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Hey all, I’m trying to decide which book to purchase, but I haven’t been able to get me hands on either copy to flip through. Is anyone familiar with these texts? ECGs Made Easy (6th ed.)...

This is my current kit, but I am looking to make some revisions.... *see below Starting @ Top-Left: - Bellroy Passport wallet + international cash / payment. - Bellroy Standard wallet - Bert’s Bees (lip balm) - click-style Sharpie - 2x Zebra 701 black ink - Nixon watch - Cliff bar -...

‘It’s the dose that makes the drug’. I feel like this is ‘patient advocacy’ 101. Question to the group: How do we feel about analgesia in the setting of head trauma?

Congrats on the new “white shirt” status. The service a friend of mine works for wears white. He says for anyone 6’ or taller, he gets two big boot prints on his shirt every time he unloads them at the hospital.

Interesting question. Here are a few quick thoughts: - If the limb leads are placed on the peripheries of someone who is restless (hypoxia, pain, age, drugs/alcohol, etc.), then you’re going to get a lot more artifact. - Limb leads placed on the peripheries may also create a spaghetti mess —...

Oh interesting — in my area Fire just wears their bunker gear and Police usually have a dark navy jacket. I have seen them wear a high-vis vest overtop though when working around moving vehicles. What colour do you think EMS should be? The UK and I think AUS wear a dark green, but at night in...

I actually really like the high-visibility yellow jackets for jumping in and out of the truck on roadways. There’s no way you’ll be mistaken for anything other than EMS / healthcare. Maybe they could make some shirts like this too?

I wonder if changing uniform colours away from dark navy (which looks like law enforcement) to something else might help reduce EMS as a mistaken target. Though white is arguibly the least practical EMS colour, I’ll be the first to admit you’ll never be mistaken for a LEO.

Good to know, thank you. That said, isn’t 140-150 indicative of appropriate cardiac compensation for a 2yr-old? If you’re running Epi or Dopamine to try to inc C/O, what’s your upper HR limit?

I used the word “fluid” in attempt to keep the door open by not saying “saline” or “blood” allowing for whatever you have available to you at the time (not every sending facility is going to have blood available), but I know some people use fluid and saline interchangably, so I’ll own that...

@VFlutter — why an Epi drip? They seem to be compensating well with a HR of 140-150. So if C/O = SV x HR and HR is good, then why crank it up further versus focusing on fluid replacement &/or preload? I would think something more cardiogenically stable like Norepi or Phenylephrine would be...

You have a LOT of really good discussion points here. Here in Canada, the federal agency — Royal Canadian Mounted Police (RCMP) takes members with previous medical experience and provide them with training in such medical interventions as you’ve listed. It’s their position that current members...

I was going to post yesterday but after browsing this thread I realized I’d better not bring a knife to a gun-fight... So I have evidence! (sort of) ‘The Walls Manual of Emergency Airway Management — Fifth Edition’ has the following to say... “In 2009, Jabre et al. Published the largest...

My understanding is that coronary artery dilation occurs high in the therapeutic range and only to a maximum of 15%, but I don’t have a source to back me up at the moment. I imagine this would occur long after resolution of ischemic chest pain, the point at which our protocols say we titrate...

@SpecialK thanks for the links. I had a poke around the UK College of Paramedics website as well. Is there only one level / scope of practice for the UK? Canada has EMR/PCP/ACP/CCP and the US has EMT-B/EMT-A/EMT-P. I’m interested to know what my current level of training translates to...

I’m curious about working in the UK. As a Canadian, we have the opportunity to work in other commonwealth countries fir up to two years without too many hassles. I’ll be finishing up my Advanced Care Paramedic program next semester and I’m wondering about labour mobility and registration...

@NPO - what was the pt’s body weight and height (to calc Ideal Body Weight)?

Were you working in the ICU as a nurse or paramedic?

I'm currently going through a flight medic program and was thinking about what career opportunities exist in places like Southern California, but I've been told first responders in the US are very underpaid compared to other first world countries like the U.K., Canada, Aus, etc.

I'm curious what HEMS/flight medics are making across the US. If you have an idea on annual salary, please post Location / State. Thnx.