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@hometownmedic5 - I agree, it's going to take a while. However, I'm aware of four Bachelors of Paramedicine degrees right now, it's just they're not delivering to a recognized scope. That said, as you correctly identified, nursing along with other medical professions like Respiratory Therapy...

Hi Y'all, One of my regulators has put out a request for an essay on 'communication' for its upcoming annual meeting. They have provided content criteria (see below) but I'd like to take a new position on the subject rather than parot what others have already said. I'm trying to come up with...

I honestly believe its because we have too many different scopes of practice. It's difficult enough for those of us in the profession to understand the different scopes, let alone others in the medical community. Thus, it's lowest common denominator that takes the win. Paramedicine is moving...

This. Some areas contradict Albuterol in presence of tachydysrhythmias due to its non Beta-2 selective nature in high concentrations.

@E tank , did he give a reason for his actions?

I've heard of EMS personnalle doing a rotation through high gun violence areas for experience. In all honesty, it's something I'd like to do. I think it's important having someone in the ED who has dealt with such high-velocity/energy penetrating wounds would be a real benefit and I'd argue...

Lol! In all seriousness, gasping indicates the patient is protecting the airway and breathing (although with difficulty) and also confirms presence of circulation. Check the mouth for blood; there's a high likelyhood with the left abdominal wound. Now, I'm going with the ITLS 'find-it...

Pelican cases?!? Ugh... I can only imagine how uncomfortable those must be to carry. Even with shoulder straps, I wouldn't want the hard plastic digging into my ribs. Is your service concerned about the equipment being crushed somehow? Or do they just want waterproofing?

What part of the set-up do you hate exactly? Your description seems reasonably straight forward (although I'm not sure which bag your trauma stuff if kept in... green?).

Hey y'all, I'm curious if your service uses a combined O2/trauma bag or separate bags for everything. Me - When I first started in EMS it was at the BLS level for an industrial company. We used the Ferno Trauma bag for everything - the O2 bottle was in the bottom and was accessed through...

Preface: This question has been bugging me for a while now. If I'm honest, I've been afraid to put myself out there as to not look foolish, but if someone can benefit from this then I'm okay with a little criticism. When I wrote my EMT licensing exam there was a question that asked you to...

@E tank He was over from Israel doing some training or teaching (I can't remember exactly) and the hospital required he have PALS.

To the OP, in Dec 2016 I did a procedural cadaver lab presented by Teneflex (manufacturer of the Easy-IO device) in partnership with one of the local hospitals. There was no mention of changes to locations and their website currently has procedural information for distal femur, proximal and...

Easy-IO was a component of my PALS program. I asked about the epiphesial plate myself. It just so happened there was an orthopedic surgeon that class. He said he can put 7+ K-wires through it when he's reconstructing a bone and it won't cause any issue.

Much appreciated. I'm an EMT at the moment but doing a lot of paramedic pre-program studying.

...aortic dissection (thorasic or abdominal)? If so, what was your treatment plan, and did you provide pain management? My protocols call for Fentanyl in hypotensive pt's and I'm wondering if the symptomatic pain relief in combination with the nature of the opiate had any effect on...

Yes. :)

@DEmedic - what was your thought process behind that bolus? Did you suspect high-spacing because of the low diastolic number? Or was it b/c the First Responder reported a BP of 84/Palp (even though your initial vitals was 114/58)?

I couldn't disagree more. And please know I have a lot of respect for you. However, this is clearly a protocol and training/education solution, not scope of practice. To throw the baby out with the bath water because people are jumping to ET too soon will mean that someone in the future who...

From the article: "Multiple mechanisms could explain a potential causal relationship between tracheal intubation and poor outcomes. First, tracheal intubation might lead to a prolonged interruption in chest compressions. Second, tracheal intubation might lead to hyperventilation and hyperoxia...