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I was taught to remove dangerous objects from the area surrounding the patient and let him seize. Once he's not convulsing anymore, then consider whatever. You'll make things worse by trying to hold him, finger his mouth, etc. Try to figure out the medical history and length of seizure for...

My understanding is that if the patient has vomited, do not give anything by mouth for at least thirty minutes. Then begin with sips of water--up to 4oz every thirty minutes. As for the issue of a coexistent MI, I would punt to a paramedic's discretion. Is there some way to give medication by IV?

I realize this is an old thread, but I had a question about this company. I know they do IFT/CCT and AMR is the 911 contract provider. However, this video makes it look like Bayshore is a 911 provider. Do they often get pulled into 911? Is this just a marketing thing? Did they previously have...

Good point. I always thought of verbal stimulus as the pt grunting or something, not talking appropriately. But what you're saying makes sense.

Not actually prod... I meant it figuratively. :P You have to keep saying "Hey! Pay attention!"

Let's say your patient can answer all of the A&O questions, but he isn't "alert" per se--you have to prod him to get him to talk. His only companion is slurring her speech and walking with a wobble and wanting to drive them both home. You ask the pt to remember three words and five minutes later...

Usually some bystander reports an unconscious guy yelling at people (???) way over there and we go investigate.

Harold is my favorite helicopter. He can do anything.

Buying a fleet of EMTs? Do you mean hiring EMTs or buying ambulances? For what purpose?

It would appear that they accept a certain number of online CEs but the rest have to be "instructor led." I have the same issue with my agency but it seems you will have to get your agency to list itself with NREMT.

I put "EtOH" in quotes because it's a diagnosis of last resort, I know. Be suspicious of hypo/hyperthermia, stroke, hypo/hyperglycemia, and the whole kitchen sink. We were dealing with a special event this past weekend and "patients" tend to straddle that line between competent to refuse and...

In one of my earlier posts I asked about why EMT/Paramedic licensure is a thing, and it turns out that laws encourage organizations to hire an individual trained to a standard and vetted, rather than just some guy who would be trained by the medical director. Turning that around, in states...

My vague understanding (based on listening to "Inside EMS") is that per the 2015 AHA guidelines, epinephrine is due for more study, but has marginal evidence suggesting it is helpful in the right patients if given correctly.

Maybe try the ALS forum where the paramedics live.

COMA TOAST!!!!!!!!!!!!

I had an afterthought. Is replying to yourself bad? Are you going to 5150 me for talking to myself or something? :P

I do almost exclusively special event coverage. We do what is needed for the event based on risks anticipated, so there is no template that is always followed pedantically every time. Small events get a first aid station. More wilderness/park events might get bicycle ambulances and golf cart...

This is a thorny issue that I think is well argued in and better suited for other threads. With regard to scene safety, I heard that the "BSI, Scene Safety" mantra makes us complacent to scene safety after initial size up. I'm just as much to blame. A firefighter one had to practically punch...

The categories of "public safety" and "healthcare" aren't universal laws of Physics. They're bins assigned names by humans to put things in. You could call EMS Shirley instead if you wanted to I guess.

I suppose the key point of contention is whether they would actually be able to demonstrate a superior quality service. In the name of volunteers everywhere, I certainly hope so.