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That's a better design than what we have, but I'll still take my mod. Love having actual room for patient care.

We have the regular sized Stryker.

I don't know about you, but I hate the feeling of being trapped. I have to crawl across the bench seat to get back to the captain's chair once the cot is loaded.

Missouri does not have a state regulated scope of practice...it is determined by your medical director.

We use them for transfers and I absolutely hate them. I'm not a big guy by any means, avg height and weight, and I don't fit in them. I can't sit on the bench seat without my feet being forced under the cot, can't move easily from the bench seat to the airway chair, can't carry our full array of...

How do you plan on getting it out?

I can tell you what I'm not going to do......evacuate their oral cavity manually....put them on their left side until the proper equipment arrives.

Trousseau sign present when you took the BP?

Im not sure CPAP would be the best option.....the intrathoracic pressure from the CPAP will not do great things for her pressure. Why not give her some dopamine (preferably dobutamine but I realize thats probably not an option) to get her pressure up and then you can CPAP her. How do you plan on...

With the cost of meds and the drug shortages, wouldn't it be more advantageous to keep the meds in the fridge instead of tossing em every 30 days? I've begged the other service I work for to get the fridges but they just aren't interested. They tell us succs is back ordered now and the supply is...

Umm the fridge is for the Anectine, saline (therapeutic hypothermia), and other temp sensitive meds. We have them at one of my services and god help you if they catch you putting food or drink items in them. Without refrigeration, Anectine gets outdated every 30 days.

Have you taken yours yet? What did it consist of?

I don't want y'all think I'm some scrooge when it comes to pain medicine, but I also like covering my ***. In his situation I would of called the receiving facility and received orders. Head injury is not an absolute contraindication for the administration of fentanyl, but it is a caution, so...

Where's the hard evidence against it? You're going to have to have some to disregard a physicians order.

You'll be hard pressed to go against a patient's written orders without hard evidence.

It's very common for patients to be taken off the backboard if c spine is cleared, in this situation it sounds like it has not been cleared by the sending physician.

If he didnt agree with the sending doc, he should of consulted with the receiving. If he said keep the back board too, then the backboard should stay.

What exactly are you going to document? That you're smarter than 2 MD's? That'll get ripped apart in court. If it was my neck? And two different doctors confirmed it was necessary? I'll deal with the pain and not risk further injury.

Exactly, so you're going to go against 2 different physicians, one being the accepting physician from a specialty resource center and your protocols do not address or support this. Sounds like a really bad idea to me. I'll keep my medic license, thank you very much.

I'm not arguing the effectiveness of the LSB for the C6 fx. If his protocols are like most, he won't have a leg to stand on. If he doesn't contact the sending physician to omit the back board, then where is he going to get the authorization to remove the backboard? Certainly is protocols aren't...