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    Bariatric Transports

    I am 911 only, no IFT. We’ve seen the same as the others with the advent of the power load system. I don’t honestly remember the last time I felt I needed a bariatric truck and it would honestly take awhile to get one where I am now..
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    How do you treat this.

    That’s a fair point, that said there was a transition between Coumadin and xaralto/eliquis during which I’m pretty sure everyone was put on plavix for everything..
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    How do you treat this.

    After having worked in the ED for awhile, I don’t find cardioversion to be the extreme treatment that I once did. I would certainly prefer having some cardizem but we just don’t have it here right now. Of course there’s so much more to this case that we don’t have. Are we presuming prior...
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    Misdemeanor

    I'm not at all going to ask for details because it's none of my business, but hiring boards absolutely will ask you. That's all you really need to consider. Schools have the lowest threshold for overlooking things - they want your money. Registry will be a bit tougher, but still have a lower...
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    Misdemeanor

    It really depends on what the crime was. But you need to think downstream as well, because certification is only half the battle. Are you going to make it through hiring boards when they ask about your crime?
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    How do you treat this.

    Irregularly irregular, you can still see it at 170, but especially with the wide swing of heart rate as described in the OP, you’d definitely see it.
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    How do you treat this.

    if I had dilt, I’d use it. If not, I’d sedate and cardiovert.
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    My dog passed

    So sorry to hear that, dogs are amazing creatures. I love my dogs more than people.
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    Sedation Deaths

    One also needs to consider shock index, sympathetic storm, and oxygenation prior to sedation. Similar to what we have found when studying RSI deaths, when the patient is barely hanging on and only surviving based on their body's sympathetic release and we sedate and blunt that internal...
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    Allergic reaction: epi yay or nay

    GI symptoms indicate the histamine response has gone beyond a single organ system. Prior to working in the ED, I was much more reserved about my use of epi, but now that I've given it multiple times and spoken to the physicians about the entirety of the situation, I'm much more apt to give epi...
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    Documentation question

    For the umpteenth time, you need to ask the policymakers at the services you run with. Why do I say that? The assessment tab isn't required in every state or at every service. It's not a mandated field in my state and as such, it's not mandated at my department. I would much rather my medics...
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    Lifepak 35

    3 batteries, a charger, a/c cable, and printer (optional)
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    Lifepak 35

    $55k, unless you want spmet, temp monitoring, and invasive line monitoring.
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    Lifepak 35

    With the x, my crews were completely sold until they started using them, then they wanted to burn me at the stake “no knob = bad” lol
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    Lifepak 35

    The resqpod actually marketed that, through physics, they lowered intrathoracic pressure leading to increased preload and subsequent increased cardiac output. Makes perfect sense, but there remains no outcome data supporting that these devices increased cardiac survival.. Before someone...
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    Lifepak 35

    Don’t get me wrong, I’m not against CPR feedback, but I’ve been in this game awhile and seen many things come and go that had evidence they were better but ultimately no outcome studies proving their efficacy, especially in cardiac arrest care. We used to shock asystole every time “just in case...
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    Lifepak 35

    Is there any data to show that cpr feedback is improving outcomes? Genuine question, I don’t know..
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    Lifepak 35

    I personally never found zolls see through CPR to be as useful as advertised
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    Lifepak 35

    Really? I thought that other than lack of cpr feedback, it took everything good from the Zoll and the 15 and made a better unit..
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    Lifepak 35

    Finally got to play with the final product today, I must say I’m impressed! Pricey, but will probably be our upgrade from our old 15s..
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