Yes, non-compliance with Rx meds other than the 81mg aspirin daily. No 12 lead because I was attempting the IV and as soon as I recognized the VT I had my partner start driving to the ER. I'm not big on stay-and-play. I do what I can to the best of my ability while en route to higher care...
That's exactly what I was getting at. Even if an IV was in place, I wouldn't cardiovert this pt. He is awake, and alert with a systolic BP over 90. Obviously without the IV the amio couldn't be given.
Pt. was placed on oxygen. Our protocols state to try valsalva maneuver (I always thought that was just for SVT or narrow complex tachs) but that's what the protocols say.
Out of curiosity, what would a 12-lead show you or would it change your treatment/worth spending the time to do? Rhythm...
You are called to a residence at 2000 hours for a patient experiencing chest pain.
Upon arrival, you enter the residence and find a 73 year old patient laying on his bed in obvious distress. The pt. is awake and alert. Describes 9/10 substernal chest pain of sudden onset. He has a...
Are there any reasons not to push D50 through an IV line of Lactated Ringer's? I couldn't find any listed as a contraindication, I've just never thought about it.
How many points are needed to pass each of the psychomotor skills? For example, on the "Cardiac Arrest management/AED" a total of 18 points are possible, aside from the critical criteria, how many can I miss and still pass the skill? Sorry if this has been posted here before, but I couldn't...
Regulations like these are tricky to enforce. But I think all hospital personel need to be fit enough to do their jobs, just like all EMS personnel. Coming up with the criteria of "fit" is the hardest part.