Worse malpractices on field

[UnkiEMT]

1mg is an order of magnitude greater than 1mg?

If they pushed 10 miliLITERS sure. But there's zero difference between 1mg of 1:1000 vs 1mg of 1:10000 other than how much fluid it's dissolved in.

I blame 1) not being awake, B) Being distracted worrying about my bike and iii) the fact that I'm a moron.

I meant to type 10mg(/ml).

 

[mycrofft]

Ah, you beat me to it! You're right, 1mg = 1mg… And there were times when due to either budget issues or 1:10,000 preloads being unavailable when we had to carry around the "party vials" with 30mg 1:1,000 and draw from that on codes.



I stopped a great potential mistake once where a fire medic (silly, silly fire medics, so many great stories…) was about to cardiovert a stable a-fib patient.

Rate was 120-140, super stable vitals and no real complaint other than mild chest discomfort.

Him - "But it's rapid a-fib!"

Me - :glare:

I've been cardioverted twice for a- fib and each time I felt immensely better….for up to two weeks. But not with a field device.

 

[TheLocalMedic]

I've been cardioverted twice for a- fib and each time I felt immensely better….for up to two weeks. But not with a field device.

Right, but going on willy nilly and cardioverting non-symptomatic patients is no way to go about life.

 

[Handsome Robb]

Right, but going on willy nilly and cardioverting non-symptomatic patients is no way to go about life.

:rofl:

 

[DrParasite]

I've been cardioverted twice for a- fib and each time I felt immensely better….for up to two weeks. But not with a field device.

forgive my ignorance, but isn't electricity in the field and electricity in a hospital the same thing?

why would you not want to be cardioverted in the field, but would welcome it in the hospital, if both would result in you feeling better?

 

[Carlos Danger]

why would you not want to be cardioverted in the field, but would welcome it in the hospital, if both would result in you feeling better?

For the same reason you would much rather have an elective trach done in a hospital than be crich'd on the side of the road.

There are all sorts of considerations that go into an elective cardioversion for AF that aren't factored in when someone has a hemodynamically compromising tachycardia.