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Its also worth noting we dont have bipap Or RSI within our scope and As stated before, Taking an RT wasnt an option So this was quite unfortunately for the pt....The best option that anyone had.

Your totally correct and i totally contradicted myself. My apologies. I would more correctly state it as not really "sleeping" but her entire baseline being a just "responsive to verbal stimuli" from the get go sorta deal. Which still sounds bad.....and your 100% correct...She very well COULD...

Yeah and its santa barbara......and You run the show, not fire. And good protocols. Ive been seriously tempted to take a job with them for a minute now. Dont they have that oil rig gig too over there? Sounds pretty sweet if you ask me. I may be making 73K a year as a medic with under a year...

We use Flow-safe 2 EZ Cpap masks here. Its the type that plugs directly into the Main 02 tank and is....like the name......very easy.

Yeah i 100% agree with the above posts. She should have stayed on bipap, not an emergency CPAP mask for a 2 hour 30 minute transport. She was supposed to be a CCT Air Transport and they were grounded due to weather in area which happens pretty frequently..... me and my partner wern't super...

learn something everyday! I know PEEP, Just never heard it called EPAP....

They were on bipap in sending hospital. Im honestly Not sure what Epap is. Sending facility didnt specify an Abg. Receiving hospital did one but i dont have info on that result.

Cpap was at around 7 to 8 mm/h20 which was what the sending facility had it at as well. She maintained fine on that and i didnt want to max it out and risk dumping her pressure or something just to have a 99% Sp02 or something dumb. She had nearly every resp issue there was without throwing in...

So i just used the Intubation style ETC02 monitor which fits nicely into our type of cpap and doesnt interfere with the mask seal at all. We dont have ventilators on our units so thats not an option. Also her bp was perfectly fine the whole transport. Lowest it got was 110 systolic and was...

Oops. I Knew <35 was alkalotic. My bad mixing them up. ..... *sheepish grin*

the pt had MULTIPLE respiratory etiologys, Sending hospital stated pt was speaking in 3 to 4 word sentences at baseline and that was an improvement for her apparently. So yes the tachypnea was a normal compensatory response

im currently a brand new medic under a year making 22.05 an hour doing 911. We have senior 10+ year emt's making 6 figures a year here too. no joke.

Hey so had a kinda interesting call today where i second guessed myself and wanted to share i guess. 80 something yo f, A&0X4 GCS15 transfer for +Flu, CHF new onset, NSTEMI , Pneumonia. pt came in originallly for difficulty breathing, transfer for higher level of care. in er pt decomps on NRB @...

Ive been a new medic going on 6 to 8 months now with a moderate to low call volume in a 911 setting. it takes TIME. Ive ran serious calls and done well, ive done mostly BS calls. im BARELY now starting to feel comfortable in the sense of "i got this no matter what the call is" type of thing...

Well the pt arrested due to major conduction defects from the septal infarct and not from the hypotension. The fluid overload didn't help at all... And mind you I had a nearly 90 minute Transport time where he got steadily worse and worse... Watching his stemi tombstones grow and grow on...

Soooooooo our department will either show up all antsy....then ask to be immediately cleared because they have a fire to go to.... or else they'll just straight up say they arent available. Or they'll respond to call and the second were on scene just bounce. Fire's trump all for our area...

hence the piggy back. i always sorta wondered why it was there. i always thought the med / fluid itself did a fine job of "pushing itself in"....whats the exact logic behind that? were just ensuring theres absolutely no backflow due to the low infusion rate of the med?

Sooooooooo someone will probally yell at me for reviving an old thread but trying to not start a new one...... If im giving A dirty EPI drip at 2mcg/min Which is our protocols, in a 60 drop set...(or 10 drop set......whatever) Id just do a 1:1 Epi in a liter of NS which would give me a 1 to 1...

i know.....I know trust me. Luckily its a small enough company that i know exactly what partner i can rely on and who i cant. But regardless......I wish things were different but it'll just take time for now.

That would be an excellent idea. but unfortunately our company was just bought out and we've been in the midst of MASSIVE transitions for months now and this is the least of the issue on managements hands unfortunately. Theres also the fact that it often falls down to certain crews...