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  1. VirginiaEMT

    CPAP and facial hair??

    I have never had an opportunity to use CPAP on someone with facial hair. I know people who use CPAP at home who have moustaches and goatee's. It would certainly be difficult to get a seal around the masks. If you've tried this, how did you get a good seal? I have read that you can mat the hair...
  2. VirginiaEMT

    Is this V-Tach or Sinus Tach?

    V-tach... ERAD, QRS Axis -96, positive V1, wide qrs
  3. VirginiaEMT

    Things are not always what they seem

    I overheard the nurse tell the doctor that it was 27.1C and he didn't correct or ask questions. But I can't see anyone getting that cold in the weather we had that morning, and she had on a sweatshirt, shirt under it, blue jeans, shoes, etc. She may have been chilly outside but definitely not...
  4. VirginiaEMT

    Things are not always what they seem

    This patient was very altered but she was able to communicate well enough to tell me her name, although mumbling, but she did go unresponsive a couple of times for a brief second. She had her baby 3 days prior so she had probably only been out of the hospital for a day. I couldn't read the...
  5. VirginiaEMT

    Things are not always what they seem

    I ran a call that turned out to be a female patient sitting in the road in front of 2 police cars upon our arrival. They had wrapped her an emergency blanket. She was alert to verbal stimuli and was able to give me her first name and that is about it. It was in a rough area of town, approx. 50...
  6. VirginiaEMT

    Your opinion?

    That is what I was taught to do.
  7. VirginiaEMT

    What method would YOU use to discern V-Tach from SVT with abbarency?

    So you don't know the answer. That's cool
  8. VirginiaEMT

    Dumbest thing heard on the radio

    Just yesterday I heard a medic give 125 KG of SoluMedrol.
  9. VirginiaEMT

    EMT's checking BS

    The pulse oximeter has made EMTs lazy. I absolutely loathe seeing them get the pulse rate off of a pulse ox.
  10. VirginiaEMT

    EMT's checking BS

    They do that in our area now....
  11. VirginiaEMT

    What method would YOU use to discern V-Tach from SVT with abbarency?

    I have been studying various articles for 2 days now on this subject. I have not run across this issue in the field yet. It appears that ERAD with a positive R wave in V1 is very reliable. Also a axis of -91 to -180 as well. I have read a bit on Brugada criteria as well but need to do some more...
  12. VirginiaEMT

    What are you're "go to" primary and secondary airway methods?

    Bougie is a requirement for me as well..
  13. VirginiaEMT

    Medic School Slackin on Clinical's..What to do??

    Better yet, have a lawyer do these things and they will know you're serious..
  14. VirginiaEMT

    Medic School Slackin on Clinical's..What to do??

    WOW!!! $16,000.00 I only spent $3500.00 for tuition
  15. VirginiaEMT

    Narcan anyone???

    Give it to the in slow icrements. You want to increase their respiratory rate but let them stay unresponsive. If giving 2 mg give it to them in 0.4 mg. increments at a minute each. When their respiratory rate is adequate,STOP giving the Narcan. Capnography is perfect for this scenario!! I...
  16. VirginiaEMT

    Ashi cpr

    I am an AHA and ASHI CPR instructor and I prefer working with ASHI
  17. VirginiaEMT

    How to handle this situation appropriatley

    Do you think this guy really cares if you leave? He is going to do exactly the same thing to your replacement. There are many volunteer agencies in my are that have career staff as well, me being one of them. Some people just loathe the fact that we get paid for something they do for free. It...
  18. VirginiaEMT

    Why does everyone think becoming an EMT-B is so easy

    BULLCRAP!! I have taken the Virginia state EMT-B exam, the NREMT-B exam, the NREMT-I/99 exam, and the NREMT-P exam and passed them all on the first try but the NREMT-B was much more difficult than any of them.....
  19. VirginiaEMT

    I am officially a paramedic!!!!

    Well I passed my practicals today and I AM DONE!!! Now on to becoming a better medic not a regurgitater of skills sheets......
  20. VirginiaEMT

    ORAL BOARDS- Can you partner perform interventions?

    I have my paramedic psychomotor testing tomorrow morning. I am unclear if IV's etc. can be done by my partner or do I have to perform them all in the oral boards?
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