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    What was going on?

    No, but a lot are, substance abuse is a huge cause and consequence of homelessness. Of course mental illness is also a common reason, people often turn to drugs to deal with life on the streets. It doesn't seem politically correct, but I can't think of one single homeless person I've met on the...
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    Acute MI to Cardiac Arrest

    Interesting, particularly because we are going in the induced hypothermic protocols in our service, It seems a bit counterproductive to give Epi while cooling the rest of the body, doing one thing to slow the metabolism and another to increase it. As to the question posed by the OP, I'd...
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    EMS shirts, Winter Jacket free

    Hi Ive some EMS uniform shirts and a winter jacket from my old service that are basically like new, only wore them a handful of times. I'm offering them free, you just have to pay shipping if you want them Shirts- Black, the neck size is 17, size large- 2 short sleeves, 2 long sleeves...
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    College Research group concerning stretchers

    I can't speak much to the stryker models, as I've only ever used the ferno. However, my biggest pet peave is the lack of brakes on the wheels. The current model I use has no breaks whatsoever. The cot rolling away on uneven surfaces, or rolling out from under the patient when he attempts to...
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    To abbreviate or not abbreviate.

    Why? As long as they are recognized by the health authority you for, then go for it. When we used to have paper PCR's I found it nessesary to use them often, in order to have enough space. I still use them on the electronic reports.
  6. H

    So I got fired...

    I would say, that with the exeption of CPR, an EKG on a code (particularly a witnessed arrest) is the most useful intervention available. I don't know if the quick combo pads were on yet, but knowing if the patient is on a shockable rhythm or not is critical.
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    Pushing meds down the ET tube

    My question is: Why are you skilled at intubation, but not on IV's? In my experience intubation is the harder skill.
  8. H

    Help me clean up this narrative

    If you feel this pt needs to go to a facility with an ER dept, you should take him there. Thats ok, but why bother putting it in at all? The vitals should be written on the run sheet, so unless they are unusual, then whoever reads the report can simply look at the recorded vitals.
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    ER Report Ignores EMS Assessment, Actions

    It is hard to know if this is standard practice for hospitals, because we often don't see what is in the pt's chart after treatment. However, we always do leave a patient care report with the chart before departing the hospital. What they do with it after that point is out of our control...
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    Diabetic EMT

    What rubbish, I worked with a guy who was a Type 1 diabetic for a year and half, he never had any problems at all. So if you want to drive an ambulance, come on up to Alberta, Canada.
  11. H

    trauma scenario help

    Can I ask what you mean by this?
  12. H

    Strange school policy?

    This is exactly the point with these type of tests. It incourages the students to go back and study ALL the material in the texts, and to make sure that you comprehend the majority of the information. If you are averaging between 83-95% on the tests, It seems like you have a good grip on the...
  13. H

    Mosbys Paramedic Textbook, Revised 3rd edition

    Mosbys Paramedic Textbook, Revised 3rd edition This is a new textbook, I used it for school last year. It is in near mint condition, there may be a few pages I highlighted, but its well taken care of. I'm asking $40 for the book. Normal retail is $110-$150 Cheers.
  14. H

    Seizure with 27 YR old and Consent

    My only concern with this pt would be that he had the skating injury with a pole a couple weeks back. Was that a head injury? If so it could explain the recent increase in his seizure activity, did he have follow-up medical Tx for that injury? My decision for transport would rest on the answers...
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    Do the first few chapters in my EMT text book mean anything?

    This is a situation where the words of Gandi apply- "be the change you want to see in the world"
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    Did this provider mess up?

    What makes you think that the personell from the FD who were dispatched by 911 are not qualified to take over? Yeah, I'd say you sound overly pretentious.
  17. H

    Bright Red Venous Blood?

    I routinely get BGL samples off the flash chamber, and its not a bad or lazy habit by any means, provided your BGL strips are rated for venous blood. After a previous debate on the subject I looked at the directions on the side of the test strip box, and they are rated for both cap and venous...
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    Partner not backing me up.....

    I wouldn't say that it is an archaeic law, exactly. If EMS had the power to compel pts to go in against their will, what happens if they get physical and want to fight one of us? LEO's have the training and tools at hand to subdue pts if things go sideways. The same applies for Doctors in the...
  19. H

    everyone carries trauma shears, but...

    Excuse me? ...the hell is a cancer wipe?
  20. H

    How liberal are you with antiemetics?

    So, do ypu mean to say that a vomiting pt with with a decreased LOC will no longer be at risk for aspiration with the simple application of an anti-emetic? In my opinion, if the pt has a decreased LOC, but will not tolerate an OPA, then they still have a gag reflex and can probably be put in the...
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