This is a video of me and my partner one night when we fell asleep in the ambulance. We didn't hear that we got sent to refuel so we could go home, obviously cause we were sound asleep. Our ambulances have G-Force cameras in them, and they hit the panic button to video tape themselves waking...
Absolutely not. Full spinal precautions on that one. My Medical Director has put forth a pretty fool proof spinal clearance protocol:
Any Focal Deficit: Yes -> Spinal Immobilization
No
Patient >65 or <5 with Significant Mechanism?: Yes -> Spinal Immobilization
No
Alertness...
I had to treat a middle-aged male that murdered his mother and stuffed her in a shed for over a month until he bragged about killing her to his s/o who turned him into the Police. He hung himself in his jail-cell with his bed sheets. I actually saved his life, until he died from a pneumonia in...
I have my pen. And then I have a Pt's signature pen, which I clean off with a disinfecting wipe.
Sometimes I ask the RN for her/his pen, and then let the Pt use it, then hand it back to them. LOL
It's not unlikely that an elderly Pt would be "forgetful." Hell I forgot to shave this morning. Maybe I'm senile. Guess I can't refuse an ambulance transport.
Unlikely. What I'm trying to get at is conditions that complicate the patients decision making ability. And you're right, only a...
You are my new best friend. B)
Here's a couple good ones:
Dispatch: "Adam 37 be advised CPR in progress."
Medic: "Lovely..."
Fire Dispatch: "Engine 3 repeating your address: (bla bla bla) 40 year old female c/o chest pain on Fire 2" (Fire 2 is a radio frequency)
Fire Engine: "Well...
Just tell your preceptor you NEED ETT's and not LMA's. I'm sure they'll work with you. When I did my OR clinicals I mostly did ETT's on kids that were getting T&A's out.
If the depression leads to suicidal ideations, absolutely. But depression in general, no. My statement may of been vague, but I was directing it towards the elderly population where Alzheimers, Dementia, delerium, and being senile among others would hinder their decision making process. Most...
I typically only ask them the CAO questions and if they answer appropriately then they can refuse. But any history of mental problems, dementia, etc... then they automatically lose their ability to refuse care, and I go off implied consent. However if there is doctors orders to take them, and...
Inexperience is what I'm assuming. Hopefully she doesn't get prison time for it, but more than likely she will. Hazardous road conditions don't cause accidents, people do.
Could be like my medics.
"CMED, adam 45 is en route routine to Mercy Hospital, one patient, no riders, miles are 0.0."
All I need to hear is:
"45 routine Mercy"
It annoys me to know end when people talk and talk and talk aimlessly.
I've been inquiring into unions in EMS. As of right now the service I work for is a Private non-union *for profit organization. We have been dealing with some tough times. We were recently in 2006 a hospital based ambulance service and then we separated into our own entity known as "Area...
We use Zoll Monitors with EtC02 capnometry and capnography. We can view the pleth (wave form) directly underneath the ECG tracing. And our adapters to connect it from the ETT to the Ambubag are currently on back order from Zoll, and have been for the last month or so. So we are completely out.
It's a beta blocker so it stops norepinephrine and epinephrine from binding to beta receptors on nerves. Beta-1 receptors are in the heart, eyes, and kidneys. Beta-2 receptors are lungs, liver, skeletal muscles, and blood vessels. Beta-3 receptors are basically located in fat cells. So it...