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I actually talked this over with the medical director and he agreed with my course of action. He said in a case like this that he would have basically done exactly as I did but he would have given 0.5 mg of Atropine, especially with it being a narrow complex rhythm. As I said, the receiving...

This is what I did with this patient. O2, INT, monitor, 12 lead, pacing pads standing by. We did go L&S due to distance. The ER physician gave atropine when we arrived, which didn't have much of a response. Pt ended up getting a pacemaker and went home the next day. I was wondering how...

So you would pace even though he is compensating well at this point and is very much alert, meaning he knows exactly what you're doing? You wouldn't try medications first? Maybe an epi drip or dopamine? I'm also wondering if anyone would treat for the potential MI that the pt may be having.

Your patient is a 48 year old male who presented to his primary care physician this morning with weakness. He has a history of hypertension, high cholesterol and stents x 6. He is currently taking Zocor, Lisinopril and Plavix. No drug allergies. The physician did a 12 lead which shows a...

If you don't have the correct sized c-collar, you can use a towel roll. If you don't have a pediatric backboard, put a folded towel under the infant's shoulders and secure the child to the backboard as you would an adult (you might have to use tape if your straps don't fit the child. My...

Try Darton College in Albany, GA. I went to paramedic school there and graduated with both a certificate and an associates degree (redundant yes, but I worked for it, so why not?). The associates degree basically includes all of your core classes for a 2 yr degree plus a medication math class...

I have my own stethoscope, a Littmann Cardiology III that I keep around my neck at all times at work (they are known to "walk off"). I have a simple first aid kit at home for my kids' many little emergencies (skinned knees, cuts, scrapes, etc). Nothing too extensive, just basic bandaging...

I didn't really agree with this until about a week ago when I realized that most of my calls were starting to run together. I've had my paramedic license since May and I've definitely had my share of "bad" calls, even a couple of high profile calls. I'm not sure which one was the worst or how...

103 y/o male. Hyperglycemic, I think his blood glucose was somewhere around 400 mg/dl. C/A/O, ambulatory. Very nice man. Talked about US history the whole way to the hospital. He and his family were RVing around the southeast.

I gave lots of tetanus vaccinations during ER clinicals for medic school.

During my intermediate class, I worked 32 hours a week and was in school two days/nights a week. I had about 9 or 10 hours of EMT classes at the tech school and another 12-13 hours of core classes (A&P, English, history, etc) at the local college. I maintained straight A's in EMT and A's and...

I was on the way to work, had just dropped my child off at my grandma's house. I heard about the first plane on the way to work, turned on the radio at work and heard about the second plane. Drug the tv down the hall into the office and watched the news the rest of the morning. I was 21.

Disagree with you on the kussmaul respirations. Sounds more like central neurogenic hyperventilation...which looks just like kussmaul but has a neurological basis (staving of herniation in the face of IICP). I've never seen a diabetic have such several symptoms in the 200's, so I'm not...

I'm pretty sure Tift County or Mitchell County has orange trucks. One of them is all orange and the other has orange accents, but I can't remember which one has what. Monroe County has red trucks. Crisp County is blue with white accents.

I don't have a scanner or a radio that I take home. My mom had a scanner in her volunteer fire/early EMS days and I remember HATING it. It would squeal at all hours of the day and night and she and my stepdad would turn the volume up every time it made a peep. As others have said, when I'm...

Thanks, I have talked to some of my co-workers and it has helped. Thankfully this type of call is few and far between. As someone else said, you talk it out and move on. I will say that it was a learning experience - immobilizing a 7 month old requires some creativity when your equipment is...

Yeah, I heard yesterday that she died. :sad: Her funeral is on Saturday, not sure if it's appropriate for me to go. I have some reservations about it because of certain aspects of the call. The dried blood in the nose is a huge issue for me...makes me wonder how long this happened before...

Congrats!!

That should say 4 mg Lido...gave the right amount, got the numbers messed up when I was charting.

This was the start of my day today, my first day working as a medic with an EMT (rather than another medic...just "released" from the FTO). We had a quiet morning up until a little after 11. Then this call came in as an "unknown problem" call with a woman screaming that something was wrong...