Recent content by rhan101277

  1. rhan101277

    FDNY suspended medics reinstated

    http://www.ems1.com/paramedics/articles/2009956-FDNY-Suspended-medics-being-reinstated/ These are the medics that did a poor assessment and didn't bring the gear you normally should bring to an emergency call to the patients side. What do ya'll think?
  2. rhan101277

    Continue CPR or not?

    it was a dual chamber pacemaker, it looked a little different than a pacemaker would since no polarization/depolarization or voltage changes were taking place across the myocardium. Thanks for all the comments, it makes me feel better. I have stopped a code before but this was different. It...
  3. rhan101277

    Continue CPR or not?

    Well he continued to ask me if she was dead or not a few times. I repeated she is pulseless and apneic. She did have PEA at 80 but it was a pacemaker rhythm. She did not have positive signs of death and I think the family just wanted to let her go naturally.
  4. rhan101277

    Continue CPR or not?

    85 y/o female, initial call comes out as hemorrhage - rectal bleed. Upon arrival daughter meets us at the entrance to the nursing home. Upon entering the pt room she is on the floor w/ staff performing compressions. Pt looks pale, she is pulseless, anpeic. I prepare to take over chest...
  5. rhan101277

    77 y/o female respiratory distress

    ASA is in our protocols for CHF. The thinking is that people with CHF have ventricular dysfunction and blood will pool, administering ASA reduces the risk of further clots developing.
  6. rhan101277

    77 y/o female respiratory distress

    I administered CPAP, ASA, NTG and her RR was lower by the time we reached the ER but she was still in distress. Her chest xray showed fluid as well. Spoke with the doctor and he said new onset CHF or fluid overload and that my treatment was correct. This was not a classic CHF. Where the...
  7. rhan101277

    77 y/o female respiratory distress

    no cough, she is compliant with medications and has not missed any dialysis appointments. Did not get a room air sat. Good mentation. 12 lead does shows LVH.
  8. rhan101277

    77 y/o female respiratory distress

    You are called for a patient with sob. You arrive to find the fire department on scene with the patient on a NRB at 15L/m. Pt is sitting in a chair and leaning forward in obvious distress. She denies any pain, RR is 46 labored and shallow. Pt blood pressure is 220/120, HR is 98 NSR on the...
  9. rhan101277

    Ankle dislocation + distal fibula fx

    We can reduce dislocations in the field but only when distal pulses are not felt. Also I would be concerned about performing one with an associated fibula fx.
  10. rhan101277

    Ankle dislocation + distal fibula fx

    Had this the other day, just decided to lay in on a pillow and use some seat belts. Fall from stairs, -loc, pain 6/10, pms intact. No other trauma noted. Just wanted to get some thoughts on splinting, I didn't believe there was much more I could do and it isn't often that I am splinting...
  11. rhan101277

    82 y/o female respiratory distress

    Don't know about the BiPAP settings this was done at the ER. We only have CPAP, we need to get BiPAP prehospital though.
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