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Sleep walking and doing complex behaviors is a known side effect of zolpidem. I certainly does sound like it was unpleasant for you...and you're family. I hope you are able to find something to help you get the rest you need, especially with keeping EMS hours. J

My first code was when I was an explorer with fire dept. I was so pumped. CPR in progress, Rosc prior to getting the the ED. It was amazing! I worked in that same hospital and by pure accident saw this gentalmens wife as I was walking down the hall a year later. Come to find out he was dying...

Im sorry...the abx listed are the ones in our hospitals sepsis protocol. I have not done any recent lit searches but there are still airway management/ER text advocating lidocaine as an adjunct for RSI in the head trauma pt. I mentioned the paralytics w/o sedation for crash airway because...

Great discussions... I would have to disagree with abx treatment prior to blood cultures unless transport times are crazy (like 3 hours). For septic shock we use Primaxin or merem(sp) + vanco + zithromax(if pneumonia). Etomidate is a great idea for head trauma but I dont recall seeing any...

I can tell you that I have personally given both Amio and Lido at the same time. Now for the disclaimer: this was in the ICU with two CT surgeons standing there. It was a post op multi vessel CABG (possibly a valve also). I like amio better just because of the previous poster said it's an...

OP, If your goal is to be a MD/DO then I would advise against trying to get your BSN at this point. Like another poster said so something that you like. Currently getting into a BSN program can be very difficult, which, you probably do not need to deal with while trying to make sure things are...

Needle and surgical allowed in Illinois. I have not been practicing very long so luckily non in the field. Saw needle and surgical in the hospital. Like most other places, only needle for children.

Hep locks are not used in the two hospitals i've worked in...we flush with NS. I think that saline locks are a great idea for EMS because like someone said..there isnt always a need for NS or another fluid. The HIT has become more of concern as of late so that is another reason I think we see...

Good points. While agreed it's not the best practice to give meds to r/o, however, we do not live in a perfect world. Can't say I have ever pushed narcan in the field so I can only imagine some of the side effects people see.

For one to change the situation then I'd have to see something wrong with it. Blindly following orders or protocols is a problem. However, that is not the case with narcan. I do now see how giving it for a unc/unk is a problem. Medicine is generally the game of r/o. Why not r/o something...

Glad that it all worked out! Did you ever found out what was the cause of the ALOC? I suppose one could argue that if you were able to "r/o ETOH" that there should be a more of a concern of the ALOC..

If they are truly a GCS of 3 then they really do not have the ability to protect their airway should the have an emesis. It only takes one time to get a complex pneumonia. I think I would go with an ETT. An LMA does not have aspiration protection to my knowledge. An OPA would probably work...

Librium is in our hospital ETOH withdrawl protocol.

I like your answer...But what about the diabetics on those wonderful new long acting insulins like lantus and levemir?

I guess I've forgotten to look at avR. That is pretty cool.

Well it's official...I do feel lost. CXR: possible left pneumo, probable pneumopericardium. Lack of ETT that sasha placed. I do not see the ERAD so if someone could throw me a bone that'd be great.

Wow, Epi gtt. That seems like going straight to the "big guns".

No sarcasm... So we(the ALS provider) that volunteer should all get together and say we are no longer going to take time and force them to either down grade to BLS or close? The ideas about Basics not being on an ambulance is nice... Would you view a basic rig that gets a paramedic fly car...

Telling us that we are bringing you down doesn't really help much either. And I would love to vote them out. One problem, I dont live in our district so I can't run or it or vote against them.

If I am taking your jobs..come get them. Don't expect me to try to change things so you can have a job. Thats up to you. I would love for our department to be full time but I know the trustees...they are old firemen that dont care about EMS.