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Dealing with critically ill patients is eye opening.

Huh, maybe their website is outdated? With that being said, if they do have a CCT unit, I would very strongly encourage the OP to try to get on it. BLS IFT is a great start, and even some 911, but being around critically ill patients will give you a whole new idea about what the word "sick" means.

Taking a (quick) glance at their website, they seem to have at least one CCT unit that does RN/RT level transfers. From their website: " Assisting the RN are two Emergency Medical Technicians who have had additional medical training relative to nurse-level critical care transports." ^^I'd try...

I could maybe (and that's a big maybe) see transport vents for BLS being appropriate for chronic vent patients with uncomplicated complaints (for example, going to a doctor's appointment). That would be about it in my opinion.

I'm not a fan of bragging in general, but I think I would rather here someone brag about the pain meds they gave than bragging about the pain medications they didn't (we've all heard someone in EMS at some point say something along the lines of "I don't give pain medications unless I can see...

That's good to know. Thanks Remi! I'm gonna echo @NomadicMedic and agree that these sorts of posts are the ones that make this site worthwhile.

Not to continue dragging this off topic, but that's not something that I was aware of. Do you have any links or can you point me in the right direction to read more about this? When I have patients who are sedated/unresponsive I don't want them to be in pain (hence, the prophylactic pain...

I can understand titrating pain meds, so if you're starting with 50mcg and moving up from there until you reach an adequate level of pain control I have no problem with that (though I personally would start higher than 50mcg unless they're a small person). If you're wrong, and they're seeking...

I'm jealous that you guys carry phenergan. Great medication for a variety of different things. I agree with you that 0.1mg/kg is small, 0.1-0.5mg/kg (subdissociative) is the dose I usually hear for analgesia, or a bolus (and 20mg doesn't sound unreasonable). I'm wondering if maybe the plans...

Sounds like a perfect indication for Ketamine (and, maybe, an opiate on top of that)

I'm glad you brought this up, and I absolutely don't mean to call you out on this but rather bring up an interesting point that many people are not aware of. There is no reliable correlation between presence of pain and vital signs. A patient can be in (legitimately) 10/10 pain and have no...

I understood that it was in response to hometown, but for a professional forum I had a hard time reading your grammar and syntax, which doesn't help get your point across.

Thanks! Now I see what he was trying to say! :p

Is anybody willing to translate this into a coherent sentence?

Wait, really? I've never noticed that. What does it say?

Drawing blood cultures in the field is an excellent idea and one that I'm all for! Per the post I was responding to, the service I was questioning was providing ABX prior to drawing blood cultures due to one hospital not giving them the blood culture tubes they use. That's what is hurting or...

Dang autocorrect always changing what I meant to type! :p Here's a link and some videos on placement: https://emcrit.org/procedures/blakemore-tube-placement/ I won't be able to explain it very well, but basically, you insert it in a similar way as an OGT (the tubes shouldn't interfere with...

It provides an anchor for the tube.

Great, now that you even mentioned that we have to sterilize this page. Nice.

I used to work in Lowell doing EMS, and the LGH medics definitely do work in the ER from time to time. I'm not sure if it's between shifts or if it's just for practice or for extra help, but they're definitely there every now and then.