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All tattoos tend to get a little distorted with aging and looser skin... however, the inks and techniques used today I would say are better then those used in 1959. When I turn 70, I'll let you all know how mine are looking ;)

I know Demerol can cause severe nausea and projectile vomiting if pushed fast as well. Other substances can act in this manner... as the body detects a rapid increase in a foreign substance it activates nausea and vomiting to help prevent any additional absorption if the source would be coming...

Tracy.... a large number who post here are anti-volunteer and think volunteers are holding back EMS progression so I'd be surprised if u get much useful feedback to your question. Im from PA.... from my experiences the core of fundraising comes from an annual carnival and bingo. And...

My point was I didnt have to learn it in Paramedic school because I already learned it during my time as an EMT. Makes studying a whole lot easier.

The pathophysiology cards are very helpful. There is enough entry level modality and didactic material to learn and conquer without worrying about the 700+ possible causes of abd pain. Once you pass National Registry, then worry about expanding. In the field, good look diagnosing someones...

That's exactly the condescending attitude Irish was referring too. Its great your an educator and all into meetings and on the up and up with the trends and details regarding EMS education. Good for you. Glad you have the time to dedicate to that. Let me guess, you prob get paid to attend and...

Here is the Maryland high dose NTG protocol for CHF.... .4mg (preparing CPAP) .8mg (Pt. education to CPAP) .8mg (Pt. acclimatization to CPAP) Total dose is 2mg... if B/P is greater than 110 then captropril follows it up. CPAP Not Tolerated - Nitroglycerin Dose (Dose at 3-5 minute...

I think he can probably take a joke but over the past few months people have been very condescending over EMT's and volunteers. I think that's where he is coming from.

I have to admit Irish makes some valid statements. I have grown a lot as an EMT and I know many others who have as well! Why people on this forum put down EMT's is beyond me. So what if they dont have a degree or their initial training was only 130hrs. Does that mean they are incapable of...

What I do is make "pathophysiology cards" on the large size index cards.... kinda like you do when you make drug cards. I summerized the pathophysiology for common conditions, list signs and symptoms, and treatment. It works well for review... it really does.

I always have to do a double take when I see PE referencing pulmonary edema. I believe PE is standardized to mean pulmonary embolism while APE, for acute pulmonary edema, is used to refer to CHF. How many are still using morphine for CHF? We dont have it as part of our protocol and I have...

There is a large national advocacy group called the Food Allergy & Anaphylaxis network that pushes legislation to have States mandate BLS ambulances carry Epi-Pens.

If I'm ventilating a patient I use the c-clamp technique. If extra personnel are available, I prefer to have one person maintain the mask seal while I control the ventilatory rate and tidal volume delivered. It is also recommended that while ventilating a patient with a BVM, that someone...

If I understand correctly, anti-emetics aren't a "one size fits all". Depending on the cause of the nausea and which neurotransmitters are involved will likely determine how well a particular patient responds to a given anti-emetic. This is largely due to anti-emetics targeting and inhibiting...

I have heard that it is okay to give CHF patients a small fluid bolus if they are hypotensive and showing hemodynamic compromise. Maryland protocol indicates a 250mL bolus for CHF in these situations. I have yet to start cardiology (will next week) but it makes sense. I'm interested in...

Just curious how many providers utilize capnography during their assessment on a regular basis. I know most are required to use it for the intubated patient, but how many use it on medical and trauma patients? I have noticed that many providers don't seem to use it and it kinda baffles me...

Kinda freaky someone is confident in removing the knife! The golden rule is always to NEVER remove an impaled object unless it is causing airway compromise. If if lacerated going in... its going to lacerate coming back out!... so in effect it would kinda like you stabbing the patient a second...

.... because a long time before I was old enough to even enroll... like around 10 or 11, I was always intrigued with the emergency services and the idea of helping ppl in a fast paced environment. So at 16 I took and passed my EMT. A lot of people knock EMT's as being uneducated and nothing...

Epi-Pens aren't too much for a basic... in PA we have em as primary use onboard the units. Before an EMT can administer, they have to call medical command. Anaphylaxis is a condition where a patient needs epi NOW and not 20 minutes later when ALS arrives. Not all areas are blessed to have...

I am from Pennsylvania and got my National Registry just for the added credential. It may look good to some employers. I took mine at Harrisburg Area Community College... not sure how far that is from you... website is hacc.edu... click on the Public Safety Center link.