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Like what? Can't think of anything particularly important at the entrance wound that wouldn't be cleared away by blood itself seeping out of the wound.

Sounds like hypoglycemia. Why the npa? Was there evidence of respiratory distress, hypoxia?

Personally, I dont see why youd need an electronic stethoscope in our business, unless you're hard of hearing. However, I'm lucky enough work for a service that provides us with master cardiology scopes free of charge. But, if you can try one for free, why not give it a shot?

Hmmm, this wholesale administration of NRB's must be an American idiosyncrasy. EMT education in Canada doesn't involve any sort of stipulation that all pts get oxygen, and should also all get NRB's. This seems completely preposterous to me. As to the original question, I fail to see what the...

Not really the point is it? I think the matter is really how one presents himself on a call, making faces and other obvious signs of disgust that the pt could potentially see is pretty low in my opinion. Of course you can't dictate how a person actually feels, but I think its worth a discussion...

The interesting thing about this rhythm is that if it was bradycardic, atropine may be effective.

I have to admit that personally I have little experience with triponin testing. However, It seems that if there is a reliable method for testing in the prehospital environment it would be of some value. Im thinking in particular of those rural services that have protocols for on car...

As far as RanchoEMT's treatment goes, I think, overall, it is sound. I'm sure that no amount of bagging with a BVM in the 30secs on arrival would have "saved" this pt. However, Using the pusle ox to obtain an initial pulse is not the best clinical method in my opinion. There are a lot of...

Sorry to say, but the responsibility rests squarely on the shoulders of the student. It is an individuals own responsibility to research the job market and prospects before choosing to invest their hard earned cash in any educational program.

What I find ridiculous about this whole scenario is that no actual consideration is being given to the pt, who is the one all parties are supposedly there to help. Imagine being a scared, injured, elderly driver and having the first two people who come to "help" you arguing and yelling at each...

Smurfs?

Ive never been a large fan of immobilization when unnessesary. There is no need to cause a pt the increased pain of being strapped to a hard board if not totally warrented. In my urban area the guideline for a pt remaining on a board is 1 hour after arrival at hosp, so if the hosp is busy and...

We transmit all suspected STEMI ECG's. If the ER doc agrees we go right to the cath lab, no stops in ER. A good standard of care in my opinion.

To the OP I wouldn't worry too much about your colleagues armchair quarterbacking on this call, its probably the sign of an inferiority complex on her part. What did the hospital do for this pt on arrival? Did they start BVM vents?

I hate this attitude that its shamful to miss an intubation. There is no reason not to go right to a superglottic airway after a failed intubation attempt. It is critical to avoid hypoxia while wasting time on multiple attempts while trying to fulfill some heroic mentality that good medics...

I wouldnt have a huge problem giving this guy a small dose of midaz. It really depends on the Hx. If after taking a good Hx it appeared these were indeed focal seizures, why not make him more comfortable by stopping it? As said before most of the tests at the hosp will be objective. Hopefully...

There is no doubt that this guy needed a tube. However, if it were me and i was nearly at the hosp, with no sedation, id have held off on tubing him, so long as I was able to ventiate with a BVM. My worry would be the risk of stimulating the gag reflex on a semi concsious pt and having him...

So... We just had metoprolol put on the truck. But not for ACS. We only use it in the case of symptomatic A-Fib with RVR.

Come on out to Calgary (or even Edmonton- if you must), Alberta. Calgary has about one million in pop, were actually quite cultured, very close to the Rocky Mountains- good for recreation in both summer and winter. We have a so/so working relationship with Alberta Health Services (AHS), but the...

Sounds like sloppy practice to me.