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Most of that was meant in jest, that said a lot of services around here don't treat "stable" patients with medications as long as they remain stable, at the point that they become unstable then...well...acls says electricity I love pharmacology, I don't love ACLS, my services protocols, or the...

Too slow and unstable - Pace Too slow and stable - Nothing Too fast and unstable - Zap Too fast and stable - Vagal and nothing Squiggly - CPR, Zap, 1 Epi, CPR, 300 amio Flat - CPR, 1 Epi, CPR, 1 Epi, Grab your ACLS book, look at the cheat sheet protocols in the back, and realize that most...

Yes, this topic has been beat to death, I have read a million studies and etc..etc..etc.. I am wondering if any of you would be so kind as to share any resources you have (power point presentations, basic articles that you found informative and helpful, any other resources you might have). I am...

Bp 114/74 Pupils were equal and reactive but sluggish. The kid didn't track at all when trying to get him to open my eyes and focus on my finger

You respond to a pediatricians office about two miles away from your local hospital, upon arrival you find a 7yo male patient lying on his side on the exam table. Office staff called when patient had a seizure. Patient was held out of school yesterday due to "cold symptoms" per grandma. Patient...

Have my partner pull in a parking lot, help the patient undue the straps on the stretcher, hand him his pill bottles, and assist him down the side steps of the ambulance, have a nice day sir....call pd and pull around the corner and wait. Patient can either go in law enforcement custody with...

Unfortunately there are very few services in my area that utilize nasal capnography.They found after putting them on the trucks at my current service that there were too many paramedics that did not want to change their practice and the nasal capnography was almost never utilized so they took it...

Step 1 - Buy a Grandview, Use with Bougie Step 2 - Win 97% of airways Step 3 - Have all the rest of the blades for the other 3% of airways in a separate pouch/bag that is easily accessible. Seriously though, top 3 blade choices with a 7, 7.5, and 8 tube, two 10cc syringes, a Bougie, lube, a...

300 bucks for EMT-B 350 bucks for Paramedic plus 12 dollar for a PALS and ACLS card, no charge for clinical sites. Was pretty nice.

I have utilized a reeves sleeve on numerous occasions even if I didn't think the patient was going to act up on the way in, I used it proactively just in case...it works absolute wonders on being able to keep a patient fairly still and on the stretcher without compromising airway, breathing, or...

I think an important topic to bring up that has not been mentioned yet is the importance of identifying when NOT to give Albuterol/Atrovent. Different studies show that a fairly significant portion of our heart failure patients with difficulty breathing can have cardiac wheezing or cardiac...

I have looked through my books a bit and browsed google some and am still fuzzy on the physiological process by which the extra pressure that CPAP can cause on the heart can cause electrical changes on the EKG, massive ones at that. Below is several 4 leads and 12 leads with some patient...

I put this in ALS because the potential greatest use prehospital would be for STEMI patients, however this is as simple as putting a manual BP cuff on. http://www.jems.com/article/patient-care/remote-ischemic-conditioning-during-myoc Thoughts? Seems very promising pending more study in...

Is anyone calling this a Stemi in your system or pre alerting the hospital for possible stemi

Called out for chest pain around 10pm, 50 year old female complaining of chest pain and also fell down. Upon arrival find 50 year old female lying in floor in living room complaining of chest pain and headache and she "hit her head". Patient states she fell down and she doesn't know why, hit...

I personally would be going to with a post rosc bradycardia hypotension patient with suspected Stemi or other cardiac etiology. If pacing doesn't work I'm skipping atropine and hanging a epi drip, or possibly. dopamine. It would depend on the situation. Pushing atropine is a tiny bandaid on a...

I can tell you from personal experience with a spouse who was preeclamptic that this could be as simple as progressive liver failure. When the protein in a clean catch urine skyrockets the woman can rapidly go into liver failure (12-16 hours) with severe ruq abd pain only relieved by narcotics...

I have read through this thread multiple times and appreciate many of the responses, there is a lot of good discussion going on here. My question to you (being you in general) about this is why do people continue to advocate for the least cost effective method of having more specialized...

Christopher, I think I am just too tired but I have having trouble interpreting the Asystole survival by time. I know if that is the initial rhythm the prognosis is poor to start with, but if you could help me out explaining that to me because it will probably directly impact my practice Where...

If your a tech in the Ed, and you have rooms 1-10 for example, then within reason any information on any patients chart in 1-10 is information that you have access to with no problems. Any information on patients in 11-20 really you probably could argue you should have access to as well. When...