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No IVs here unfortunately as this will be going in the BLS protocol (similar to Marylands but expanded for both fever and pain) Our transports are short so PO pain relief is probably not going to be used often. We do have a lot of elderly septic/SIRS though so I can imagine the fever part of...

Our protocols will soon include a choice of Ibuprofen or APAP for fever reduction and pain management Assuming the agency will carry both which is your choice and why. I know there are hepato-tox issues with APAP. Would that rule it out

Isn't that the idea that one ambulance service who was advertising on this site had. The one that was supposedly paying basics 70k+ and allowing them to choose what calls to respond to?

It was at least as of my last CPR update. Usually I go continuous though especially if crew members are fumbling around with the BVM

So in the NYS Collabrative Protocols two types of CPR are authorized for cases without an advanced airway The first is the standard 30:2 and the second is continuous compressions with asynchronous ventilation. I double and triple checked and this can be done even without intubation Given the...

In my state there are 4 levels of police encounters Level 1: Request for information -"Hi can I talk to you for a minute". Objectively credible reason. Can be criminal or community service related Level 2: Common law right of inquiry - founded suspicion that criminal activity is afoot (has...

In general: Just because a DA decides to drop charges doesn't mean the underlying arrest was necessarily unlawful Just because a jury or judge finds the defendant not guilty doesn't even mean the underlying arrest was unlawful. Remember arrests are based on probable cause. Convictions are...

I think peds hospitals taking older ages has more to do with adults who have conditions who would have died in childhood in years past. Apparently there are still comparatively few adult doctors who know how to manage things like CF and certain congenital conditions. I do know some pads...

I was looking over the BLS algorithm and it says that for peds from 0 through puberty you are supposed to add compressions if the pulse rate falls below 60 and they are symptomatic of bradycardia Is this fairly new still? The last time I updated in CPR/BLS they were still saying compress for...

Can you get a follow up from the hospital or ME? It could be anything especially with all of the supplements and things out there now

Wouldn't you still need to wait on LE for scene safety? So would that really save that much time or are your LE not willing to put psych holds when they are clearly needed

A lot of EMS agencies where I am do community outreach but they are volunteer so they kind of have to, in order to keep recruitment up

Another issue is that a good portion of EMS is volunteer. Volunteer work is normally performed by people in higher socioeconomic classes as they have the disposable time and income. You really can't have the time to volunteer if you are working multiple jobs trying to make ends meet

Yeah I would imagine it would be a hard sell. Maybe for a flight program doing IFT trauma flights after the patient has been imaged; or if point of care ultrasound/imaging advances

So I heard some medics talking about, and found some articles regarding CPAP being used in flail segment patients to "splint from the inside" Has anyone done or seen it done? How concerned would you be about a pneumothorax, because I am having a hard time imagining an injury pattern where you...

I think he said that a nurse gave the patient a medication for his blood pressure

I wouldn't really feel comfortable taking him BLS either, but I have taken patients exactly like that (and worse) BLS on 911 jobs (All ALS unavailable is our dispatch centers favorite phrase) I do agree with the others in asking, is the patient really unstable though. What was he being...

I agree with the others that are on here. @Survivor2222 what are your credentials? And don't say 'trauma therapist' because that is not a license or degree. Are you a Ph.D./Psy.D; LCSW; LMHC; LMFT? Secondly, and this applies to law enforcement too; de-escalation is an easy thing to yell in...

Just for your information here is where it is showing as closed to me. I am on a mobile device so maybe I have a cached page or something https://www.sos.wa.gov/charities/charity.aspx?r=1135656 You may want to call the Secretary of State as it is confusing

The only thing on my belt is a radio and pager In my EMS/BDU pants I carry: Gloves Trauma Shears Penlight Pen PCR cards Pulse Ox Stethoscope I also have an agency provided trauma and oxygen bag due to it being a volunteer agency and how far out I am