I am a 16 year old Emergency Medical Responder licensed in Connecticut. I was having dinner with my girlfriend and her mom in New York City and we took the Metro-North train back out to the county where we live after dinner. The conductor came over the loudspeaker stating that there was a...
either he watched a lot of House and thought he knew something about medicine :rofl: or he knew how the response time would be so delayed, but I still don't know how he could think of calling off resuscitation efforts, thats reserved for a physician if I'm not mistaken.
Thanks for the responses! I just heard that it was a fully occluded right coronary artery, so I really couldn't have done anything.
Funny, while I was on with 911 (there was a cell phone tower literally 20 feet away, the only thing on the mountain luckily) some cop tried to tell me to stop...
Definitely an important skill! Agree with Mountain Res-Q on how it should only be used in certain situations, not as the norm.
edit: haha yeah I guess I don't know much about paramedic protocol anyways
Agree with you there!
Just the stethoscopes in the door may lead to reprimand if it means you arent equipped properly for patient care. I know some medical directors who would eat you out for that, which is why most services around me keep the personal stethoscope on the neck and another in a...
The only time it is acceptable to take a BP by palpation is when you are in an environment which will not allow a BP by auscultation. This could be that it is simply too loud, or your stethoscope got shut in the door. (The latter incident could be reprimand-able)
It is totally acceptable to...
110/palp
I wouldn't get too picky there, both ways are acceptable and its sometime just second nature to providers who always give the "over" when reporting a BP
Not NREMT-B
This wasn't the NREMT-B but the Connecticut EMR cert test had mistakes nearly each page, whether it was grammar, changing gender or simple factual errors. Furthermore the test was using protocols that were at least 10-15 years old, not what is recommended anymore! (i.e. direct...
Abandonment all the way!
Regardless of what the situation was, where I am, if ALS is on scene they cannot hand the call off to BLS unless its a masscal scenario.
Though it seems this should have been full ALS transport.
From a lowly First Responder's point of view...
1. Intubate
2. Start an IV
3. Have a walking and talking code save
4. PAID wilderness work
5. Get my WEMT
6. Get my medic license (and achieve 1 and 2!)
Maybe it is a difference in our training, I'm a wilderness responder so I have to think more long term, but I feel it would be irresponsible to not thoroughly clean the avulsion with aseptic fluid prior to bandaging. Whether or not I was going to close with steri strips would determine how...