Recent content by photog

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    Airway management survey

    Is this survey a part of a school work / research or only "just for fun"?
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    Failed NREMT - A 3 Times now....

    I did a few practice tests on that website and found way too many errors and outdated information in the "correct" answers. I sincerely hope that's not what they teach in EMT classes (and what they ask in actual tests). :rolleyes: Out of curiosity: is that the way how EMT's and paramedics...
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    Why aren't all EMTs are least trained with ALS?

    Here's how EMS is organized in my country. Typically it consists of five different levels. 1. FIRST RESPONDER (minimum of 32 hours of training) - Usually voluntary fire departments - Equipment: AED, oxygen, OPA, SGA (typically iGel), BVM, diagnostic tools (SpO2, BP, b-Gluk, b-Keto, temp, alco...
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    CPAP for COPD ?

    Yes. Though it’s quite rare with 5-7,5 cmH2O pressures. We tend to use NIV (PEEP 5-7, Psupp 5-8, FiO2 21-100% depending on SpO2 and overall situation) instead, but CPAP is a great backup when NIV is not available.
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    Gotta get good press...

    Having worked in the TV-industry for over 18 years (including filming propably over 1000 interviews) I can assure you that there are always other options than sunglasses. The film crew could have changed the interview location or camera angle. One could also always turn their back towards the...
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    Gotta get good press...

    Wearing sunglasses during an interview? Not cool, quite the opposite and very unprofessional, but otherwise it was a good story.
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    Debatable 12 lead

    I read my previous post again and natutally I was supposed to write "atrial fibrillation" both times. Oops! o_O
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    Debatable 12 lead

    AF with STE in I and aVL (and V5) with reciprocal inferior depression = high lateral STEMI. The culprit is propably first diagonal branch of LAD, with possible LCX involvement. V1 and V2 looks like a pseudo brugada pattern to me. Those leads might have been placed too high. This is not LBBB...
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    How many services use Fentanyl instead of Morphine for Cardiac Chest Pain?

    100 mcg would require a 1000 kg patient with 0.1 mcg/kg dosing. You propably meant 1 mcg/kg? Our protocol is 1,5 mcg/kg with fentanyl (second dose half of that). For cardiac chest pain we start with morphine 4 mg and repeat it until pain is tolerable or NRS < 4. No upper limit. (One vial is 20...
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    Fired from patient complaint

    Yes. Sorry. Should have mentioned that. We also have basically free tax-funded health care system. EMS services (including ambulance rides) only cost around 24 EUR for the patient. Rest of the treatment is paid by the government.
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    Fired from patient complaint

    Yes, I was thinking about something like that. It's a sad world where actions are guided by the fear of complaints or getting sued and not logical sense. Ambulances are not available for real emergencies when doing "taxi service". Yes, sometimes (less than 1 in 100 000 ambulance calls)...
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    Fired from patient complaint

    Someone please explain me this: why on earth would you give a ride to someone who doesn't require pre-hospital care and / or transportation with an ambulance? In my system (and pretty much in the whole country) we tell people that they are still free to take a taxi / bus / car / whatever to the...
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    Prehospital narrative template?

    Isn't it quite obvious that you assess and interview the patient? I thought that's what we are paid to do. As well as assist, secure, transport, report and get signatures. Maybe it isn't necessary to state the obvious? And this. It's a medical report, not a novel. There most likely is a field...
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    Cardiac Case...

    Very interesting case, thank you!
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    Cardiac Case...

    Certainly not the only cause. (Could also be mitral stenosis,Tetralogy of Fallot etc.) But together with presumably sudden onset of SOB and palpitations (propably due to those unifocal VES's, which again might be due to PE) and an SpO2 barely in the normal limits it would be my guess. And if...
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