Recent content by sinus

  1. sinus

    Paracetamol with Ibuprofen

    A great combo; one potentiates the other without any significant pharmacokinetic interactions.
  2. sinus

    Which direction to take?

    Hi- I have about 95 credits in public health from the University of Maryland. Due to personal issues, I had to take a hiatus and withdraw. I am currently taking an EMT course shipat a local community college. To get back into Maryland, I would need a review before a faculty board, and to...
  3. sinus

    Glucagon autoinjectors for EMT-B?

    In Maryland, EMT-B providers can administer (mostly without contacting medical control): 1. Acetaminophen PO (up to 640 mg, iirc) 2. Epi-pen 3. Albuterol inhaler (if the patient has a prescription for it) 4. Chewable aspirin (4 x 81 mg) 5. Nitroglycerin spray 6. Glucose paste (15 g) 7...
  4. sinus

    Glucagon autoinjectors for EMT-B?

    IM injections aren't difficult, I agree, but I'm talking about an EMT-B's scope of practice.
  5. sinus

    Acetaminophen pain protocol in MD

    Acetaminophen is one of those drugs where that saying doesn't apply really. The toxic mechanism has nothing to do with the therapeutic mechanism (unlike atropine). Acetaminophen isn't even the toxic agent, it's the failure of the liver to futher metabolize a hepatotoxic minor metabolite of...
  6. sinus

    Acetaminophen pain protocol in MD

    IIRC, it's allowed to be used for 2/5 on FACES scale or 4/10 regular pain scale.
  7. sinus

    Glucagon autoinjectors for EMT-B?

    I was reading about glucagon autoinjectors for hypoglycemia that would be as easy to use as an Epi-pen. IIRC, they're available to the public, but probably patented and very expensive. I'm sure a few EMT-B systems use glucagon in one form or another, but an autoinjector would make it...
  8. sinus

    Acetaminophen pain protocol in MD

    In MD it is for pain only. Protocols do not allow it to be used for fever for some reason. Of course, a child sick with a bad fever probably has at least mild pain.
  9. sinus

    Alternatives to Epi-pen???

    I looked and there isn't an FDA approved generic yet, but some generic manufactures are in court disputing the patent. Generics are definitely in the pipeline.
  10. sinus

    Alternatives to Epi-pen???

    Are Epi-pens still under patent? Surely there are generic epinephrine autoinjectors that are built to similar standards are tend to be much cheaper.
  11. sinus

    Acetaminophen pain protocol in MD

    I'm a EMT-B student in Maryland, and we were going over BLS medications. Tylenol syrup is available for mild to moderate pain, but the max dose is 625 mg (2 *regular* strength Tylenols). Also, I asked the teacher about the long onset time for an oral painkiller. He said it would take a long...
  12. sinus

    Typical percentage of calls by type?

    Thanks for the answers. What about % of calls where an ALS medication is administered? Or more specifically, a controlled substance? I was a CPhT before this, and I blurt out medic drug interventions all the time in a basic class. Need to switch gears.
  13. sinus

    Typical percentage of calls by type?

    Hi. I'm a EMT-B student, I do pretty well with the book stuff. I do read ahead sometimes about ALS interventions, and find them fascinating. However, I heard someone say that an average medic might do 5 inutubations a year. Which led me to thinking. How often is an "ALS intervention"...
  14. sinus

    Best cure for a hangover

    I think part of the hangover is rebound CNS hyperactivity (mini-withdrawal). Does anyone agree? It's just my opinion, of course. It would explain why hair of the dog works pretty well.
  15. sinus

    Anyone heard of the drug "spices"

    That's good to hear that its use is dwindling in your area. "Spice" is a generic term for any kind of synthetic cannabinoid chemical (it's constantly changing to stay ahead of the law, but the pharmacology of most of them is very similar) I always thought that stuff was garbage. Status...
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