Recent content by wxemt

Just a basic here, still learning. Looks like T waves have P waves embedded in them. I am going to say atrial tachycardia with wandering pacemaker and 2nd degree type II AV block with 2:1 conduction. Ventricular rate of 75-80 bpm.

Oxygen ASA Patent assist with NTG Epi-Pen Oral Glucose I'M Glucogon Patient assist inhaler

A NRB provides supplemental O2 to a person with sufficient ventalation, but less than adequate O2 level/exchange. A BVM ventilates a patient who is not moving enough air (insufficient RR and/or shallow ventilations).

My protocol is wait for it to stop pulsating, then clamp at 6 and 8 inches.

Negative on the helmet. He fell\"wiped out" on skis and hit the back of his head on the snow. Headache was continuing to get worse. Started about 2 hours after the fall.

Possible bleeding/bruising of the brain. Wouldn't aspirin possibly aggrevate that situation?

Ok, so let me first start by saying the I am without a doubt still a fairly green EMT and in no way shape or form claim to know it all. I recently ran a call with an older member and am a little unsure about why the call was ran the way it was. Not saying it was wrong, just looking for some...

Witnessed arrest en-route and more than 2-3 minutes out from ER. Pull over, apply AED\analyze, work them as usual. Call for a medic and manpower. Witnessed arrest en-route and less than 2-3 minutes out from ER. Work them with focus on best CPR possible and AED. If manpower and time permits...

Oh I definitely agree that it is likely unnecessary for 9/10 STEMI patients. I guess the powers at be see the cost of the pads as being out weighed by the potential benefit in the small percentage of patients that go into a shockable rhythm. Question for others that have this same protocol...

Not every STEMI patient codes, but those go into vfib arrest benefit from immediate defibrillation. Not exactly the same thing, but I would compare it somewhat to leaving the pads on after ROSC (i.e. in case the patient codes again).

Exactly. Outside of the cost of the pads, pre -applying the pads to an unstable STEMI patient really has no cons that I can see. This is of course assuming a proficient EMT.

My local protocol is to place pads on conscious STEMI patient. That being said, the monitor doesn't go into AED mode unless the patient codes.

This.

Exactly. Not that understanding the interpretation would impact my decision as a basic to request ALS (at the BLS level, it shouldn't). I just feel a little dumb when something other than Sinus-Tach, STEMI, ACUTE MI is shown.

Does anyone know where I can find a list of all the possible ECG interpretations on the Phillips Heartstart Mrx? Here in VA, basics are allowed to acquire 12 leads under local protocol and I would like to have a very basic idea of what some of the analysis printouts mean and what the threshold...