Recent content by cointosser13

  1. cointosser13

    Macro drip set

    My bad, I meant the IV lock not the macro set. Don’t most IV locks have a set flow rate? If you guys can give me numbers or studies, I would love it. Just trying to prove to a friend of mine that it really doesn’t matter if you use a 18G vs 16G - the IV lock can only have so much fluid run...
  2. cointosser13

    Macro drip set

    When uing a macro drip set (10 gtts/ml), is there really any difference between using a 18 G vs a 16 G? A 16 G has a max flow rate of 220 ml/min. But what about the macro drip set, doesn’t that have a certain flow rate (due to size of tube and resistance)? I didn’t see a “max flow rate” on the...
  3. cointosser13

    Why we shouldn’t backboard

    I know a lot of places are still into backboarding every patient that complains of back pain and/or neck pain even if the car was going 5 my agency. I also know many agencies are slowly pulling away from backboarding every patient. I have a wonderful OMD who’ll listen to us paramedics...
  4. cointosser13

    Pediatric neurological exam

    So I ran this call last night, 9 month old who fell off a couch and landed onto his back hitting the back of his head. Mother states kid didn’t cry after landing onto the hard wood floor. Negative loss of conscious/vomiting. When we arrived on scene kid looked like he was sleeping in mother’s...
  5. cointosser13

    Prehospital narrative template?

    The type of template I'm talking about is the "fill in the blanks" one. I already know about the SOAP/ DCHARTE method and what not, I'm talk about a template like... "Responded priority 1 for **. Patient is a ** y/o **". That type of template.
  6. cointosser13

    Prehospital narrative template?

    Does anybody have a prehospital narrative template where they just fill in the blanks or *** as they go along with the report (off course add more as they go along with the report)? If you have any templates that would be most appreciated. I'm trying to create my own as of now, but I want to get...
  7. cointosser13

    reciprocity Virginia to Maryland

    Never done this and don't understand much about it. I'm a nationally registered paramedic in the state of Virginia. I like to practice in the state of Maryland but I don't know which website to go to or who to go to. Also if I transfer over to Maryland, can I still practice in the state of Virginia?
  8. cointosser13

    Vent Modes

    This more pertains to critical care paramedicine, but I was wondering: how do you remember what each vent mode (A/C PRVC SIMV etc) does when ventilating a patient? Any tricks (or charts) to remembering what each one does?
  9. cointosser13

    Flight Medic Questions

    This pertains mostly to flight medics, but if anybody else knows the answer too don't be afraid to answer. What were some clinically based questions that you had to answer during your flight interview process?
  10. cointosser13


    It's in DC, so about a 2 hour transport. Or ~45 min by air.
  11. cointosser13


    I like all of your ideas guys. "Handsome Rob", you told me exactly what I wanted to hear, wanting to intubating him because I mentioned central facial burns, singed nasal hairs. I was also trying to (while it's hard to do it on here) tell you guys that he was actually starting to have difficulty...
  12. cointosser13


    Here's a fun scenario I think you guys might like. Its just you (Paramedic) and your partner (EMT) at the station, Engine crew is out and about getting lunch. You have a walk in and someone says "my brother is in my car, he's badly burnt". So you grab up the stretcher and walk up to the car...
  13. cointosser13

    Stat Medevac

    I'm looking into maybe getting employed with Stat Medevac as a Paramedic in 3 years or so. When I looked at the requirements, it said you need the required certs, which I have all of them, and three years of critical care and/or emergency department. I have 1 year of emergency department...
  14. cointosser13

    Favorite device

    Question to all the wonderful EMS providers out there....what is your favorite tool/device in the ambulance (and why)? This is a question to all of you, whether you do rescue or CC/transport. Mine: Capnography. One of the best ways to assess a patient's breathing, and it's in "real-time". SpO2...
  15. cointosser13

    Decerebrate posturing

    I want your input guys.... We ran a call that was called out for a seizure. In the notes it said patient vomited x1. We get inside and mother is right next to her 6 year old kid who's not moving and looks wet. We asked what happened, mother said something along the lines of "my kid was in the...