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Thats what I was thinking.....pretty sure that is a positive stroke scale finding. As to my own differential....if I was in that position with that presentation and vitals....I dunno....I would be thinking stroke probably but its definitely confusing. Sepsis is a possibility but I would expect...

1.) 1st Degree AVB (prolongnation of PR interval > 0.2 secs) 2.) RBBB 3.) Either a Left Posterior or Left Anterior fasicular block. -ALL AT THE SAME TIME :D

So some people have said that if they were in V-tach with pulses and stable then they wouldn't cardiovert...... What are your transport times? I am just curious because from everything I have been taught a patient is not going to be able to maintain that rhythm for very long. Are you saying...

Interesting on all sides. I have never been to nursing school so I guess I have no clue it is just surprising to me on all sides. That said however, the average nurse's bread and butter is medication administration. I am sorry to say it that way but that is one of the biggest things that...

Its muscle memory man....and its a skill. You aren't gonna be good(or even decent) after 10 sticks. Just do the best you can and UNDERSTAND that you will miss some. The best paramedics, nurses, doctors or whoever miss skills sometimes. That is why it is called PRACTICING medicine. And as NYMedic...

I agree with you to a point but I think you are missing MY point. Firefighting is not EASY and is a profession, just as paramedicine is. The problem exists when a fire medic has to do BOTH. Most Fire Medics do not work at a fire department and sit on a ALS rig and run ems calls. They are called...

I still haven't heard too many people mention a inferior wall MI with right sided involvement. If I have a patient that is complaining of chest pain and presents as a MI I am darn sure gonna check a 12 lead before I go throwing the NTG at them. I HAVE seen NTG dump a persons pressure that was...

Clinical time is the same here in CO for EMT's.....usually 1 or 2 rotations in the ER and 1 or 2 rotations on a ambulance.

I agree with you to an extent but EMT-B's or soon to be just EMT's, and AEMT's are NEVER going to go away. There are way to many areas and jurisdictions that cannot afford Paramedics and the bottom line is there are just not enough to go around. I always love how some people say that EMS is...

Yeah I agree that the training is mainly focused on the skill itself and not so much the practical application of it. I think it takes PRACTICE to learn how to cannulate a vein and it is measured more in experience and not so much in hours. I think that the level a EMT-B needs to know the...

I was with a awesome ER doc one time who was evaluating a older lady in the ER. I was about to start an IV on her when she saw my Paramedic student shirt and kinda freaked out a little. The Doc actually laughed at her and told her that if she didn't want me to start the IV he would do it. Then...

I know right!? I have heard that the relationship has improved over the years. My first ride as a Paramedic student back in October was a ped arrest where the fire medic came running out of the house with a 'intubated' kid and a uncuffed, unsecured tube flopping around in his mouth. When my...

Hmm...interesting topic. Here in my city the FD has medical control over all medical calls per the city charter however the private ambulance company which responds to all 911 calls in the city is the sole transporting agency. Everyone gets ALONG just fine let me tell you....:rofl: Actually its...

She was on a clinical at Denver Children's when I saw her........plus, how can you have a bachelors in nursing with NO clinical experience? I mean that is just crazy. I don't know what all they learn in nursing school but I don't think it is 4 years of bookwork.

So last month I was at Denver Children's hospital finishing up my last 8 hour rotation for Paramedic school. There was a nursing student there who I got to chatting with and she told me that she was about to graduate the same week as me with her BSN. A little boy came in with possible menigitis...

What is the 'IV enhancement'? Here the EMT's literally take a 16 hour course, get 10 sticks in the ER, and go about their merry way. There is only so much you can learn about starting an IV. Getting GOOD at it is a whole other thing but that is what practice is for. I don't see how it can get...

EMT School here in Colorado is 1 semester or 2.5 months in the summer and 3.5 in the fall/spring semesters. You aren't taught anything invasive in school but you are taught pulse oximetry. Once you have your state EMT license you can take a 16 hour IV course. This is two days of classroom...

How is the heart tone listening coming?? I am not knocking it, in fact I think its great. I just find it incredibly hard to differentiate normal and un-normal heart tones. Almost every ER physician I know says its takes years and thousands of patients to become proficient(which is why its great...

A&P, practice your vitals(pulse taking, BP, lung sounds especially) and please....stay away from the mouth to mouth man. Pocket Facemasks are your friend....if it comes to that.:cool:

Here in Colorado Springs to even get hired you have to have your IV certification as a Basic. Basic's being able to start IV's is nothing short of awesome. It makes life MUCH easier for the medics. And for those saying "they need more practice" well whats the harm in on the job training? As long...