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  1. R


    We have a somewhat limited chemical/physical restraint protocol. Chemical restraint for us is 10mg Versed IVP, but I have been on runs where med control has authorized up to 30mg Versed. Better living through chemistry right?
  2. R

    EJ or IO during a full arrest?

    humeral head is preferred IO location here per protocol. That said, I much prefer the EJ in an arrest, easier to secure in an arrest and very conveniently located near the airway. As far as the risk of air embolism...full arrest in the prehospital setting has a relatively poor prognosis as is.
  3. R

    Axis deviation and the 12 lead

    Right sided MIs typically respond well to fluid boluses, so they're exactly right, give nitro per protocol. Just be conservative with dosing, and be prepared to bolus. nitro can still be beneficial. This is also why it pays to have your IV access prior to dosing someone with nitro.
  4. R

    I got Hierd!

    same mistakes as in...spelling mistakes?
  5. R

    Pre-Hospital Anti-Dysrhythmics

    And I would argue intervention is only necessary when pt is unstable or altered. Your post is contradictory. Aside from LOC and hemodynamics how else can you be symptomatic from an arrhythmia to the extent that it warrants intervention? And I completely agree with you here. Must have misread...
  6. R

    CPR with Knee Pads

    idk, I have the 5.11 men's ems pant. Maybe I'm just particular.
  7. R

    CPR with Knee Pads

    I have the same pants. Knee pads make them ridiculously uncomfortable to wear around. First thing I do is pull them out. I also make it a point to not spend too much time on my knees though. Great idea in theory, neoprene makes it uncomfortable in practice.
  8. R

    Pre-Hospital Anti-Dysrhythmics

    How else would they be symptomatic?
  9. R

    IV bag frozen?

    If the unit is parked in a cold environment then it's running with the pt compartment heater on. Our inside bays are heated obviously.
  10. R

    Pre-Hospital Anti-Dysrhythmics

    you mean converting a tachycardic rhythm in an otherwise stable patient? Not hypotensive, no AMS, no pulmonary edema? If it were me, I'd give O2 and transport. If they're truly asymptomatic then why mess with it?
  11. R

    Pre-Hospital Anti-Dysrhythmics

    No, we've just been using them for fun all these years... Is this a serious question?
  12. R

    what do you do on an IFT from small hospital to large

    the only valid reason i see for creating "more" venous access would be a situation where the pre-existing venous access is insufficient. If this is truly the case, the IV should be started in the most controlled environment possible, probably after consulting with all the necessary powers...
  13. R

    EMT must haves in the field?

    finally! a paycheck that makes it all worthwhile...
  14. R

    Movie Medic Trauma Kit

    crazy, especially the part where he says he has no medical training. Talk about playing with toys without the instruction manual
  15. R

    Hypertensive Emergencies

    if they are asymptomatic all the ER would do is refer the patient to their primary care provider. My understanding of the current practices is a slow reduction in BP, over weeks, usually a trial of lisinopril or another ace inhibitor if my understanding is correct. So, assuming his pressure...
  16. R

    How many survived your EMT class?

    Too many. Started at 20, ended at 18.
  17. R

    Who was on duty for NYE?

    It was one of my quietest / slowest shifts ever. And I was absolutely fine with that.
  18. R

    Calcium channel blockers

    So I guess my followup question is, why has verapamil fallen so far out of style? Obviously dilatizem has it's uses for rate control.
  19. R

    CPAP = code 3?

    sounds like there's a lack of understanding on the QA's park assuming that CPAP is only indicated for hypertensive CHF exacerbated patient.
  20. R


    Parkland is 4cc/kgx %TBSA burned. This volume is the total to be infused in the first 24hr, with half the volume in the first 8 hours. The formula is then modified to maintain a urine output of 0.5-1.0 mL/kg/h. Lactated Ringers is the preferred fluid.