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So as I didn't mean to sound rude in the above.... I also did some research and it looks like the other guys are right too. Probably gonna happen....just not in great numbers and not until the 'deadline' gets closer. Good luck man EMT-Intermediate/99 (EMT-I/99) to Paramedic: One of the most...

Yes my friend....I was like 85% joking...although I did hear of a 6 yom developing it with a normal SIVP and a standard 0.07 mg/kg dosage. It was in the PICU here in C springs and the RN that told me about was reliable. As for EMT-I/85's pushing narcotics....I wouldn't be down with it. Here to...

Good luck. No offense but I wouldn't want to be an 'online' medic. Here in CO you would get chewed up and spit out working on the streets.......we have a very progressive system however but there is a HUGE gap between I/99 and P's here. They aren't even really recognized.

I am not really sure where that rhythm is even close to being called AFL..... Its Irregularly irregular, no F waves, ventricular rate isn't at 150 bpm, discernible P-waves with slightly increasing PRI (Wenckebach? Could be 2:1 untypable....?).....all I am saying is if I saw that strip I...

We had a 60 year old student in our class go down when he got stuck with a 20 in the hand....guy turned white and BOOM. Had to get a 12-lead on him and everything....think he even got transported....kinda messed up but it was funny at the same time.

Interesting....that is the first I have ever heard of it. I was taught that a wide-complex V-tach is going to always have a extreme right axis. This and being able to measure the nader point assist in differentiating it from say SVT with abberancy. Please....explain?

Until they develop wooden chest syndrome :rofl:

VT will have an extreme right axis which is useful in ruling it in. I have never heard of it being useful in determining LVH though or any other types of enlargement or hypertrophy.....I didn't think an axis was a diagnostic tool for this, just examining specfic V-leads.

Just for the record too.....2 of my best friends are SOCM qualified. They both were 18D's out of 10th Special forces group. For the record they are NOT tested at the NREMT-P level. The one went to Paramedic school and the other had to do Practicals and then national registry. They are authorized...

Yeah I would hope nobody would try to CPAP a apneic patient.....guess it needs to be said or else someone willl do it though. Probably some dumb Paramedic intern :rofl:

Thanks for all the advice guys. The other thing that sucks about my current preceptor(2 shifts left) is that his EMT tries to act as a second preceptor. I didn't mind at first because he is very knowledgeable and has 5 years of constant street experience. He is a great EMT. He has a good...

Thanks man. I ran a call with another preceptor yesterday and things went way differently. Why my preceptor wants to rush to the ambulance and then try to get EVERYTHING done with a 5 minute transport time with a non-critical patient is beyond me. Yesterday I didn't feel rushed and did things...

I was taught the same and we are all right. Diltiazem is a prefect example and slows conduction time in both the SA and AV nodes which causes a negative dromotropic and then chronotropic effect. Since it also inhibits cardiac contractility it also has a negative inotropic effect as NVRob stated...

Hey guys....so I am nearing the end of my first phase of Internship and I am doing really well. I never worked for a very long time as an EMT but am starting to find my rhythm and put it all together. My pathophysiology, interactions with FD(they respond on almost all our calls), pt...

lol....I always treat pain. Doesn't mean I grab a line for every pt c/o some form a pain bc I am worried they are gonna circle the drain. Thats what I meant.

We had this argument in my Paramedic class and I was one of the only ones (along with most of the instructors) that said I wouldn't do a line on a pt 'just because'. My current preceptor wants lines on a lot of pts that I don't think need them. The way I look at it is that even though we do IV's...

I had a patient last week that had asthma and COPD. When I got to him he was tripoding, with accessory muscle use, satting at 73% on RA. We gave him a albuterol neb and then a duoneb and we ended up using CPAP enroute. It saved us from intubating him. How would you know if it was a COPD...

Yep thats true. Cops and civilians alike have fired on unarmed people more than once and it was usually because they were outnumbered or the perp tried to grab their weapon. If you go for a cops weapon at all he can kill you without having to do much explaining.

I like the sentiment but sometimes if you go the benzo route they will just end up being oxygen deficient after you knock out their respiratory drive......the only benzo we carry at the moment is Versed(we also carry Haldol but that seems to be worthless in the field with short transport times)...

Slurred speech? Uncoordination? Unsteady Gait?........a migraine would be pretty unlikely.