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Patient did have distracting injury/Pain so you assault concern has a conflict. So if they have a distracting injury but everything else is in tact where do you stand? This cant be that silly or unlikely, this was my patient last night. I can link the brief news article of the crash if needed...

You are toned to meet a vehicle carrying a passenger involved in a vehicle fire in a POV now driving towards the hospital. Meet POV, man jumps out covered in approx 40% burns, majority 2nd degree and 3rd to hands, arms, shoulders, legs, arms and legs appear to be circumferential. All burned...

+1, and when you feel better-----DONT STOP TAKING THEM. Or you will start the endless circle. If you need anything or someone to talk to feel free to message me anytime

http://www.facebook.com/l.php?u=http%3A%2F%2Fwww.emtprep.com%2F&h=qAQCG1bkl http://www.facebook.com/l.php?u=http%3A%2F%2Femtreview.com%2F&h=FAQCFf0fL people have good luck with these folks. I havnt personally tried them. If there is anything else I can do I would love to help

In short- D50 is harsh on the veins. Also its beginning to be recognized that pumping a blood sugar from 20-300mg/dL might not be good either. Diluting your solution -you don’t need premixed d10, you can dilute your own solution, maybe not at EMTI level though I’m not sure. If you plan on...

Thank you that is a great list!

Good for you! Wow, I definatly am glad I didnt take on paramedicine at 18, I am still on the young side at 28. I was a lone EMTB scared poop at 18. You should never stop going to school, remind your parents this is a license to learn.

About 11 years EMS if you don’t count lifeguarding and outdoor emergency care (OEC)  Climbed the ranks, EMTB, EMT-I, EMT-P. Some EMT and CEH teaching experience. Outdoor Emergency Care instructor. 12 years Ski patrol. ER Tech in states level 1 trauma center. Work in very rural systems 15-30 min...

Thank You, I will spend some time obtaining and reviewing your suggestions. Our region request QA/QI 12lead review sheets(hospital and service), any airway procedures-BLS and up, and I think there is one other one currently. These change from time to time to reflect the states data collection...

Anyone?

I have started as QA/QI officer in one of my services. I have no real training spacific to QA/QI. Does anyone have ref. material or suggestions? I am asking about things beyong following the "protocol" book, and hitting QA/QI state markers.

My .02 Gun control is sight picture, front sight focus, breathing, and trigger squeeze. We went over how to handle a PATIENT with a firearm, knife, weapon- this includes police officers, they get hurt too- In ALL my EMT levels. I argue no one who is injured should be allowed to have posession...

Good reads, thanks. Follow the money as I have been told.

Well, I know I am performing EKGs on MOST (not all) patients these days anyways. For this area 12 leads and Zofran are standing orders. Shooting a few 12s lead I don’t think would be a bad idea. Not everyone is in the same situation but I know sometimes my 911 transports are 30 min and Zofran...

Stopping to take a breath is always great advice. I do lack experience. I have been a paramedic for only 2 years on Sept 11th (oddly enough). So where YOU may see this "stuff" all the time, I have been watching and caring for only about 2 years. I'm certain they do come "out with this stuff...

You hit on the reason I tossed this out to everyone. Is this warning enough of a concern that you would withold zofran with long QT patients? Or if more caution may be used with patients on other high risk medications that cause a prolonged QT?

So what do we think is safer, Zofran or Reglan ?

Why all of a sudden a big FDA warning?

http://www.fda.gov/Drugs/DrugSafety/ucm271913.htm Zofran warning. Medicine is strange.

What size was your service and how often was this procedure performed?