-Spine rearing its ugly head

    Per my protocols, anybody that has been ambulatory after an event and has no neck/back pain or altered mental status does not require a collar or board (although I can use one if I feel it is warrented). So since it sounds like none of these things fit in this pt- I would not board or collar...
  17. M

    Predicament with hiring

    Every job will have a points limit set by their insurance carrier. Where I work that limit is 7points. As long as you don't have more than 7 points, technically, you are good to go. Obviously, it is management's choice to hire you or not, but I know people who have gotten hired with a DUI...
  18. M

    Paramedic Textbook???

    I thought the Mosby text blew. They managed to use 100 words to say something that could be said in 10. Slow, boring reading just because it took so long for a concept to be explained then repeated many times. Reading something the the Princeton review's paramedic text would probably...
  19. M

    Interesting call

    Septic? I have also heard of high ammonia levels causing people to act a little weird. Stroke (The Cincinnati stroke test doesn't get them all)? Good case.
  20. M

    30 y/o runner feeling sick

    If the person is not a diabetic, the body will regulate the sugar levels. If I don't eat for 3 days I won't have a sugar level of 12.... it should still be close to normal. I know most of your scenarios are hypothetical but you shouldn't give a treatment to a pt without just reason to do...
Top