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  1. J

    IV's in Paramedic School

    Hello all, Just entering my 2nd semester of paramedic school. So far I've found the coursework to be the easiest part. Instead of being stressed over tests I'm stressed over IV's. 170 sticks in overall my % sucks. Granted most of those were just "oh I wonder if that vein could be hit with...
  2. J

    Using the King Tube in Trauma

    Got it. It's more of a logical progression than I thought. Thanks guys.
  3. J

    Using the King Tube in Trauma

    Only thing I keep thinking is if there are a lot of secretions and the king isn't giving me good ventilation/perfusion should I switch to something more drastic like a surgical cric (considering two ET attempts? More in a viable pt then a trauma arrest obviously.
  4. J

    Using the King Tube in Trauma

    Hello guys, Just entering my second semester of paramedic school. Trying to fine tune by thought process on the use of the King Tube. In my protocols I'm required to limit intubation to 2 attempts. My question is can the King Tube be used in Trauma? I'm not asking if it is contraindicated but...
  5. J

    Air Trapping?

    Hey guys, Had this pt that absolutely stumped me yesterday. I'm currently in medic school and evaluating this pt was difficult. Dispatched as "breathing problems", arrive on scene to find one elderly male pt sitting in his recliner on home oxygen in no apparent distress. Pt is on home oxygen...
  6. J

    CHF?

    After asking my paramedic about this he still believes that stridor can be heard in the lower lobes (after research and a commonsense analysis I believe it to be a cardiac wheeze). If I'm correct COPD doesn't present with fine rales all that often (more wheezing than anything) and with the...
  7. J

    Finding Drug Trade Names

    I've heard great things about epocrates I'll have to check it out. Thanks ya'll
  8. J

    Finding Drug Trade Names

    Hello all, I'm trying to find a good reference for drug trade names in the U.S. My paramedic school instructor wants all the U.S. names. I'm specifically looking for an internet reference because I already have a book reference for all the trade names. The problem then is that I'm not...
  9. J

    CHF?

    Looking back on it I have no clue why he didn't. Possibly trying to see if the neb helped to form a differential. Still the highest her saturation got to was 86%, still pitiful. She was also tiring out by the time we got to the ER, should have been on CPAP immediately.
  10. J

    CHF?

    Unfortunately my medic continued with the nebulizer, CPAP wasn't initiated, jaundiced look was over the whole body, not so much in the eyes like you usually see. I'll ask him about it later. Upset with myself that I didn't pay more attention to the history, pretty sure just chronic CHF. Probably...
  11. J

    CHF?

    O2 at home I'm not sure. She was sleeping on 2 pillows, barely any peripheral edema, JVD was a negative, no evidence of old MI on the EKG. The bp started coming up once we got her upright and to the truck. CAO X4 for sure. With her weight (120 lbs) I don't consider her bp really that hypotensive...
  12. J

    CHF?

    Hello all, I"m currently in Semester I of Paramedic and I have about 7 months of EMT-B experience in a rural 911 system (3 to 4 calls a 12 hours shift) under my belt. I had a call the other night that puzzled me. Sorry for the broken history, the medic was getting the history while I was...
  13. J

    Fellow Floridians!

    What information do you need? I think I saw a guy like you on my truck the other day. Good guy, will do well. Small world precepting you for 2 hours only to realize I ignored you on EMT life.
  14. J

    Driving Emergency

    I got dinged because it was a little jerky. Granted the steering was really loose. Just something I have to work on. I did re-read our protocols though, you are allowed to go opposing. But both shift commanders that I talked to (one is on the drive cam review board) told us if we get into an...
  15. J

    Driving Emergency

    Just finished by company's CEVO course. Overall I did fairly well. Didn't really struggle anywhere other than parallel parking on my driver's side (I typically parallel park on the right side of the road not the left). During the narrative driving portion I did perform one unsafe maneuver on the...
  16. J

    Driving Emergency

    #1 is the toughest. The other ones I think I got :D
  17. J

    Driving Emergency

    Just got my first EMT job with Sumter County EMS (run by Rural Metro) here in FL. I'm 18 yrs. old (almost 19) so my driving experience is minimal. What are some keys for my safety out there on the road? Specifically in regards to emergency I have a few "specific" questions ;) 1) When clearing...
  18. J

    Fellow Floridians!

    Coming at ya'll from Ocala. Recently got my EMT-B card in August of 2013 and just got hired by Rural Metro in Sumter county. Surprising considering I have zip experience and I'm barely out of high school (last year as well). Have any of you guys worked for them?
  19. J

    Definition of "Approved by Medical Director"

    Hello all, I'm currently applying for an EMT position with EVAC in Volusia County FL. One of the questions asks if I'm "approved by the medical director to practice as an EMT". Since I haven't landed a job yet and I haven't technically talked with the medical director (even though I am...
  20. J

    Decisions

    Thanks for the advice. I guess I'll make my decision in a few days as classes start.
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