Recent content by johnmedic

  1. J

    New-Hire Scenarios

    I might be posting in the wrong location, but I did a search & could find what I'm looking for. My company is doing patient care scenarios for new-hire paramedics, anybody have any advice? We need an objective grading scale which is where I'm having trouble deciding which way to go. Any advice...
  2. J

    Versed IN verses IM

    I've used IN versed & it works very well & very quickly through the MAD. My first inclination is that you should start double checking your company's narcotic policy, backstock & start watching for other signs if ineffective narcotics.. Stay vigilant, it happens. :|
  3. J

    Promotions in EMS

    I apologize, this post is going to seem self-serving, but I couldn't find any similar threads & this could be an interesting conversation to have! I love my job, I love my system, but my current position isn't the end-game. We all have future plans for new degrees certs to change systems &...
  4. J

    Albuterol alternative for allergic reactions

    Patients with allergies to peanuts are cautioned about Albuterol or Atrovent (Ipratropium) inhalers. The allergic risk is to the aerosols in MDI's & not the associated drugs, nebulized breathing treatments don't use soy-lethicin (sp?) so the drugs aren't contraindicated for peanut allergies.
  5. J

    Paramedic to RN

    ..damn.. yep, my mistake. Medic to RN is the intended question, I don't think I can modify the poll anymore.. :| & thanks for the input ABC!
  6. J

    Paramedic to RN

    Time for a vote! (Please) I'm going to refrain from explaining my personal situation for the sake of just having a poll on the quality of education from a typical Medic --> RN program.
  7. J

    Withholding oxygen in MI

    I can't quote on my phone but regarding the ventilation of a head inured patient, they explained the danger in the excess elimination of co2 to dangerously low levels during *hyper*ventilation. But I never felt that normal respirations would cause a co2 drop significant enough to exacerbate ACS...
  8. J

    Withholding oxygen in MI

    Excellent, thank you all. Yes I obviously realize that it isn't going to fix to the the occlusion, just have been taught that in ACS: more oxygen-bound hemoglobin can't hurt aside from the usual contraindications. This is the first time I'm hearing about the vasoconstrictive properties of...
  9. J

    Withholding oxygen in MI

    Hello. Vague question but our MPD mentioned a change in protocols for "chest painers" at a county meeting. This change was to - when dealing with chest pain of cardiac origin - not administer oxygen unless pt's spO2 was low 90's or below, stating that there's a risk of detrimental effects when...
  10. J

    Scared of being a Paramedic??

    Being a bit anxious just means you care about what you'll be doing and you respect the job's challenges, very normal response. Btw: always keep some of the fear, it's a great motivator to always study more. Sent from my G2X on tapatalk. Forgive my typos. ; )
  11. J

    Bgl invasive

    I've seen basics completely botch checking blood glucose levels, using lancets like scalpels etc.. some people find it easy to make a simple skill dangerous or at least very complicated. Our basics could read sp02, check bg & place combi tubes a few years ago in one county immediately after emt...
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