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  1. emtbill

    The improper incorrect thread: what do you do that's not in the protocols but WORKS?

    Ok here, I spent 90 second on pubmed and found this: Key word is slow release.
  2. emtbill

    The improper incorrect thread: what do you do that's not in the protocols but WORKS?

    The fluids are given to keep cardiac output up (starling's law) while the NTG keeps coronary arteries dilated to increase blood flow and oxygen delivery to the myocardium. The right sided MI patient needs NTG so that they will get more oxygen, however also needs something to compensate for the...
  3. emtbill

    The improper incorrect thread: what do you do that's not in the protocols but WORKS?

    Agreed, however it needs to be given IV drip in conjunction with fluids/pressors. The sublingual bolus given in the field is what's dangerous for right sided MI. I disagree; do what's right for the patient. You don't have to deviate from your protocols to do what's right. If you want to...
  4. emtbill

    The improper incorrect thread: what do you do that's not in the protocols but WORKS?

    Bicarb for hyperkalemic induced VT (must have 12 lead immediately prior to sustained VT) Withholding NTG in right ventricle infarctions and suspected reduced ejection fraction (QRS>170ms) Actually reading 12 leads to withhold antidysrhythmics when appropriate Etc...none of these are in...
  5. emtbill

    What is the Pay scales in your area?

    :wacko::wacko::wacko::wacko::wacko::wacko: Jesus, I see they hire EMT-I too...is the pay the same? I'm sure the call volume is high, but how do they get that kind of money to pay medics? I have never heard of a medic starting at that much, around here in SWVA you might break $32k. What about...
  6. emtbill

    ECG Elecerolyte Abnormalities

    Can you just upload that to rapidshare or something so we can all see it?
  7. emtbill

    What books in your library?

  8. emtbill

    Membership

    Nah that's about what medics make around here as well. On giving volunteers priority on calls: I agree that this can cause a lot of problems. Around here it is understood that a volunteer is in charge of the station, trucks, etc, and the paid paramedic is in charge of patient care on a shift...
  9. emtbill

    What does diversion mean to you?

    Just remember that if your patient needs the closest hospital and the nurse on the radio at that hospital is arguing with you to take them somewhere else, take them to that hospital. The hospital will be breaking all sorts of EMTALA and COBRA regulations if they don't treat the patient.
  10. emtbill

    Membership

    We entice our members with money. Every member has to pull some volunteer shifts, but if you want to do extra we pay the members $50 for a 12 hour shift. That's not a lot, but for sitting around for 12 hours playing xbox and sleeping, it's easy beer money. It costs less to entice a volunteer to...
  11. emtbill

    I love the chevy 4500 ambulance!!!

    Don't do that. It has potential HIPPA violations written all over it.
  12. emtbill

    Patients "playing possum" vs. a true issue.

    She could be faking buy really who cares. Whether she is or not is not going to affect your care. The change in consciousness could be from the head trauma, but since she is already immobilized there's nothing to do about increased ICP unless you're a flight service with mannitol, or maybe you...
  13. emtbill

    CPR and First Aid training...ON YOUR IPOD???

    Like CAOX3 was saying, even bad CPR increases survival rates. It's about impossible do a cardiac arrest patient more harm than good on a BLS level. The only thing I could think of would be increasing intrathoracic pressure by hyperventilation, but that's really only going to happen when a BLS...
  14. emtbill

    0600. :-/ 10 chars

    0600. :-/ 10 chars
  15. emtbill

    Ipod Touch Applications for my wife.

    On my iPhone: DxSaurus (differential diagnosis) MedSpanish Epocrates ECG Guide MotionX GPS (topographic maps for search and rescue) HazRef (Hazmat) I also recommend Police Scanner if your area has an online stream of a local scanner. Now I must say that your wife will probably...
  16. emtbill

    Former High School Bully

    There's a 10 gague? The biggest I've ever seen is a 12! :ph34r:
  17. emtbill

    I START MY EMT CLASS IN 1 WEEK!!! any advice?

    You really want some advice to help you succeed? Ok, you really need to try to calm down. I don't know you personally, but you've made several of these types of posts and it's pretty clear you're very eager to start your class. That's good, often eager students who want to learn make the best...
  18. emtbill

    Well let's see here I guess that all depends on when "today" is. Yesterday when you posted that...

    Well let's see here I guess that all depends on when "today" is. Yesterday when you posted that I was doing great having just woken up from a three hour nap, however right now it's not so good since It's 5AM and I'm about to go to work. And yourself?
  19. emtbill

    Glycerin RXN

    There are no contraindications to epinephrine in anaphylactic shock. If the patient is having an allergic reaction, and is not in shock, they don't need epinephrine in the first place.
  20. emtbill

    Blocks, blocks and more blocks!

    I don't really know what you mean by inverted complexes. Remember that positive and negative deflections are made from the isoelectric line based on whether depolarization is occuring toward or away from the positive electrode of the lead (an upward complex is made going towards the positive...
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