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I'm pretty sure you voluntold....and I feel a bit iffy about this contest...what with a monkey setting it up and all...

Sounds good, from the bit of research I have done I am getting the idea that most medical professionals are getting away from trying to convert the rhythm as long as it does not deteriorate into full blown Vtach, Im wondering if a Levo drip and then Amio or lido would be indicated or if we are...

So lets say you get IV access, whats the plan? any medication? assuming her BP is hanging out in the 80-90/40 range...transport decisions?

Temp is 99.0 Tempanic, 12 lead shows as below at a total rate of around 80 now. Repeat BP is 92/53. BgL is 442. IV access is unobtainable after blowing 2 22's and a 24, her vasculature is very poor and she has no identifiable EJ locations. EDIT: This is not the actual ECG. It is from a...

You feel for a radial pulse, skin is dry and warm but not abnormally so. Radial pulse feels about 100. Respiration rate is about 22 with no obvious distress. Initial O2 saturation shows 57%. Initial BP is 83/46, patient is still sitting in floor leaning against her sister. Patient states her O2...

A double secret special probationary medic at that...:ph34r: I will be drinking, grilling, drinking, playing with my kids, grilling, making brownies and cookies, drinking....First year my wife and I have lived in a house, we are in an awesome neighborhood with tons of families and kids...

So I am going to pose a scenario with limited information starting. You may ask any and all questions you like. Please be detailed in the questions you ask, I can give you the answers to any and all questions you have regarding anything that I paint a picture about. I will be fairly quickly...

likely transport both with the kid on the stretcher. Would really depend on the presentation of the kid and how long ago they ingested. 81% SPO2 is not a good number but patient presentation would dictate entirely how to proceed with a child this age. I mean if this happened 10 minutes ago and...

don't...DO NOT...tell any war stories or stories about what you have seen, don't talk about other medics, other crews, or how they do things. Basically be there to ask as many questions as you want that are relevant to the patients you see and their care. Don't compare their system to others you...

I believe the physiological reason we don't pace is because generally speaking in kids there is no conduction problem. The bradycardia is caused by other issues and pacing is not a solution, and there are better temporary fixes. Pacing is used in adults generally in high degree heart blocks...

Well than the infants rhythm was in fact not PEA if they had a pulse that correlated to the electrical activity shown on the monitor. And I believe the basic reason we tend not to pace children is it would be a incredibly rare anomaly for a child to have an electrical conduction problem, the...

Just curious on what state you live in where getting ammo is that much of a problem. I would still go against the 45, you want a compact or subcompact 357 for the power, or a 40 or 9, because when you turn 21 you will want to CC whatever you have. Also, if your wanting to shoot more, getting...

I have a fantastic little backpack that has some canned soup, crackers, a snickers bar, phone charger, water, gatorade, a few 4X4's, tape and bandaids. I throw a book in there too, I try and keep it in the ambulance whenever I am on shift, good for snacks, soups good if we get a long out of town...

It doesn't skew the numbers, its not like only 5% of medics are bad at intubating, I would venture 50%+ miss their 1st attempt at a tube at least 35% of the time. Im completely making those numbers up but I would bet I'm not wrong. Also their are progressive physicians at very good research...

You don't want a 45 HK's and XDM's are excellent, but I would really put some time into shooting and see if you wouldn't prefer a 9, 40, or 357. Check out the HK P2000sk in 357, you can get a 40 caliber barrel for it and just swap out. 357 is more than plenty of firepower for a concealed...

Thats a big negative ghost rider, at least in the prehospital realm...some people just need a definitive airway. I would argue that surgical cric would likely have a much higher percentage of success in as short a time with no aspiration as RSI does today in the prehospital realm. King airways...

Oh I agree with you here, however this patient in the scenario I would likely approach intubation without any NMB use and very minimal sedative use assuming there is truly no gag reflex at all. And I agree that RSI with a NMB is easier, I however would be skeptical that it is safer in...

Why is taking away someones airway who is breathing doing it properly. We have hashed the RSI/No RSI thing over and over in several other threads. If the patient has no gag reflex, and just needs some comfort and a bit of assistance to maintain a tube and will still maintain some of his own...

Our county protocols specifically state that all patients with a MOI that could cause spinal injury are supposed to be backboarded...specifically stating all MVA', Sports injuries, Falls, Trauma, Etc..etc.. really cruddy protocol, quite frankly we are given a lot of leeway to use the protocol...

Just to pick apart another point, If the patient had no gag reflex and did have some respirations with an OPA in place. AND the airway appeared clear with no massive amounts of blood or other issues, I would feel a lot better bagging this patient, and calling for orders for a lot of versed prior...