Recent content by Crepitus

  1. Crepitus

    Modified Detroit schedule ?

    You're going to have to nail that one down with somebody on the ground there. Modified Detroit can mean different things to different services. If the organization is working with a 'three platoon' system it means One on, One off, One on, One off, One on, Four off. This is more commonly a...
  2. Crepitus

    45yo Male...Unconscious

    I hate it when the patient fists his presentation! :)
  3. Crepitus

    45yo Male...Unconscious

    Yep I get why CPAP won't work with a pt who's respiratory drive is absent. I can see where CPAP could be a challenge with this particular pt. (Of course I could see where bagging this particular pt could have been a treat as well). I'm just trying to get more up to speed on CPAP as it was...
  4. Crepitus

    45yo Male...Unconscious

    For everyone - Why would CPAP not be allowed in overdoses? I thought it was indicated for any non-asthmatic case of inadequate ventilation? After the pt was given Narcan then maybe they aren't an overdose anymore:P Crepitus
  5. Crepitus

    Ever recommended for someone not to visit ER

    Rhan, I do many of the same things as other posters - such as informing as fully as possible, making them aware of potential consequences, etc. I typically stop short of giving them my opinion when the call is 'on the bubble' or anywhere near it. If I believe a person is sick and in...
  6. Crepitus

    Is the National Registry Paramedic Hard?

    I paid $200.00 for the pratical exam. There was a $25 fee for each station that you had to retake, paid for with cash on the spot before they let you retake it. (insult to injury so to speak ^_^)
  7. Crepitus

    Ambulance operator.

    I'm with EMSLaw. Unless we can find somebody who has taken the same test as you are about to take . . . how would anyone know whats going to be on the test. I'm certainly not familiar with all, most or even a lot of the systems out there, but I'm not familiar with any FD that has an...
  8. Crepitus

    noobie

    Don't eat the yellow snow:P Ahh you're in GA, never mind, I got nothing.B) Okay, maybe . . . Be safe, be thoughtful. If your gut isn't sure about what your brain is saying then double check. But don't be the guy that quadruple checks everything. At some point you have to move...
  9. Crepitus

    Intubations dissapearing?

    (quoted for the idea, not necessarily as a response to usafmedic who authored the quote) usafmedic and smash have a great exchange going and I'm glad there are folks with their depth in the scientific side of the EMS pool. I'm nowhere near them, though I try every day to educate myself in...
  10. Crepitus

    Vasopressin in a patient with hypovolemia

    As I recall there was interest in using AVP for trauma (during the 90's maybe), typically it was secondary to the catecholamine vasopressors. There was a Vanderbilt study this summer though that essentially said the use of Vasopressin should be reconsidered in trauma patients as the end...
  11. Crepitus

    how do u check for lung sounds ??

    I don't hear from my right ear. I listen with my left. I struggled with breath sounds when I came up through the basic training. I had an instructor who emphasized that I could start with absent/present then wet/dry. Obviously lung sounds are more complex than that, but get started with...
  12. Crepitus

    Feedback: Open Letter To MMiz

    QFT! and of course IBTL:P
  13. Crepitus

    Just took the NREMT-B . Step by step on how to find results ?

    When the results are in the ATT & Payment Receipt page will change. For a pass there will one line that says something like this: Paramedic Assessment Application Summary: Application Confirmation ID: 2XXXXXXXXX Application Created: 9/2/2009 2:23:00 PM (CST) Exam Date: 9/24/2009...
  14. Crepitus

    intubation during CPR

    Great reply Smash. And I'm sold on capnography as a tool. Additionally, I see it's particular value in a RSI. I am looking forward to learning this technology more thoroughly. I learned (and performed RSI) prior to the introduction of field capnography. The thought was if a person needed...
  15. Crepitus

    intubation during CPR

    "Capnography is the monitoring of the concentration or partial pressure of carbon dioxide (CO2) in the respiratory gases." Above is wiki definition from google. Is that definition any good? IF so would it not also include capnometry? I think I understand how the terms are being used...
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