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NYS is behind the curve (on everything). Their policy seems to state that unless you had >50% (live/synchronous) didactic education, they will not grant reciprocity (see: https://www.health.ny.gov/professionals/ems/certification/reciprocity.htm) . However, I would recommend reaching out to the...

This can’t be, right? Gotta be some sort of infraction.

This patient was ripe for treat and release. Needs a QA review, because this is an inappropriate use L&S.

This is a question that should be answered by your protocols, that is a system deficiency. I would consider following the EMS administration guidance in your protocols if it is going to be necessary to administer, and I cannot get in touch with OLMC *or* the patient is in extremis (hard to think...

Still has the speed dial! Beats the Zoll buttons any day.

Interesting to see it in more protocols, I've only (now that I started looking) in a few states & systems. No protocol at your ground role for nebulized L-epinephrine (like as your backup)? That was my thought as well. Hard to test for non-inferiority vs. cold air though!

While doing some reading on pediatric respiratory distress, I found that there was some suggestion of using nebulized normal saline (and, in some places, hypertonic saline?) for croup and bronchiolitis. The national model clinical guidelines, interestingly, state "Insufficient data exist to...

AHA or equivalent is the reference that I’ve seen in print from NREMT. I’d go with AHA, ARC, or ASHI. YMMV - check your state EMS office just in case.

Consistently amazes me when people - in 2024 - don't do a simple Google with an easy question... https://scholar.google.com/ (or PubMed, sometimes even better!) is your friend.

This cracked me up

Unless I had some reasonable suspicion to check, my narrative would state the patient had no complaints related to those other areas. Depending on the charting system, you might mark not assessed or just not note anything at all.

Why send a $500k engine when you can send a $1.5mm ladder?

This is probably a question you should address by re-reading the initial assessment (or primary assessment) chapter in your textbook. Short answer - if a patient can cogently express their concern and you see no life threats or apparent other problems, a focused assessment is appropriate...

Hawaii Five O? ;)

I would so love a t-shirt as a uniform...

Medical error, sure. Negligent homicide, feels like a stretch.

I rather like my (non-leather) radio strap. I find it's a lot more comfortable to have it on a strap than on my belt, as I just use a regular belt, not a "duty belt". I have to imagine the leather ones are awfully hard to clean. Mine is nylon and machine washable.

So...Dune 2, very good. Weird at times (as one would expect). I have to say, though - Austin Butler still sounds like Elvis in space, just like he sounds like WWII pilot Elvis. @Jim37F - thoughts on the last episode of Masters?

Toying with a certificate program for healthcare quality (or maybe something like health services research), just baffled by the pricing…

Getting ready for dune on Friday - no spoilers!