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    When to discourage transport

    If this is really true (which I doubt), then you need to find somewhere else to work.
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    I need some networking

    1,000%
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    I need some networking

    Honestly I can’t imagine a medic being super useful in the ICU.. My ED recently changed to allow medics to do everything within their scope and it has some benefit but overall it’s not super impactful..
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    Airway

    E. Smash them over the head with an oxygen cylinder so they return to their unconscious state and you can continue airway management
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    3 killed in Kentucky medical helicopter crash

    I have been really struggling with going back to flight. Next June I'll finally have 3 years as an RN and can apply again as a flight RN (the local company bends over backwards to accommodate RN's, including schedule and base assignment).. I really want to fly again, but I remember how...
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    Assessment

    FFS, stop. Don't document assessment on things you didn't assess. There's no other follow-up questions.. There's no other contingiencies. If you have further questions (which you shouldn't) follow up with your supervisor at work for their expectations.
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    3 killed in Kentucky medical helicopter crash

    “The patient is doing well”.. Another unnecessary flight claims the lives of 3..
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    Officer retires after incident with EMT

    Ok but what exactly do I need to do to get on paid suspension until my retirement date?
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    What kind of underwear is best for EMS?

    Nice necrobump. Anyhow, I’m all about the Costco brand boxer briefs..
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    Bariatric Transports

    I am 911 only, no IFT. We’ve seen the same as the others with the advent of the power load system. I don’t honestly remember the last time I felt I needed a bariatric truck and it would honestly take awhile to get one where I am now..
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    How do you treat this.

    That’s a fair point, that said there was a transition between Coumadin and xaralto/eliquis during which I’m pretty sure everyone was put on plavix for everything..
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    How do you treat this.

    After having worked in the ED for awhile, I don’t find cardioversion to be the extreme treatment that I once did. I would certainly prefer having some cardizem but we just don’t have it here right now. Of course there’s so much more to this case that we don’t have. Are we presuming prior...
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    Misdemeanor

    I'm not at all going to ask for details because it's none of my business, but hiring boards absolutely will ask you. That's all you really need to consider. Schools have the lowest threshold for overlooking things - they want your money. Registry will be a bit tougher, but still have a lower...
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    Misdemeanor

    It really depends on what the crime was. But you need to think downstream as well, because certification is only half the battle. Are you going to make it through hiring boards when they ask about your crime?
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    How do you treat this.

    Irregularly irregular, you can still see it at 170, but especially with the wide swing of heart rate as described in the OP, you’d definitely see it.
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    How do you treat this.

    if I had dilt, I’d use it. If not, I’d sedate and cardiovert.
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    My dog passed

    So sorry to hear that, dogs are amazing creatures. I love my dogs more than people.
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    Sedation Deaths

    One also needs to consider shock index, sympathetic storm, and oxygenation prior to sedation. Similar to what we have found when studying RSI deaths, when the patient is barely hanging on and only surviving based on their body's sympathetic release and we sedate and blunt that internal...
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    Allergic reaction: epi yay or nay

    GI symptoms indicate the histamine response has gone beyond a single organ system. Prior to working in the ED, I was much more reserved about my use of epi, but now that I've given it multiple times and spoken to the physicians about the entirety of the situation, I'm much more apt to give epi...
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    Documentation question

    For the umpteenth time, you need to ask the policymakers at the services you run with. Why do I say that? The assessment tab isn't required in every state or at every service. It's not a mandated field in my state and as such, it's not mandated at my department. I would much rather my medics...
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