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  1. 8

    Dual Paramedic v. Medic/Basic

    there is noting worse than working medic/medic and having a horrible medic as a partner. If you are a strong, confident medic, medic/basic or how I work medic/spec (works perfect for me) on the other had a new medic needs to learn how to be a medic and should work with one of those...
  2. 8

    spider straps

    4 regular straps already pre-placed work very well if done right. plus save a minute maybe two = 10-20% of your on scene time for traumas. If you think they might shift on the board use 2'' tape or roller gauze where needed.
  3. 8

    HELP! need info

    Is your real name Johnny or perhaps Roy??
  4. 8

    Wobbulator siren?

    anyone know how to install a wobbulator siren. I do not have a manual, just the siren/speaker and the switch.
  5. 8

    On the Job Back Pain

    Any tips on how to combat back pain resulting from on the job lifting? Had a lower back injury when I was 16 playing hockey, never and any complications after that year. No one particular incident that stared this but the pain is slowly getting worse and worse, to the point that I can barely...
  6. 8

    Fire Trucks at medical scene

    why in a nice suburban city with good tax paying residents, should we pay firefighters to just sit at the station, when there is only 20 real house fires a year and 5,000 medical calls. medical calls generate revenue, fire not so much. we may not want to combine the jobs, but it is for the...
  7. 8

    Fire Trucks at medical scene

    I work Private EMS. In the main city I respond in, the full time FD rolls for everything. They are a non transporting ALS units with 2 paramedics (we call em Echo units around here). If it is an EMS only call I would say they are helpful 40% of the time, getting IV's, drawing up Rx, getting...
  8. 8

    Narcan Question

    it isnt only unethical but dangerous. You could send someone into withdrawals, may it be a junkie, or a cancer pt who accidentally took and extra vicodin today. Plus now they may be in pain until the narcan wheres off and some narcotic can take effect again.
  9. 8

    Narcan Question

    That sounds pretty dumb. Just do a blood tox or urine test.
  10. 8

    Narcan Question

    i agree. i was just wondering if anyone has a solid source for heroin half-life.
  11. 8

    Narcan Question

    im not saying you're wrong, but do you have any resources to prove that. I looked before and could not find any that agreed on half life of heroin. I don't think anyone knows the actual half life of street heroin, every batch is different.
  12. 8

    Narcan Question

    oh yeah about 250lbs all muscle. I was actually very afraid that he would wake up too much and want to fight. thank god he was still lethargic after 8mg
  13. 8

    Narcan Question

    thanks for confirming my thinking. Sometimes I feel like the idiot when everyone else is against me. Our protocol for Narcan is 2mg IV/IM/IO. I usually start with 0.4 to 1mg depending on pt size, and give it really slow. only twice have I had to give more than that. One took 8mg, known...
  14. 8

    Narcan Question

    hear is one example from yesterday, but it happens all the time with people I work with. Get a life alert activation call. on arrival no answer at the door, after a miniute we let ourselves in and see a 75ish y/o female sitting on the couch, alert to painful stimuli only. no noted...
  15. 8

    ROSC question for medics.

    rare but certainly possible. like you said anything can happen. especially in EMS youll see
  16. 8

    Another ACLS Question

    rhythm check before med push or defib, not after
  17. 8

    question for nyc (or any really) paramedics .....

    sounds interesting for sure. so it dosent matter if its FDNY or private, who ever is closer can take it?
  18. 8

    question for nyc (or any really) paramedics .....

    not to change the subject, but what is the EMS system like in New York City? sounds like multiple ambulances racing to calls??
  19. 8

    V Tach Cardioversion

    Agreed. Regardless of the rate, the rhythm needs to be corrected immediately. A good rule of thumb i go by is if they are still perfusing adequately use drugs, perfusing poorly synchronized defib. "stable v-tach" I love how we say it like its no big deal. oh, hes having a stable MI...
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