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Honestly, The surgeon stands there with a scalpel, a Hemostat, and maybe some fancy tweezers, and some suction. They release the tourniquet depending upon the location of the bleed the surgeon will have someone maintain some pressure above the wound on the artery, then the surgeon goes to town...

I would probably go SL nitro and then a nitro paste, CPAP would really depend on his level of difficulty breathing after placing some O2 on the patient and getting him comfortable in the ambulance. If his breathing improves a lot with O2 and hes in minimal distress I would give him the option...

BOOM Phrasing...or maybe its just...boom.... I have watched way to much archer lately...

Honestly, if you take away the sinus tach on the monitor this very much sounds like possible short spells of Vtach to me. I have seen multiple young healthy patients with no cardiac history present with "anxiety", weakness, SOB, chest pain, and spells of passing out and dizziness from runs of...

This is where nurses really have complaints, In fact many paramedics and many EMS directors are advocating taking paramedics right now and placing them in that role with nothing more then a 16 hour in house "community paramedicine" course.

There is a pretty good possibility that I wouldn't work this code even if the patient is a full code and no one wants me to stop. Given the likely possibility of her arrest etiology and her co morbid factors in addition to her age, it is very likely I would not begin any measures from my end and...

"The longer someone undergoes cardiac arrest, the less likely he or she is to survive. But if a person survives, he or she is just as likely to be “neurologically intact” regardless of the duration of CPR, the study found." I find that quote to be particularly interesting. I would love to see...

I guess the upside is my urine is a nice pretty color now instead that lime green :p

It's a good goal to have. I'm amazed how much water I'm drinking now...and my appetite increased...and I feel like crap...lol My EMS service is doing some derpied derp things right now too...not a good combo

I am okay with still drinking hot tea, I'm just trying to not get cancer or renal failure before I'm 40....no diabetes would be nice too

I so just gave you a mental thumbs up to your post for a harry potter reference with that just came out of the blue... That is all :cool:

Quit drinking soda, coffee, tea, lemonade, or anything other then juice or water.. Also quit all sweets and desserts... I was used to a 2 liter + of mountain dew a day....I'm on day 6 of nothing....not good

Standby... and then Standby... and then Standby....3 seperate times in the same location, 3 run reports...3 call numbers....winner winner

Urosepsis secondary to pylo which has gotten rapidly worse due to environmental exposure outside... I would go with head bleed or ischemic stoke but if stroke is off the table I'm going with sepsis.

I'm with chaz here. The only emergencies we currently have are hypoperfusion and respiratory. And I am going to dump some fluid on this guy even with wet lungs, but this guy is also getting tubed prior to me moving him too. I don't care about stroke symptoms, or ruling out or in at least in...

Last week the truck I was on had 1 NS, 2 Ringers, and a bag of D5.....That was it. Also only had 1 versed and 1 sucs, no vec, 1 etomidate, and 1 morphine....talk about piss poor ability to do anything for someone who is really jacked up. Also had no veniguards so cobaning all the IV's was...

Yet every patient in fast track at every hospital with some poison ivey or a swollen ankle will get their temp taken. I'm not arguing that the benefits probably don't outweigh the costs, I'm just saying given how little lobbying power EMS has the path of least resistance to doing more in the...

This is the attitude many are trying to get away from in EMS though. I mean seriously I can think of 100 things we do that doesn't effect care at all and doesn't make one wee bit of difference in mortality or comfort. You can't be better at what you do without doing tons of useless...

meh....system to system dependent I would guess. If he is complaining of pain of more then a 5/10 I would probably be calling for some orders for morphine. Really my only concern with this guy is a head bleed from a transport decision standpoint. Other then checking lung sounds fairly frequently...

To go with this. Don't put a stethoscope around your neck..put it in your pocket or keep it in the bag...so many people choked out in the few years I have been in healthcare...so many poor decisions. As far as hours go it really depends on what your needs are financially. I work for a...