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Next time you are at the station say "hey, I haven't practiced putting a collar on someone in a while, can we try?" It makes it seem as if you are the one who needs tips/pointers and opens it up for discussion.

-A quality monitor (12 lead, CO2, CO, Met, etc) -Pump -Vent capable of CPAP and BiPAP -Strong RSI program (Don't forget the Ketamine) -Ambulances with room to work

ems12lead.com http://hqmeded-ecg.blogspot.com/

A subject I'm very interested in. For those posting what drugs you carry would you mind posting how much you carry? Curiosity on my part.

What are your transport times like? Working in a small town will be different if you are a hop skip and a jump away from hospital or an hour away from one and my advice will vary accordingly.

Correct, but managing a pts pain is important and should no be ignored. I think properly managing a pts pain is a good indicator for a good provider (among many other things). My god why don't you get up from your knees and relax.

I feel like thats more telling for the patient as well than saying "holy wow, your blood pressure dropped 30 points!" Especially when attempting to convince a patient to be transported.

What website are you using?

http://lifeinthefastlane.com/futility-orthostatic-measurements/

Create a community paramedicine program.

Mac 3 or miller 2 for all standard adult intubations. Bougie is opened and shoved under the pts shoulder so all I have to do is grab it and pull it. First pass success should be the name of the game with something changing between attempts.

I'm still not sure why you are transporting after only being on scene for 10 minutes and still actively doing compressions...

"This is so and so, an 87 year old who called 911 one hour ago complaining of this and I found this. Heres how she was presenting, heres what I did, heres the vitals/EKG, heres what I have for access. Any questions?"

Protocols are guidelines for treatment. We are talking about people following guidelines on here too strictly and hurting patients.

What about the cases of fluids or analgesia in burns?

There is no better way to advance your field and study than understanding the tools already given to you.

Agreed, I shouldn't have generalized. Hopefully science and quality clinicians can pave the way (and knock the old guard) to providing better care.

I wouldn't generalize all providers as a decade behind the literature. NYS is in an awkward transition phase where the providers know whats best but the state doesn't allow it yet. It doesn't mean the providers don't know best or aren't ignoring common sense.

Its sad when the citizens we serve are better understanding of the science than we are. Just tell them your rules say you need to. If they don't want to have them sign a refusal.

And how are you, or anyone else on here for that matter, aware of anyones IV success rate?