Search results

On chest pain and SOB patients I usually go to the AC first off. All of our local hospitals that work someone up for PE, when they do the CTA with contrast, per radiology the contrast has to be pushed through a 20 gauge or bigger at the AC or higher, I really try and be thoughtful of that when...

we are still a fairly behind the times US system. However we are really trying to implement some community programs so as to have referral lists on every ambulance for every conceivable complaint including free clinics, dental clinics, detox places that take Medicaid and Medicare. the whole...

bench seat with the airway bag behind your head is usually foolproof for naps as well. Use that frequently at my part time job when we post in parking lots.

Hate to agree with the "non medical" answer but basically this. Regardless of whether it is broke or not based on the description and the complaint they don't need an ambulance. They don't need an ER visit. I can give them a phone number for the orthopedic in the area, they can schedule an...

I was on the truck with my supervisor the other day and he did one...really made me <_<....alas, low man on the totem pole...

I take into account how I feel and the odds of something bad happening. I never wear safety glasses when I chainsaw, The risk is really low given the number of hours I will spend using it, and I sweat like a mutha and it impairs my vision to some extent when I wear them. It's a personal choice...

I work 24's at my job and routinely work 48's and two 48's with one day in between. However I can work a 48 and only run 5-8 calls and sleep 10 hours each day (maybe slightly interrupted). I feel better coming off shift then I do after sleeping at home and taking care of my 1 year old and 2 year...

The one that I find gives me the best idea of any medical problem and one of the first questions I ask is "when was the last time you were in the hospital". A lot of our patients don't know what CHF is or COPD, if you want to know if they have diabetes or hypertension you ask questions like "do...

Our protocol goes to hefty doses of Versed, and Vec for long term paralytic post intubation. We can call for orders for morphine, don't currently carry fent, and have the option to use ativan or valium in addition to versed. We are suposed to be getting ketamine shortly

Ive started compressions on a post arrest patient who we had lost again and gotten back, watch him go from HR of 80 to brady 60-50-40 and we started compressions at about 30-40...dude was 5 seconds from coding, cardiac output was kaput, difference between waiting for him to code and starting...

If the patient is walking and "looks well" scene time is about 2 minutes. There is nothing I will do for well looking ambulatory patients that will improve viability by staying on scene period...I can ask questions do what I need in a 10-15 minute transport to the hospital, most of our...

Get rid of ER physicians, staff ER's with hospitalist that can admit and an Intensivist to manage actual emergencies. The same physician can see the patient, write admission orders, and get the patient out of the ER. Without changing the broad idea of seeing everyone in the ER this is the...

Just curious but is this in reference to etomidate or? Our system is going to Ketamine to provide a more stable drug for hypotensive patients.

The officer made the call on whether the patient was a harm to themselves or not. The officer will explain that to the nurse. If I assess the patient and don't think they are a harm to themselves they still get transported with the officer, the report however will state that the officer has the...

I believe this has more to do with not giving nitro, or very carefully titrating with nitro paste, on posterior MI's. I'm not giving nitro without a 12 lead, I will apply paste without a line depending on their pressure and symptoms, but not going blindly giving it.

Looking for some products and finding limited information online. We are getting serious about our hypothermia program and have ground transports when the chopper doesn't fly in excess of an hour to an hour and a half to a suitable facility. Looking for core temperature monitoring capability...

I guess it was just a misunderstanding on my part. I couldn't find anywhere in the ACLS protocols or other recommendations explicitly stating to continue giving Epi after Vasopressin administration. I understand the use of Vaso, I understand that is a substitute for the first or second round...

ACLS is not very clear on whether to continue giving Epi's after Vaso or not to...seems to be a personal preference kind of thing in my area

Fire service what? :wub:

It's making a comeback down south, more services are actually thinking of introducing it. It doesn't improve survival to discharge rates as far as the research I have come across but it sure skyrocketed our field ROSC rates here...not saying that's a good thing, just what they are pushing...