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If only we could get the patient's to read the textbooks so they'd know what symptoms to present with...would streamline the system dramatically... That being said having suffered an ischemic stroke involving a 3 day ICU stay and associated follow up (going on 2 years ago) at age 27 I'm a...

I could see after the 3rd call (starting with the 4th call) ...but not on the second or the third call within a year...

I challange anyone on this board to tell me they have had this happen to them... Get called out to a private residence for a possible 10-48 (unattended death). Mail man called in a "dead body" in the back of a parked car in the driveway. We roll code 3, supervisor rolls code 3, and PD rolls...

??? Just cleaning up stuff not needed

Excellent used condition, no rips/tears/burns/scuffs/writing/patches/etc $15 shipped Paypal is the way to go...

$20.00 shipped. Magnetic door signs "Search & Rescue" These are in pretty decent shape, used but not abused, lots of life left in these. When not in use they were stored on the side of my fridge. Paypal is the way to go...

is it just me or in that last picture does it look like the rear doors won't close? I'm hoping the stretcher just isn't all the way into the catch otherwise it'd make for a real hard time putting a traction splint on a patient (or putting a patient in who allready has one on). PS...love the...

Accidents happen...speeds did not look excessive. Good job on the camera vehicle not not hit the ambulance.

I'm going to echo what others have said. Did this patient need to be intubated...yes. Did it need to be done prehospital by a service that does not do RSI (as evidenced by your lack of paralytics)...NO!!! Attempting to intube a patient with a gag reflex should not be done with some exceptions...

I agree 3 hours for a unit of blood is a long time for some patients. I too work in a high volume trauma ICU (very few burns thankfully) I'm not saying a 24g IV is ideal, but can work for some patients.

Running blood through a 24g IV works just fine. The issue is when you try to run it under PRESSURE either by way of an IV pump or pressure bag that you cause hemolysis. Under a gravity drip situation blood will not be dammaged via a 24, and it will take about 3 hours to run in a unit (which is...

Blood will flow through a 24g IV if necessary. With out going searching for sources that say you can run blood via a 24g I will tell you that it is my hospital's policy.

I've very very very rarely seen a need for anything larger then an 18 gauge. Even when fluid resuscitating a septic patient in the ICU or ED prior to getting a 3 lumen central line (which BTW where I work is one 16g and 2 18g lines) a couple of 18 gauges works just fine.

wow, go to work for a 24 hour shift and look what happens...

Source? ABC (extra characters to meet the 10 character minimum to make a post)

Yes, that seems like an incredibly successful rate. I obviously don't know exactly what I'm talking about here (and I suspect the same from you) however 20 deaths among 20,000 sign offs seems like a very good number. Anyone else have an opinion?

we have pumps for interfacility transports only (not acutally kept on the truck but rather at base). We simply eye ball Dopamine for emerg calls. I haven't had to do this yet and quite frankly don't want to have to.

Actually, it would be 20 people...

Again it all comes back to consent. I just don't think you get it. It is not our job to "scare" or "influence" or "convince" patients to accept care that they do not want to recieve. We can simply teach and allow people to make their own decisions. I'm sure you understand the concept of...