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We use it here as well as Versed and Narcan. Versed works well on those combative pt's. Havent used narcan. I have found that i need to double the dose for Fentanyl for it to work and i usually use about 25-50% more than an iv dose with versed. I have found that when you tell them to...

You are correct, I have only done this moving once or twice, with those oh crap drive fast pts. If they are a hard iv stick then i usually do it on scene.

Lets not get off track here.... We could go into whys and whos and etc etc or we can just stick to the topic.

Our service isn't big, 4 trucks and a tahoe, but out fitting 4 trucks is hard for a service like ours. I would love to have a true vent. But say on a cardiac arrest with a hour long transport... our lucas device + a disposable vent, means if required, one person can ride in the back and do a...

Was in conversation with a flight nurse the other day. He said his small 911 ground service uses a 70 dollar one time use disposable vent. Where im at we have aggressive airway management protocols including RSI.....and 45-75 min transport times. I was curious if any of ya'll out there have...

I can see the OP was taught with a Nacy book. Don't start at a 45. Penetrate the skin shallow, you can always work a little deeper. Alcohol preps can help you see the vein a little better. Also those hard stick pts i like to use a BP cuff for a tourniquet instead of the band. Inflate to...

NO MORE CPR....... Now we start with a chest crack and a cardiac massage! And instead of C-collars we will begin to apply our own prophalatic halo's on to pts, complete with screws and all. There will be an adapted made available in the near future for the EZ-io gun that will allow you to put...

I would call it bigeminy just for the fact that they are so differnt in shape. usually the pacer beats will be much more simular on the print out.

It could if it were a true diabetic emergency, if it were a CVA it could be detrimental however a small amount of Oral G probably would not do much in way of brain necrosis but it would also not yield the results you are looking for. Say if she was having a true diabetic emergency, the Oral...

I can see where your going. Depends on how far out the medics are? If they are close an assessment is sometimes better. I would be concerned about future airway complications and adding to stomach contents is a no-no. A glucometer would have been ideal in this situation. Our first responders...

haha dang it i ment 2g

Have a company meeting with our MD this evening. Our protocol states in Cardiac arrest Tx for Torsades is mag, duh! Question is our protocol states to give it over 10 min. I have googled other protocols and they state give 2mg over 2 min. Seems like in a full arrest, 10 min is too long. I want...

Me and my partner while not on a call: Us: Medic10 to county, we've got a loose horse. West bound on Main, uhh East bound on 3rd. Dispatch: We'll send SO. Us: Thats clear we'll try to catch it. (i go to catch it being as how ive had horses all of my life and i carry a hand held with me.)...

This website should help some people. I found it useful! I never thought about it in an asthmatic. Ive had 2 pts I've had to drop and tube and despite me throwing the book at both of them, ventilations with bvm & ett were tough. Neither one ever opened up during transport. I wonder if Glucagon...

HE BEAT ME TO IT!!:sad::unsure: Thats ok, he said it better than i could have lol.

I tend to lean tawrds using the KED. Its always worked well for me. I lay em flat on it, use the head flaps just as you would normally, then put rolled up towels along their sides and hips and use the side flaps to tighten it down. It works very well. once they out grow that i just use a longboard.

As for your originall question, maybe this link will shed some light. Its a little lengthy but works great for easy explanation of ETCO2. http://emscapnography.blogspot.com/

I see people on here talking about lasix alot. I have been taught as well as done lots of research and have found that Lasix is only indicated about 50% of the time. Just because there is pitting edema, doesnt mean they are fluid overloaded. The fluid just may not be in the correct spot. We have...

Im not allergic so that would be a judgement call on my part whether or not to go in and try to scoop and swoop. If i was going to a bee sting case with 2 pedis, knowing me and my partner are allergic, i probably would have called for some additional resources enroute, you can always turn em...

The Biggest one. IF YOU ARE IN HOLLYWOOD: your pt collapses, check for a pulse, yell GET THE CRASH CART, start Hollywood CPR, at a rate of 20 compressions to 3 breaths, shock asystole and push 7cc of adrenaline, then say we got them back, wait 30 seconds your pt will wake up and you and him can...