Search results

We do hypothermia during cardiac arrest. Medical director says it is improving outcomes.

I'm with systemet on this one. IM use of Epi is a compromise between SQ and IV. You get faster action than SQ, but a drawn out administration that reduces cardiac risk. We are permitted to give IV only for FTD patients.

This is an interesting one. The article describes the perp as a "client" of a mental health institution, which, if indicating he is a "patient", means most everything he does is confidential, even information about crimes. The facility noted that this was an internet search for CP, the staff...

Some firefighters can be weird like that. Give them a mangled body to extricate, no problem. Spurting blood...Run away!

Infants for sure. They lack adequate thermoregulation and cannot communicate to others their discomfort. Also, infants have a much smaller temp range before they start becoming symptomatic.

Remember that we are dealing with a few issues here. We have to separate the concepts of training and licensure (or certification). Most of the things I do as an EMT do not require medical direction, even up to the application of O2. The state requires that to ride an ambulance as an EMT I need...

Was this an IFT ride? Why were you taking them "out" of the ER? (I assume going to a peds ER) A standard fever is going to be EMS fixable with Tylenol and some minor active cooling. If the hospital felt the need to throw cold packs under every artery, the kid probably had some sort of nasty...

Please explain? Are you saying we pull the plug on these patients, give them all transplants, or that outpatient hemodialysis should just be a stopgap measure until they can be moved to home dialysis systems?

In my EMT-I class, we can ask for 12-leads in scenarios, however if we then ask what we see, the instructor replies, "looks like a 12-lead".

Anecdote from my first ALS field clinical (IE, me and two medics on a truck) this past week. Had a possible TIA patient, partially resolved and perfectly stable from the minute we saw her to drop off in the ER. Wanted to start an IV, looked for sites, nothing appeared with the tourniquet...

Had one of these in a mall down the road a few weeks ago. Mall cops started CPR and shocked them back before fire or ems even got on scene. Walked out of the hospital a few days later. One of the emts on the call is in my class and he was proud of his save. I said, "you don't get a save, they...

Nursing boards are retarded. They argue in this article that: 1. Schools will feel they don't need to hire nurses anymore because laypeople can give Diastat This should annoy nurses too, because it downplays the larger part of their role as contacts for preventative care and community...

We should charge more.

Can't give a hard answer, but AEMT is very similar to I85. It passes it with a few skills and drug administration, but removes a few I85 skills at the same time. As Louisiana is an NREMT state, they may be more willing to grant you certification than a state that has their own exam.

What in his description tells you the afib is new onset? Is it the RVR? Also, as an aside, i've been taught that all elderly/NH patients have UTIs until proven otherwise...which happens at the hospital, so they all have UTIs...

Good question. As mentioned, an AED that advises shock indicates that the patient is in Vfib or Vtach. You can also guess that a patient who simply "goes out" in front of you and is pulseless is probably in one of these rhythms (dropping straight into PEA or asystole isn't as likely unless the...

Hahaha, this is great! Throwing his student into the fire...awesome!

Right, but metabolic acidosis can still cause increased ETCO2 levels in our patients if they aren't blowing it off well? The difference with metabolic acidosis is the cause (not respiratory) and the fact that if its the body will be using the renal compensation mechanism. Of course, we can't do...

Related question. I've read that we give Mag Sulfate with Torsades patients because it decreases the irritability of the ventricles (ie, its an antiarrhythmic) that increases the chance of conversion upon shocking the patient. Does the same hold for amiodarone? That is, do we give it in arrest...