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  1. J

    Best Trauma Shears?

    Prestige Fluoride coated sheers from Amazon. I don't use the sheers everyday, but they work great and look cool all the time.
  2. J

    Tips for future EMT-I?

    I didn't think it was that hard, but that's just me. If you can, read the chapters before each class and outline the things you don't remember off the top of your head following the lessons. Study for the exams from those notes. Try to understand the applications whenever physiology is taught...
  3. J

    Would you give Glucagon?

    I'm with Rob. I don't see any reason we can't start a D10 drip on this kid. It will perform the same essential function as the Glucagon (ie, keeping his sugar up) but will save him from the rollercoaster of blood glucose levels he's going to have if we chase his levels with Glucagon. Although...
  4. J

    41 YOM - Traumatic Arrest - Obvious Death or Begin Resuscitation?

    I would buy the doc a beer for letting me be present for that level of badassness.
  5. J

    Do you consider this an arrest, and a save?

    I was arguing that some local medics shouldn't get (pretend, not official) credit for a cardiac arrest save because the cops at the mall where the patient had coded had done CPR and shocked the pt back into a perfusing rhythm long before EMS had arrived. I was like, what did they do for the...
  6. J

    high dose nitro

    I've been told that no one is going to get upset if you fluid bolus pulmonary hypertension patients in order to keep their BP high enough for continued nitro...
  7. J

    Obtaining BGL

    We stuck each other in my high school science class to do blood typing...
  8. J

    Why EMS instead of MD/Nurse/Other profession?

    Unrelated, I saw an employee of another convalescence service wearing his black jacket over his button down shirt, along with black tac pants. Looked like he was getting back from a formal.
  9. J

    Advanced EMT scope of practice

    They'll expect you to do IVs, handle any intermediate level calls (dehydration, hypoglycemia, etc), and be super ultra on top of things in a cardiac arrest, as you'll be certified to do most of what the medic can do in those circumstances.
  10. J

    Medical Director Ride-Alongs

    It is my opinion that paramedics that work in progressive systems are more limited by access to more advanced equipment than anything else. You could have an ER doc in the back of the truck and it would be a rare call that they could authorize an indicated procedure that the paramedic couldn't...
  11. J

    Am I just being a n00b? Checking jump bag before shift

    Nowhere I have worked has ever used seals on more than one or two rarely used items (for example, the peds bag). We are responsible for everything being on the truck, and this works well. There was one circumstance where a sealed box was missing a drug that I actually intended to use, and I was...
  12. J

    Emti

    My class was tons of fun. Study hard, and good luck!
  13. J

    AED's, airplanes and a bumpy ride

    The worry would be that motion artifact was mimicking a shockable rhythm when the patient was in a non-shockable rhythm, confusing the AED. If they could assure me that this didn't happen, then no problem.
  14. J

    To ECG or not to ECG (opinion thread)

    Lets break this up, as there are two issues: 1. Should an EKG be done for this patient? Easy YES 2. Can this patient be handed down to BLS? Depends. Most of the posters here are answering based on the protocols and policies of the systems in which they work; this doesn't really serve an...
  15. J

    AED's, airplanes and a bumpy ride

    Wish all the AEDs on planes had screens, so I could see if it was about to do something stupid.
  16. J

    Code Scenarios?

    Personally, I think I can probably do good CPR for 10 minutes with a patient on the ground (though I would be wiped afterwards), in the back of a truck or in an ER I get tired after a few minutes. You have to switch out.
  17. J

    IFT Patient Assessment?

    Difficult to read this with a straight face...the day I see an honest PCS is the day pigs will rise from the dead and fly out of the bbq pits.
  18. J

    Knee-jerk reaction or smart move?

    After reading the article its clear that although the first impact may have been caused by the pickup truck (and thus, a possibly distracted driver), both deaths were the result of the bus drivers following too closely. This is honestly a stupid case for the NTSB to use as evidence that phones...
  19. J

    Narcan question.

    Didn't have enough Narcan on the truck for that guy, did you?
  20. J

    Anaphylaxis!

    I believe i've been told it will take a bit more Glucagon than that to reverse a beta blocker overdose. Its more like 3+ milligrams as a first dose and then keep pushing til you get a good response. I'm finishing up my intermediate, and Glucagon is in my scope, so the question gets brought up a...
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