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i would have taken VF over asytole. Neither is good but im just sayin

what is your thoughts behind PEEP with vent being ok but not with BVM? (all vents should have 5mmh20 baseline I understand anyways). a BVM with PPV and a PEEP valve set at 5mmH2o would expect different results? Thank you for the input.

the only reason they were laying him on a board is because they didnt know better. I also dont have a vent but tried PPV and would have used a peep valve if available. Yes no es bueno.

I fully agree!!

Scary as the state this occured in I can do either needle or surgical airways. In the bordering state where I also work they have removed ALL surgical/needle airways OUT of the protocols. Also currently my system does not have the state requirment of capnography for intubated patients. So that...

Arrive to find overweight male with pink frothy sputum, EMTs on scene are trying to lie him down on a backboard. I immidiately stopped this. Patients Vitals were a systolic of less than 80, RR and everything else is also in the dumps. So CPAP is out, Nitro is out. The only two pressors available...

im honored. Im gunna shoot out another one I think. Thanks this is exciting.

I read he was in stable condition with broken bones, yes very alive. I too laughed out loud, moved a friggin car then left him in the middle of the road. All good things comes with a price. At least this wasnt the NYC incident last week with the car lift gone bad.

If there was much more trouble ventilating there would have been no choice. I just thought it weird to have two near cric scenarios in my first two years as a medic. The first I finally cleared the chicken from her trachea, and this one. Its a pucker factor until I can get air medical on scene...

something I was weighing heavy in my mind as I have had more problems with Narcan than anything. But it did help patient RR improve and increase oxygenation when I needed it most. I had no way of securing his airway but to have him help me, any other ideas?

The Short of it. Motor vehicle crash, pt unresponsive, teeth clenched. In ambulance unable to pass any oral airways, NPA placed. Assisted ventilations, patient respirations are 6 a minute without assistance. Opt not to attempt nasal intubation due to likely complications and increased ICP...

I overlooked that, sorry. I can only find information about RT being specialty information not comparable or covered in the other disciplines. I do NOT believe there is a bridge course for paramedic to respiratory therapist. I believe you would need to pursue a full educational program. There...

depends on your learning. You can do it primarily online these days. There are several programs. A google search will find them.

I would think a lot of these comments are coming out of states that do not have medical marijuana policies. I know of two states where any history of a pain condition brought to a medical marijuana MD will gladly give you the prescription. SO all the crap about marijuana/alcohol laws- get a...

My thoughts exactly. And calcium is number one protector of heart for this

I find deadly hyperkalemia in these patients.

Unfortunately these things will follow you. If you think this is wiped from your record in three years you are sadly mistaken. ANY criminal charge felony or not will come up in a background check. I ALWAYS advise honesty. It doesn’t always work out for you but it gives you the chance to show...

No RSI The Short of it. Motor vehicle crash, pt unresponsive, teeth clenched. In ambulance unable to pass any oral airways, NPA placed. Assisted ventilations, patient respirations are 6 a minute without assistance. Opt not to attempt nasal intubation due to likely complications and increased...

Actually yes, one of mine was a patient with stroke like symptoms as well as a low blood sugar and altered mental. My CCEMTP QA/QI gave me heavy criticism for my decision to titrate the D50 so I got to asking as many ER MD opinions as I could. They are more concerned with the patient getting the...

Well he doesnt have enough sugar to provide brain function. What good is saving a dead brain. Yes D50 is very bad if leaked into the brain. There is good evidence that D50 can easily be diluted down to help reduce the side effects. I agree to call medical control as diluting to D10 for an...