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  1. MSDeltaFlt

    Can someone break down ETCO2 for me?

    It is not a percentage. It is only a part that is actually measured. 35-45mmHG. The measurement of how much pressure it takes to move mercury no many millimeters. That is the measurement that is used. In order to give you a visual description look up a video of the old style blood pressures...
  2. MSDeltaFlt

    Whats your "criteria" for starting iv access on a pt?

    My protocols are pretty specific. If they're stable "condider" it. If they're not, get it. If you can't and they need it, drill 'em.
  3. MSDeltaFlt

    Acute onset of unexplained hypothermia (non-environmental)

    Yes. Definitely. Get a MRI. Check the brain. This sounds mechanical.
  4. MSDeltaFlt

    Critical thinking: Vent Management

    If volume doesn't work, I'd go with pressure ventilation.
  5. MSDeltaFlt

    Does Size Matter?

    With the advancement of powerfully and technologically advanced microprocessor ventilators, the size of the ETT is pretty much made moot. There were days when it was a major concern with T-piece trials. Yes I am that old. Took me forever to figure out how to hook up an H valve on my MA-1 for...
  6. MSDeltaFlt

    What makes someone a "bad" paramedic?

    Before I begin please understand that I freely admit that I am not the sharpest tool in the shed. I am not God. I am not a god. I do not walk on water. I make mistakes, I have been wrong, and I will continue to do both. And like everyone I strive to do both with decreasing frequency. And...
  7. MSDeltaFlt

    Atypical STEMT Treatment

    This sounds like a question best reserved for one's educator. Because depending on your region, your service, and your protocols, nitroglycerine in this scenario is either stated as an absolute or is stated to consider. Some service have to give while others don't. So what does your medical...
  8. MSDeltaFlt

    Small vent story with questions about it.

    Occam's razor (or Ockham's razor) is a principle from philosophy. Suppose there exists two explanations for an occurrence. In this case the one that requires the least amount of assumptions is usually correct. Another way of saying it is that the more assumptions you have to make, the more...
  9. MSDeltaFlt

    HEMS usage, what do you in the field think about this?

    If you wouldn't transport lights and sirens to the ED within the city limits then why would you fly them?!? That is in essence the same thing. STEMI/CVA that are that time sensitive, really bad trauma's. Yeah, fly them. But if your patient is stable enough to stop at every red light, then...
  10. MSDeltaFlt

    Chest Pain

    RCA/Cx inferior/posterior AMI. Right side ECG superfluous. O2, ASA, Fluids, Dopamine, pain management. Cath lab now if this patient is still within the window. If not, local ER for thrombolytics.
  11. MSDeltaFlt

    No ETI.

    AHA Releases Latest Statistics on Sudden Cardiac Arrest Submitted by SCAFoundation on Thu, 02/01/2018 - 6:16pm SCA News There are more than 356,000 out-of-hospital cardiac arrests (OHCA)[1] annually in the U.S., nearly 90% of them fatal, according to the American Heart Association’s newly...
  12. MSDeltaFlt

    Dumbest thing heard on the radio

    "Unit XYZ. 10-8 Priority 2 to 123 Smith St for a 65 year old male states he can't see. Says he'll be waiting for EMS on the porch." "On the porch? How does he know?"
  13. MSDeltaFlt

    Patient is armed

    Maybe I skipped a few steps regarding scene safety. So let me be as precise as possible for our young OP regarding scene safety regarding this situation or any other situation anyone might encounter. The term "scene safety" is not a red flag meaning for you to run away. It is more of a...
  14. MSDeltaFlt

    Patient is armed

    If law enforcement is on scene I let them handle the weapon. If they're not I still don't handle the weapon. I will transport the patient and let security at the receiving handle the weapon.
  15. MSDeltaFlt

    Patient is armed

    Irrelevant.
  16. MSDeltaFlt

    CPR endurance exercises?

    If you have a Lucas device. Down here we are one of the heaviest states in the Union with average heat indices during the summer of 100-120. So manual compressions on the morbidly obese in this heat depends on not just how strong you may be but how long you're strong.
  17. MSDeltaFlt

    Patient is armed

    EMS, fire, and law enforcement all have the same initial goal on scene with respect to our own individual expertise: scene safety. We hand the human body. Fire handles fire safety. Law enforcement violence and firearms. If there is a patient that has a wound there had better be someone with...
  18. MSDeltaFlt

    No ETI.

    I am an old school medic and I do love dropping a tube and getting an EJ. That being said I also believe the national standard of care for the standard adult cardiac arrest is SGA's and IO's. And here's the reason why, in my honest and humble opinion (granted opinions are like butt holes...
  19. MSDeltaFlt

    Patient is armed

    Depending on the state it may or may not be different. Down here in the Magnolia state firearms of any kind are not our concern to handle. So we don't. They are the concern of law enforcement.
  20. MSDeltaFlt

    Drug dose calculations

    You don't need anything other than your protocol book and a calculator. The math needed is nothing more complex than high school algebra. Convert pounds to kilograms then use this for any medication to be given including fluid boluses. Whatever part(s) of the equation you're not calculating...
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