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  1. Sublime

    New to HEMS, looking for advice

    Hello all, been a long while since I posted on these forums. I'm looking for some advice. my goal ever since starting my career has been to become a flight nurse. I finally achieved that goal recently and will start orientation in a couple weeks for a local non-profit HEMS service. I've found...
  2. Sublime

    Wide Complex EKG

    These EKGs belong to a 74 year old female being transferred from a small hospital to a large facility for orthopedic services due to a L2 compression fracture that happened a few days prior. She came to the ER days later due to worsening back pain. Her only complaints are feeling "dizzy" which...
  3. Sublime

    Pre-Hospital post intubation sedation

    I know this has been discussed here, previously, but I wanted to bring it up in hopes that someone can help me convince my medical director to change his mind. Our current protocol for PAI (we don't rsi) is Ketamine 0.5-1.5 mg/kg for induction. Post intubation sedation is versed 2.5 mg every...
  4. Sublime

    ECG Case

    This is a 79 y/o female who was found by her daughter lying in bed difficult to arouse. She has a hx. of dementia, stroke, hypertension, and hyperlipidemia. Daughter states she is more confused than normal. Unsure of onset as she just came by her moms house and found her in bed. On arrival...
  5. Sublime

    Calling the arrest / talking to family.

    If you're working an arrest that goes the full twenty minutes without any signs of ROSC do you take the families wishes into consideration about what happens next? Do you just call the code and tell the family there is nothing more to do and inform them someone will come to pick up the body...
  6. Sublime

    Zofran potentiates opiates?

    So at my nursing clinical the other day my instructor started talking about Zofran potentiating narcotics such as morphine. I've never heard this. I'm well aware of phenergan and it's narcotic potentiating effects, but hadn't heard that about Zofran. I did my research and found nothing on...
  7. Sublime

    Students read Pledge in Arabic - Blasphemy or Promoting Diversity?

    http://www.dailymail.co.uk/news/article-2270944/Rocky-Mountain-High-School-Outrage-high-school-recites-Pledge-Arabic-saying-One-Nation-Under-Allah.html#ixzz2SAiCr600 So this has been on my Facebook feed due to some of my friends re-posting / sharing this. It seems to have some people super...
  8. Sublime

    King County recruiting video.. im impressed

    http://eshiftproductions.com/portfolios/king-county-medic-one-promotional-video/ Watched this today... and now I want to move to seattle and work for medic one! Too bad my wife would never agree to that. Looks like a pretty awsome system. I like the idea of tiered response and the 10 month...
  9. Sublime

    Fertilizer Plant explodes in Texas

    http://www.youtube.com/watch?v=ROrpKx3aIjA This video is pretty insane. This is in West, Texas and its estimated around 70 people are dead at this time and 100 buildings including homes and businesses have been destroyed from the blast. People as far out as 100 miles away are reporting...
  10. Sublime

    Another backboard scenario!!

    Alright so had a transfer today that rather bothered me. Taking a 75 y/o lady on a 1 hr transport to a more definitive facility out of a small ER. She has diabetic neuropathy and little feeling in her feet which causes her to fall. Today she fell and hit the back of her head on the night...
  11. Sublime

    From medic to med school

    I've been doing a lot of thinking recently, and have decided I'm pretty sure I want to go to med school. My initial plan has been to do a medic to RN bridge program that starts this summer, and eventually move on to DNP. The more I think about it, I would hate to feel limited as a NP and most...
  12. Sublime

    CPAP & Hypotension

    So I had a transfer coming out of small rural ER going to a large downtown facility yesterday. I get there and am told that a 80 y/o female came in for SOB. Pt. is reportedly hypotensive and tachycardic with low oxygen sats. Pt. has A-Fib with RVR at a rate of 100-110. Blood pressure is around...
  13. Sublime

    Need a book recommendation!!

    Hey so I just finished the 6th book in the "Game of Thrones" series. These books have consumed my non-school / work related reading for the past two years. Now that I'm finished (till the 7th comes out) I'd like to read something non-fiction. No medical textbooks I'm getting guytons phys. for...
  14. Sublime

    Whats going on here?

    A little backstory: This is around 4 months ago, my last night working in the ER. I found these strips under my dresser when I was cleaning my room today. I had saved them to share on here and forgot. So the details of the case are little fuzzy as I don't remember them exactly but I'll do my...
  15. Sublime

    iPad / Kindle textbook versions

    Anyone have experience with these? Specifically thinking about getting Guyton's Physiology for my iPad so I don't have to carry another big book with me everywhere. I have never used a e-version of a textbook before so I am not sure how user-friendly they are or if it's just worth it to get the...
  16. Sublime

    ITunes U ... Simply amazing!!

    Wow I just discovered this from a co-worker last week and it is amazing. If you're not familiar with it, it's basically a massive database of audio / video / course materials from college classes. All for free! You can literally listen to entire semesters worth of lectures from professors at...
  17. Sublime

    Tell Me and I Will Forget (Paramedic Documentary)

    Watching this on netflix right now. It's about the EMS system in South Africa and is very interesting. Follows paramedics from private and government ems systems. I just watched a paramedic intubate a emphysema patient who apparently had some significant pulmonary edema going on (I guess from...
  18. Sublime

    Mona

    Just wondering how you guys use MONA, as paramedics around here that I've talked to have differing opinions on how to use this combination of medications. I found that the way I was originally taught to use MONA in medic school (by my old school firefighter teachers) is much different that what...
  19. Sublime

    ECG - Opinions needed

    Heres a little history. Called to a nursing home for 91 y/o female who you find lying on her side in the hallway. Patients son states she got up to walk and became very dizzy and weak and he had to help her to the ground so she did not fall. Patient states she had a steroid shot in her back two...
  20. Sublime

    Chicago Fire

    For those of you who took the time to watch it, how bad was it? I heard the commercial on Pandora for it which included plenty of stereotypical and cheesy dialogue. Things like Q: "How long you been a firefighter" A: "Since I was born" :rolleyes: So I have decided not to waste my...
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