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    TVP as prerequisite for Push-Dose Pressors (?)

    Not to derail my own thread but my original question has largely been answered and I feel like jumping on the band-wagon... I think there’s a lot for EMS to take from the EmCrit podcasts. In addition to the examples already listed, my personal favourite is his position people should always...
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    ECG rhythm identification

    @coolidge — are you looking for 3-lead or 12-lead practice?
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    TVP as prerequisite for Push-Dose Pressors (?)

    I agree, but since I have Ephedrine, Epi, and Phenylephrine push-dose protocols within my scope of practice and no ability to initiate a TVP, I figured it would be worth questioning his motivation for making such a statement and explore how that might apply to me in a pre and inter-hospital...
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    TVP as prerequisite for Push-Dose Pressors (?)

    I was re-listening to EmCrit podcast #205 titled “Push-Dose Pressors Update” and around the 25min mark Dr. Weingart made the claim that ‘anyone using push-dose pressors should know how to initiate a Transvenous Pacer (TVP), otherwise they shouldn’t be using them’. My question is this — why...
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    UTAH Heli Rescue

    My news feed just produced this article. Interesting story. I purchased a Garmin InReach Mini a couple months ago and seeing stories like this confirms I made the right decision. Side note — does anyone know what heli company this is? It says ‘Utah DPS’ which to me means District Police...
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    DUI Driver hits 9 people in Fullerton CA, how does a bystander respond?

    In this situation, do as little as necessary. Recognize the hazard the crowd presents, acknowledge my limitations, attempt to identify any immediate and address life-threatening injuries, and if possible - gain the assistance of someone much larger and louder than I am to execute my plan.
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    No ETI.

    MD Ambulance (a subsidiary of Medavie) in Saskatoon, Saskatchewan, Canada conducted a ‘compression only’ pilot program last year. I believe it was only using OPA + N/C O2 for cardiac arrests (although I was told it did not preclude practitioners from performing SGA or ETI). Either way, just...
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    Scope of practice issue?

    I understand where the OP is coming from as this ‘grey area’ was a hot topic for discussion in my EMT program. Our scope of practice for EMTs included ‘IV access’ as well as ‘intravenous medication administration’ however drugs such as benzodiazepines were out of our scope. So the question...
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    Thank You EMTLife

    I just wanted to take a moment to say ‘thank you’ to the people who post here on EMTLife. I recently made a post on an anesthesia forum looking for advice on text books (I’m looking to further my knowledge and have aspirations of attending medical school to pursue anesthesiology). Needless to...
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    ALS Bags

    @DrParasite — the 10-minute bag is an interesting concept. What advantages did you feel it offers over a Trauma/Meds + Airway + Peds set-up?
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    ALS Bags

    Could you please elaborate on the contents of each bag? Thanks.
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    Tempus Pro — any experience?

    I did find this article from 2014 that suggests the Tempus Pro was about to go into use for the Cincinatti, OH FD. https://www.cincinnati.com/story/news/2014/04/17/new-equipment-will-bring-er-doc-scene/7804109/
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    Drug dose calculations

    I’d like to see a cheat-sheet handle gtt/s using a 20gtt/set when your Alaris Medsystem III pump ****s the bed mid-flight. *not trying to be antagonistic, just pointing out the value of a phone/calculator/whatever
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    Tempus Pro — any experience?

    Phillips recently purchased RDT, the manufacturer’s of the Tempus Pro cardiac monitor, defibrilator, ultrasound, and video laryngoscope machine. Basically the most amazing device I think I’ve ever seen. However, there’s almost no literature/reviews out there. I’ve spoken with RDT and they...
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    Predicting a difficult airway is darn near impossible

    In retrospect, my testing in Paramedic school was almost entirely on predicting difficult aiways (i.e., LEMON) and almost no discussion about troubleshooting beyond ‘change something’. If this article is accurate, perhaps schools should focus on troubleshooting methodology rather than emphasize...
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    Ondansetron as primary antiemetic?

    So all this I knew, but both act centrally on the RAS which is where the “vomiting centre” is located. This is why both are capable of controlling drug-induced nausea and vomiting. However, the vast majority of Canadian provinces only use Dimenhydrinate. *see below Perhaps it’s the primary...
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    Ondansetron as primary antiemetic?

    Every protocol I’ve ever seen indicates Dimenhydrinate as the primary antiemetic and specifically indicated for nausea secondary to narcotic administration. I’m also not aware of Ondansetron’s efficacy for narcotics. Despite this, almost every patient I’ve picked-up for transfer has received...
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    Fluid Resusitation?

    So I intentionally didn’t include Sepsis in my original post because those people require both fluids and pressors; the systemic infection causes an initial spike in pro-inflammitory cytokines which increases capillary permeability allowing the plasma to second space into interstitial tissues...
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    Fluid Resusitation?

    I feel like the title of this thread is almost an oxymoron. In EMT school we learn to ‘resusitate’ hypotensive patients with fluid because, well... that’s all we had. As Paramedics we have better understandings of underlying physiology and more tools in the toolbox. Someone recently told me...
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    To Propofol or Not to Propofol?

    We carry it.
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