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All Ready Do... On top of Code 3 responses my system also provides code 2 responses with non-emergent BLS calls or patients deemed stable by an on scene care provider with a response time frame twice that of our normal 10 minute 911 response. Once on scene we can upgrade(from code2) or...

Yeah.... It was with a transport company that did both gurney and wheelchair transports in the same unit. If it was a wheelchair call you would leave the gurney at the station.... One day we got a gurney transport out of a hospital about 30 min. away from the station. We got on scene, looked in...

Ahh, the point has been explained wrong to me by my medic, He stated that you only needed to deliver 1/10 of the existing Epi in the vial, not dilute it. Hmm wonder if that was an error in explanation or an error all together.... :mellow:

Im not trying to get the whole 1mg of epi back right, isnt the idea to get 1/10 of it isolated making it 1:10,000? As the original 1:1000 has spread out in the fluid, from which i can draw back only a fraction of both the contense and therefore a fraction of the concentration, that being 1/10???

http://s1146.photobucket.com/albums/o535/RanchoEMT/?action=view&current=1335684150.jpg This will be my last attempt with the 100ml bag, them im calling it a day...

You know what I think what might be confusing people is the wording on this part right here. Epi 1:10,000 is 1/10 the epi concentraction of a Epi 1:1000 solution correct??? Ok so if we put that Epi 1:1000 in 100ml of NS the entire bag has just One 1:1000 Epi vial in it.(Now 1:100,000 per ml)...

What the..... Lol

This all makes sense, thank you, but what the hell was he doing with a 100ml bag.... Can any of you come up with a way to do it with a 100ml bag... The point of it I remember was lets say for a cardiac arrest you could just keep drawing from the bag whenever epi was up...

Is this right...

I dont mean to over run the OP with drug calc, for those who want to continue their friday night doing division i'll post a new thread in the EMS section.

And wouldnt u only push 1 ml from your 10ml syringe into the patient for the 1:10,000 dosage???

How is that 1:100,000 if he's pushing 10cc of it?

Well plus a zero, minus a zero, point being a vial was used. Im sure his math was appropriate.

I know what your talking about with regard to a gradual acidosis, but since we are talking about a type 1 diabetic who has not been given insulin to utilize glucose efficiently, the cells arent getting any of the glucose from the lack of insulin right??, are you still taking into account we are...

Are you saying the over all mental status should not be effected? But will the body?

I've been having this discussion going back and forth with my medic. Im surprised to hear his answer. So if you would be so kind, your thoughts please, as to the signs and symptoms of a type 1 diabetic who has eaten, has a BS=210, and has not taken her insulin. My thoughts, if insulin is not...

on a side note. My medic has drawn a 1:1000 epi vial(1cc), pushed it into a 100ml NS bag and withdrew 10cc of fluid for a 1:10,000 epi solution in a 10cc push. Among other possible variences. Fun stuff.

lol it starts again..

Oh a thousand pardons noble gentry, i was oh so unaware i was taping into the upper echelon, supply shortages are so beyond my college level education. please ignore my petty rebukes. Your absolutely right sir, the key to medicine is grey, thats why the reason behind it all MUST have been...

I'm all broken up about stocking the 911 system with a medication our ER's are already in supply of. Truly immoral. Did I not research further into the shortage? Did I not ask my employer why we had no drugs initially? Did I not ask the local ALS providers what their situation was? Did I not...