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I appreciate the feedback regarding walking the patient. I should be more concise...we walked her from her bedroom to the front door of the house where we had our main cot (all same level)...could we have used the stair chair? Absolutely we could have. In the future I will definitely consider...

Bring on the safety nap. On a 24 hour shift you can not expect staff to function effectively or safely if they have other tasks. Where I work each truck has an assigned task to complete each day. It is always something simple and takes less then 15 minutes to complete. Mostly chores like...

no, didn't check blood glucose after the short (30 or so steps to front door) walk. Probably should have but didn't. I'm more wondering what peoples thoughts were about waiting more time with her on scene before starting IV and giving D50 where she was essentially asymptomatic. At a blood...

I'm a pretty new paramedic (but experienced nurse). Here is my question. A little while back myself and another medic rolled on a diabetic at around 3am. We find a 50 something lady in bed, drenched with sweat. Glucose was 14. She is awake, alert, orientated. Only sympton is the diaphoresis and...

I'm going to second the heli-hansen. In 2001 I worked a winter season in the oil and gas fields of Canada's arctic (If you've seen the show Ice Road Truckers, that's where I was). Incredible gear, very warm. Very durable. Chris

Here in the state of Maine, Intermediates can use CPAP (we use the oxy-peep device) with OLMC, Paramedics can use it as a standing protocol. I've only attempted the device once pre-hospital and had negative results. The patient was so hypoxic he began to panic. I went back to a non-rebreather...

IV first, then nitro. No ifs/ands/or butts. Now I'm going to contradict myself...If IV access is not available I would consider giving Nitro if the patient has been perscribed it and uses it on a semi-regular basis. If my patient crumps I can quickly gain central access using the IO drill...