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Ya...you're an idiot.

Perfect subset of patients to use BiPAP in.......we carry the ReVel vent and use it quite often.

Having used ketamine a lot...and for this purpose, I'm sold. Do you really need a study to back up common sense in this instance? If you have a respiratory patient who is toeing the line of respiratory arrest, do you really want to risk making them worse? Disassociate them. They'll either get...

Give mag if you want to add some bronchodialtion. CPAP isn't going to cut it for COPD. You're going to need inspiratory support to get them over the hump. The pressure support is going to blow open the alveoli and the PEEP will keep them open. As far as the Ketamine goes, why are you hesitant to...

If you want to reduce anxiety, just use a benzo. If you're to the point that a benzo isn't cutting it and you're still needing to get them on BiPAP (I would worry about getting actual BiPAP before ketamine) you're probably going to be tubing them. Ketamine -> BiPAP-> Tube. If it turns around and...

For its bronchodilator effect or to disassociate to BiPAP?

If you have a vent that does both your going to want to almost always use the non-invasive positive pressure ventilation with pressure support...

They're called limb leads for a reason.....putting them on the torso can alter things such as axis.

Because they're ****?

Anything past a cell phone is overkill.

Why are you having to supply your own supplies?

Operative IQ

Lets apply some common sense here...this is not a violation of any sorts. We just had our annual HIPAA seminar with our district's lawyer. He was asked about several situations like this. He was also asked if anyone has every been prosecuted. To his knowledge, no providers have been prosecuted...

We'll have to agree to disagree then. Being part of a "flight crew" does not qualify ones experience. Being that EMS is a small field, I know many people that fly or have flown. Most air programs are a revolving door. People leave the ground to fly and then come back to the ground. I've always...

In MO RN's are not automatically granted ALS privileges, they have to be given by the medical director. No offense to RN's but I don't think you're level of care is any higher than a paramedic's. If you believe differently, please explain. Nursing, as a course of study, is designed to teach a...

Where is this hierarchy documented?

I've seen it in the case of a no-go. I've seen a flight crew take a patient, and then land 20 seconds later because the aircraft was over on hours (big oops.) Or in the case in which the patient codes before the flight team could load, etc. I have yet to see or have anyone be able to cite...

But the thing is...it shouldn't be your first line.

Levo should be first line in sepsis....

Do what for septic patients?