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Mainly heroin, crack and meth (San Francisco).

Continue compressions until ALS arrives and decides to stop or continue with ALS. Where I work, if it's unknown downtime (more than 20 min since seen normal) and they're asystole, we don't attempt CPR. But at the BLS level, unless it's obvious death (rigor, trauma, lividity) you should attempt...

We had zip it's too they sucked! Now we have iPhones and radios

Looks like stable v-tach, our treatment is amiodarone 150mg drip over 10 minutes. Put on defib patches in case it deteriorates

EF Johnson Viking

Versed 5mg IM followed by c-collar only in semi fowlers position is what we would do in Bay Area northern ca

Just fluid resuscitation.. And obtain a more accurate auscultation blood pressure.

You should know WHY it's protocol, why it works and how it works... Or else you're just a cookbook medic

They go away with time. The more experience and training you get, the more confident you will be. Study on your own, watch YouTube trainings, read studies, and increase your knowledge beyond what you were taught in school. I've been a paramedic for 9 years, and still have nerves in some...

I had a call for spice a few years back when it first got popular. I googled it on the way to the call to find out what the hell it was. Kid took one hit of it and had a seizure.

We give it to constrict the vessels which increase the pressure in the coronary arteries which perfuse the heart itself. The heart/brain tissues begin to die to in minutes, and chance of survival exponentially decreases with each minute. I haven't read the studies but I believe there's evidence...

Doesn't sound like dystonic reaction. Those usually they are fully alert. They usually try to speak and can't move their tongues/mouths. Many times they know what it is and have experienced it before with their psych meds. They respond and follow commands. This sounds like drugs/etoh or psych...

Contra costa county AMR is hiring. Starts around $23/hour. Bay Area, ca.

Remember most firefighters spent years as EMTs and medics, years sitting in private ambulances. Not all hate ems, many just wanted a better paying career with retirement. Some didn't even have the "fire boner" but moved on because there's not much future in private ems.. Sitting in an ambulance...

Yes they're businesses, for profit. Welcome to private ems

For AMR where I work you can only have 1 moving violation. So u would be good

I hate the phrase "go get checked out".. That phrase has become a joke here in the Bay Area.. Fire uses it constantly and we just look at each other and smile. Anyhow, I think you answered correctly. This person already has expressed their desire to kill themself, too late to change their mind...

It's done at AMR operations but it's put on by FROST, their doctor makes the determination if u pass

They use a company called FROST. If you're in decent shape it's a piece of cake

Any vomiting, diarrhea, bleeding or recent illness? Orthostatic? His BP is low and his heart rate is compensating. He needs fluid replacement.