I know. Just trying to point out that the protocols only mention access, and to most *cough* fire *cough* medics thats a full blown liter. (ALS-Fire based system)...
Yep. The Resp. Distress algorithim line for CHF/Pulmonary Edema/Rales goes: Inital Medical Care>Establish IV Access(whcih as above to most medics means a bag)>Nitro>Lasix
Gross over simplification but there it is.
In my system all ALS protocols call for establishing IV access. But it boils down to do they need one, and if they don't does the medic feel like he needs one for that particular patient. So bottom line ALS gets IV, and BLS no IV. Also very few medics in our system will do a saline lock, must...
Have to agree with others.
Any sort of Cardio/Respiratory complaints. HTN, CVA, CP, DB, SOB, all need immediate application of supplemental O2. Stable usually 2-4 lpm NC, unstable 15 lpm NRB. Vitamin O is a great drug, as well as making most pt's feel like we're doing tangible things for them...
First and only aid
I have a larger first aid kit that stays at home for use on the family...for those times that it's past band-aid stage, but I don't need to call for an Engine, Rescue, and a trip to the ER...like today my kid brother getting a fairly good laceration on his hand. It's handy to...
Here we go suicide, stop before the intersection, and then proceed slowly clearing each lane...but most of our signals are set up with the opticom. People just need to learn to pull to the right and slow down as I pass.