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ETCO2 and waveform capnography.

There was not really a V/Q mismatch once I got the patient intubated. The situation really seemed more like the SNF let the pt sit for over a day with low SPO2 because "we did not want to give him more oxygen because he might have CPOD and go apneic." I think by the time we were called, the...

I was thinking about this the other day, and I wanted to see if anyone knew of any literature/answers here. Here is the question: How long does it take for ETCO2 to fall after cardiac arrest, assuming CPR is not being provided? If ETCO2 remains high or WNL (>45) w/o CPR, is it safe to assume the...

If you are referring to an N95 respirator fit test, you might need to shave your face. If you are referring to a fitness test, you might have to go to the gym and work out. Shaving your face and working out are good life practices, so I would recommend you do both regardless of your career in...

On a foundational level, Christian and non-Christian counseling differ on their fundamental assumptions about where truth is derived, and what it means to be human. With all of counseling, whether Christian, or other, there really isn’t one approach. With psychotherapy, there are many theories...

Being resisted with the state is great, but it does not tell us how our charitable contributions are being used.

It depends on what you mean by "depression." From the sound of it, this may be grief. Although the DSM 5 changed the criteria for the diagnosis of depression to allow for bereavement as a precipitating factor, I think that it is important to draw a distinction between grief and an outright major...

Right now I’m basically not. I’m in a rural system so our transport times to even a minimally equipped facility is >30 minutes. I did work one ejection where the patient was in his 20s and the cause of the arrest was likely a ventilatory problem (massive face trauma). But that’s about it...

Just thought of this: There is a precedent for non-physicians being called "Doctor" in the hospital. Clinical Psych (PsyD and PhD) have been called Doctor for a long time. I don't think clinical psych going by "Doctor" this has ever led to adverse outcomes…

I agree. Healthcare as a whole is putting a bigger and bigger emphasis on higher education. With that should come the ability to use an academic title in the clinical setting. "Hi, I'm Dr. Smith, your physical therapist." OR "Hi, I'm Dr. Winslow, your psychiatric nurse practitioner." should be...

Exactly.

While a sad scenario, this one does not fall entirely on EMS. The patient sat in the ED for 4 hours. If those were really the assessment findings, the ED certainly could have and should have triaged this patient as a possible CVA. Realistically, there is not much that EMS can do for a stroke...

I've had luck with my state agency (Michigan). They ask for a syllabus and breakdown of course content and the state then makes their own determination on how many credits they will grant for the CE. I know some friends who were able to recert their state medic licenses by submitting syllabuses...

I did PERCOM and had a pretty good experience with them. I just finished RN school, and I also have a BA. The educational rigor of PERCOM was comparable to the aforementioned. Many distance Medic programs have clamped down on out of state clinical rotations because of accreditation requirements...

Do the right thing. If a patient does not want resuscitation and they code, contact medical control and explain the situation. It is unethical to go against a patient’s right to refuse care. Yes, I know this is complicated if a written DNR is not present. I have run on many patients who do not...

We are getting it for hypotension. Supposedly Epi PDP will be an upcoming change to the Michigan statewide protocols. http://www.saginawvalleyems.org/protocols/awaiting/1-5%20-%20Shock%20-%20STATE.pdf

Gaumard has some mid and high fidelity manikins that I really like. We have not adoped any of them yet... but the Code Blue III looks comprable to the SimMan ALS. http://www.gaumard.com/s300-100

Ummm...Pilot and Medic are two distinct jobs. You apply to be one or the other. I'm a private pilot, but I have no desire to ever fly commercially. I have never ever had anyone even ask if I were a pilot when applying for HEMS Medic jobs. If I comes up, it is because I bring it up to highlight...

1) Take a refresher 2) Send paperwork to NR 3) Use your last 3 attempts

I like to tell (the same) jokes to patients to help lighten the mood and get people to relax. What patient friendly jokes do you have? Here are some of mine: Did you hear about the kidnapping at the school? It's okay, he work up. Why did the aligator wear a vest? because he was an...