Recent content by zacdav89

  1. Z

    Scenerio 2

    I would counter what Benefit does those invernevtions bring to this patient? Pt has history of afib and is not Rate and rhythm controlled, so the clots are already there, and while the pt is hypertensive they don't appear to be in a hypertensive crisis and would get minimal to no benefit from...
  2. Z

    Scenerio 2

    I would say nothing, you have afib thats not unstable that also has an unknown onset, d/t pt non compliance. Vitals as stable, set the er up for success start your iv and gather the rest of your assessment. No prehospital interventions needed.
  3. Z

    FP-C

    There is no set time to wait to take your FP-C. You can take it any time so long as your certified as a paramedic. That being said it's up to you as to how much you understand the concepts on the test as most were not covered during your paramedic education. Look at the programs around you to...
  4. Z

    Head Positioning for Intubation During CPR

    It sucks but Sometimes you just can't get the best position you would like. I like to try to ramp them with blankets under shoulders and neck if needed tho is harder to do while CPR is in progress. With the decanto suction device I've had good luck with it And like it. I'm assuming you have...
  5. Z

    Mag for A fib w/RVR

    I don't personally have any experience with it but I did find an article that may give a perspective on its use. http://circep.ahajournals.org/content/9/9/e004521 From what I skimmed there may be some studies out there looking at mag in conjunction to electrical or chemical conversion but I...
  6. Z

    Why we shouldn’t backboard

    This study here may be a good primer for your medical director. It's what lead to the Nexus criteria, a tool developed to see who needs radiological studies for cervical spine Injuries. It found that unless the patient fell Into the any of the categories that the patient was highly unlikely to...
  7. Z

    Diluting Meds in Flushes? *poll*

    I was told that flushes cost more by hospital admin once. I stand corrected. That would be the only reason I could think of why someone would say not to use flushes
  8. Z

    Diluting Meds in Flushes? *poll*

    If I am giving a lot of meds pushed I will fill the syringe from a running iv if it's already there and it's clearly just saline. There is no reason to not use a saline flush for med administration. The only reason one would advise not to use a flush is that They are exponentially more...
  9. Z

    Pediatrics

    Gonna sound strange but hear me out. An pediatric emergency doc suggested that for kids especially in the toddler range the show doc mcstuffins has reduced fear and anxiety while dealing with medical providers. It's a fun tv show that walks kids thur medical assessment and treatment. The take...
  10. Z

    Mag. Sulfate for suspected eclampsia

    Is 250ml and 500ml the only bags you have access to? At those volumes you'll basicly run the iv WO to get the admin done in 10 mins. If you have access a 50ml bag would be a smaller volume and be easier set up as a drip on a standard set
  11. Z

    Physical Requirements?

    I think you are on the right track. Most places don't have physical requirements but expect that you should be able to do the job. Taking the initiative and making your self healthy and fit will be a good way to be able to have a long career in ems or in anything after. Look at fire department...
  12. Z

    Ventilators recomendations

    Thank you for all the info!I am working to get a hold of reps for both Hamilton and the revel as I am going to do a preposal comparing them both. Sent from my SAMSUNG-SM-G930A using Tapatalk
  13. Z

    Ventilators recomendations

    Thank you I'll look into it Sent from my SAMSUNG-SM-G930A using Tapatalk
  14. Z

    Ventilators recomendations

    I have seen the t1. Several flight agencies and hospital Ers are using them. They seem like a do anything system and have the newer hybrid modes. I see the price point as a tough sell as we are just starting in the cct arena. Any recommendations on why the t1 would be worth the extra cost of...
  15. Z

    New Ambulance service in Denver Metro area?

    To my understanding Metro care is a bls. Only transfer agency. Sent from my SAMSUNG-SM-G930A using Tapatalk
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