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Benadryl at this point would probably cause furthur hypotension. Epi would be the choice if not purley to inhibit the hisatamine release, which is what is causing all these problems to begin with. Also, fluids, fluids, fluids!

In Calgary, Canada we're doing 12 leads, then if we're diagnosing it as a STEMI, we are transmitting our 12 lead via cell phone or land line (hooked up to our LP12) and sending the 12 leads to the hospital. While enroute we patch to a ER doctor, and if they agree it's a STEMI, they will make...

All benzodiazepines modulate GABA’s activity. When a benzo (like Versed) binds to a specific site on a GABA receptor, it does not stimulate it directly. Instead, it makes it more efficient by increasing the frequency with which the chlorine channel opens when GABA binds to its own site on this...

We only have a protocol for these pt's when they are seizing. What we're trying to determine is if there are safe and effective treatments for these people that we can do for them in the field, which would allow us to not transport them to hospital. We do have a small population of people that...

Ems waiting in hallways with pt's is a part of a bigger problem in Canada of underfunded healthcare. While I understand your concerns with what we are trying to do, the fact of the matter is that most of the time, these pt's do not want any sort of transport to a hospital (and that is after...

Just wondering if anybody out there works for a service that has a standing treat and release protocol for known alcoholic withdrawl seizures. We're currently trying to set up a policy to treat these pt's in the field and with online medical control, not have to transport them to a hospital...

Versed potentiates the effects of GABA @ GABA receptors. When GABA receptors are activated, it promotes an influx of Cl- ions, therfore causing hyperpolarization of the membrane, thus increasing membrane threshold potential, and stabalizing the membrane...hence the seizure stops. In Calgary...