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I would venture to say that EMS as a whole is behind the times. It seems like historically we are at least 2 years behind the "cutting edge" medicine of the hospital. In being the medical nerd that I am I find countless Tx that would benifit us in the prehospital setting but have not been...

Whats the best way that yall have gotten an NG or OG around the King Airway... I havent had much luck.

Hunter, I use them in codes alot. Usually during my 45 min transport time i find time to do it, ESP if the pt has been ventalated by bystanders or BVM and has gastric distention.

Well that solves that. I suppose we are lucky and have NG tubes in our protocols. I am surprised they aren't prehospital popular. I think they are a great thing to have and I use them regularly.

I would have tried a benzo with CPAP if that didnt work its time to intubate. I think it really comes down to pt presentation and transport time. Obviously pt presented as..... "crappy." Once they start the head bobbing thing its usually time to intubate and be ahead of the game rather than to...

We us it for excited delirium, RSI (or etomidate, our choice), and for dissociating pt's for procedures. The IM dose takes awhile for full effectiveness. Usually When i use it for excited delirium its the IM dose as soon as they are sedated enough get an iv ASAP and get ready to give more just...

Im just saying just because you initial thought is an MI dont stop there keep scrounging and searching until you are all but postive its an MI or a CVA. If it was a CVA and you treated her for an MI when she wasnt having one you could cause some SERIOUS hemmoragic issues in the brain.

We have started using the king tube as front line in an arrest situation recently. Since then i have had more messed up traumatized airway was filled with blood vomitus and who knows what that are red and puffy swollen. I have also had to use a lot more suction and all around have had more...

Why is everyone already ruling out a CVA? 60 something yo female who is a Diabetic? Screams AMI or CVA. Any seizure history? I would need a full neuro exam before I made the transport decision. Hemmoragic strokes can do funny things including acute onset of N/V and dizziness. Plus she is...

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My Thoughts exactly! We carry Morphine IV/IO Fentanyl IN/IM/IV/IO for pain management We also have Versed, valuim, Ativan And ketamine<----that drug is a life saver (LITERALLY)

I wont say that i have ever wrote a paper on this but i have done the same thing. I have done this in the back of the truck using my monitor to watch HR. I have not seen any difference whatsoever during cannulation even when dropping the big mambo jambo 16g and 14g water hoses on...

Vasovagal is always a possibility but doesn't happen all that often (In my experience). I am mainly looking for something pertaining to vitals. Im sure someone could continuously vagal down while in pain but im not for certain that is what is happening more often.

Darnit we need a like button on this forum, haha. I always treat pts not numbers. Do yall have any links or places where i can find good documentation to back me up next time i we get into our debate.

I'm a huge advoccate of pain management. I give pain meds and give them often. THERE IS NO REASON FOR US TO BE TAKING PT's IN IN LARGE AMOUNTS OF PAIN. I know a fellow paramedic who is slightly less aggressive with pain management. He believes if they are Normotensive with a normal heart rate...

All good thoughts.... I was thinking PSVT during transport, just what surprised me was the bouncing back and fourth. It was very interesting. ER doc said if she sustained the tachy rhythm they would start her on cardizem. Im thinking it could still be an alternate conduction pathway and was...

My first thought was afib RVR but it wasnt. Way too regular. Sorry for the poor quality. I didnt treat it other than bilat large bore's incase things got bad and transport. Pt looked in fair condition as stated, pale skin. PSVT is what i called it i just never would have thought i would see it...

Apparently I'm not smart enough to operate Photobucket effectively enough to rotate pictures... sorry guys.

Ok guys have at it! 75 yo female c/c of not feeling well x45 min. PMx of AMIx4 A/V on demmand pacer Med compliant, in good shape, well groomed and appears to take care of herself well. Pt husband states they were at the cardiologist today to have her pacer checked and everything was...

I think the nitro spray is a bit much. I have seen a couple of old school medics use a very very SMALL amount of nitro paste on the area they are looking at, about the size of a ball point pen. Not enough to cause any pressure drop but just enough to get the vein to pop up. I know what yall are...