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Hastings, do you care enough to give your best to the people we serve?

Welcome Maggie and good luck!

Compensated shock - normotensive to mild hypotensive, basically the body in a very general way is handling the insult DEcompensated shock - hypotensive, tachycardic, thirst, decreased diuresis etc. The body is losing. Irreversable shock - game over. Unfortunately, the terms are too...

Padding the board is the thing to do. Also, a great adjunct is the full body vacuum splint...for that "splinting in position found"

Sorry. That goes over the line for pain control. Are you considering giving Lido or Fentanyl before an accucheck stick? Admin a little dermal LIdo before the IV in a suspected ACS? I think we have other things to worry about out in the field than the stress of an IV in an AC. Pain...

Herd instinct:P

ok, how's this. My girlfriend didn't know how to take the line, "Wow, you've got beautiful veins..."

Well stated. More and more services in my area have instituted a no show tattoo rule along with moving away from informal t-shirt or polo's to uniforms with badge/service identifiers and gee, we saw an improvement in relationships with the hospitals and the communities. Professional...

The state has moved to the latest national registry requirments but not all have programs have become degree programs, unfortunately, although that is the push from IDPH. The local program is part of the college of nursing so the prerequisite courses are all the same. Easy to transfer over which...

Vent. Agreed any area of pathophysiology is complex and requires a broader understanding. The question was for an approach and I chose not to answer with a monogram. :-) As for 6 months and 700 hrs for paramedic training...around here it is two additional years, 1200 hrs along with A&P, Intro...

Thank you, Vent. I had not been thinking along the lines of post-resuscitation, instead focused on the immediate working the code. My thoughts are an airway with good ventilations is better than attempting the definitive airway during the code. Could the ETT wait until resuscitation is...

Vent, a question. A Basic asked me this and I didn't have a good answer other than an ET tube is a more definative airway. We had a code, an obese pt with a very anterior trach. I couldn't get the tube on the first pass. Didn't try for a second, instead grabbed a King and inserted it while he...

If were a student asking me that in the back of a truck, I would tell you to approach it from a why and how perspective. How does oxygen get to the action area? A ventilation versus respiration view. Air moves in and out through the tubes - the brochi and bronchioles. Conditions like COPD and...

There were many initial studies glorifying amiodarone. Since then, the follow up studies haven't been so kind. I have seen reports that amiodarone and lidocaine don't play well with each other which negatively affected earlier studies, that amiodarone only approaches the efficacy of lidocaine if...

I had an instructor that used to joke about how the bretylium bush ran out of berries... As far as I know, the manufacturer ran out of one of the source ingredients about ten years ago. Bretylium manufacture resumed but the medical field moved on without it.

Our system uses locks on every IV, fluids or not. Many times an IV with a lock is precautionary - ex. a syncopal pt that has regained consciousness upon arrival. That pt has IV access for transport. Reason - what if the syncope was cardiac in origin and syncope occurs again? Treatment won't be...

It is but think of it this way - tachycardia just refers to a rate that is faster than normal. Thus if the atrial sinus pacemaker rate is 60-100 bpm, then 110 would be sinus tach. If the a-v junction pacemaker rate is 40-60 bpm, then a junctional rhythm rate of 80 would be a junctional...

brilliant - I have some students to show this to :-)

Medicine Man, something to consider... The best physicians, PA's, and nurses I have worked with 'came up through the ranks.' That is, they were medics before they went on for further training. It shows in their demeanor, their superior patient relationships, their wider knowledge base, their...

Requirements in our area are pretty simple. BLS experience of at least one year in the field, currently belong in a system as a basic, no pending disciplinary actions, good recommendations. Then you have to knock off the anatomy and physiology requirement but that can be done concurrently with...