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  1. M

    California Paramedics Hourly pay

    King county? Where's that at? They hiring? Hook me up with some info.
  2. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    Also the believe they stated c.t. was possibly inconclusive which was their reason for MRI. Just saying what I was told. I have no clue with advanced imaging stuff like a few of the above posters.
  3. M

    Resp failure ift pt

    The other factors to mention is that our company is now owned by the sending facility and our med control is the e.r. doctor. Our company runs all 911s as well as ifts in the area and we have complete control. There is only one cct unit owned by another company that isn't ALLOWED to enter our...
  4. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    Excellent responses guys. Thanks.
  5. M

    Resp failure ift pt

    I'd have to agree with BOTH of the above posters opinions.also, if you find more information regarding if that type of mask ISN'T meant for long term ifts I'd very much like to know along with the article.
  6. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    I'm not offering excuses. I'm giving a clear picture of the situation and answering questions of the above posters. I'm well aware that I'm responsible for my pt, thanks for that. But your missing the entire point. I'm not looking to argue here. I've seen multiple people's views on the...
  7. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    Get over myself? I'm simply answering the questions of the above poster and trying to learn and grow from my mistakes. Thanks for the advice though "dude"
  8. M

    Resp failure ift pt

    Very true tigger and i appreciate the advice. i wasnt trying to come off like that after asking for feedback / advice so my apologies. While there HAVE been a few pt transfers denied by medics....The unfortunate general consensus is that unless the Transfer is SO unsafe and the pt is SO...
  9. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    Also receiving Dr was there with 2 residents and Dr was WELL aware of pt's full history and everything. None of the other staff had any other issues or questions as it was primarily just the floor nurse who met the pt in the ER who had the questions / issues.
  10. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    Soooo to try to answer a few of those questions. Pt developed AFIB from a complication during a recent pregancy. it was a clear ischemic stroke on CT with MRI showing possible lesion in cerrebellum. TPA was given instead of PCI because thats all the sending hospital was capable of and pt met...
  11. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    SO in the conquest of always learning and growing heres the question. Took an IFT. Pt came in with obvious stroke symptoms via POV and was treated with TPA, Stroke symptoms resolved and upon transfer pt was entirely asymptomatic with almost perfect vital signs, CPSS negative throughout. This...
  12. M

    Resp failure ift pt

    Its also worth noting we dont have bipap Or RSI within our scope and As stated before, Taking an RT wasnt an option So this was quite unfortunately for the pt....The best option that anyone had.
  13. M

    Resp failure ift pt

    Your totally correct and i totally contradicted myself. My apologies. I would more correctly state it as not really "sleeping" but her entire baseline being a just "responsive to verbal stimuli" from the get go sorta deal. Which still sounds bad.....and your 100% correct...She very well COULD...
  14. M

    California Paramedics Hourly pay

    Yeah and its santa barbara......and You run the show, not fire. And good protocols. Ive been seriously tempted to take a job with them for a minute now. Dont they have that oil rig gig too over there? Sounds pretty sweet if you ask me. I may be making 73K a year as a medic with under a year...
  15. M

    Resp failure ift pt

    We use Flow-safe 2 EZ Cpap masks here. Its the type that plugs directly into the Main 02 tank and is....like the name......very easy.
  16. M

    Resp failure ift pt

    Yeah i 100% agree with the above posts. She should have stayed on bipap, not an emergency CPAP mask for a 2 hour 30 minute transport. She was supposed to be a CCT Air Transport and they were grounded due to weather in area which happens pretty frequently..... me and my partner wern't super...
  17. M

    Resp failure ift pt

    learn something everyday! I know PEEP, Just never heard it called EPAP....
  18. M

    Resp failure ift pt

    They were on bipap in sending hospital. Im honestly Not sure what Epap is. Sending facility didnt specify an Abg. Receiving hospital did one but i dont have info on that result.
  19. M

    Resp failure ift pt

    Cpap was at around 7 to 8 mm/h20 which was what the sending facility had it at as well. She maintained fine on that and i didnt want to max it out and risk dumping her pressure or something just to have a 99% Sp02 or something dumb. She had nearly every resp issue there was without throwing in...
  20. M

    Resp failure ift pt

    So i just used the Intubation style ETC02 monitor which fits nicely into our type of cpap and doesnt interfere with the mask seal at all. We dont have ventilators on our units so thats not an option. Also her bp was perfectly fine the whole transport. Lowest it got was 110 systolic and was...

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