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  1. U

    end tidal CO2 for sepsis alert

    I only know of 1 dept in Central FL that does lactate screenings (because they're really expensive). But in the adjacent county, we've been using EtCO2 as part of our sepsis screening for a few years. Our sepsis alert form/protocol reads: 1) Is there an already documented or suspected...
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    Orlando Paramedic schools anyone?

    I used to work with several guys who went there. They had less desirable clinical sites (FH East) and often didn't even have a preceptor, so they couldn't actually do anything besides take vitals. I had a flight nurse for all my ER clinicals at ORMC. Mind you, these problems aren't unique to...
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    Orlando Paramedic schools anyone?

    Avoid the private academies. They will promise you all sorts of things to get your money, then fail to come through. In Orlando, Valencia (West campus) has the strongest program. Seminole State college is probably a solid option as well. The public schools are better funded (so they don't...
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    Stethoscopes for EMTs

    I usually recommend the Littmann Lightweight II SE. Costs $40-50 and works well for field use (they also come in a variety of colors). Lugging around a heavier stethoscope gets annoying.
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    Use of NPA on ALOC patient?

    My point was that the pt probably didn't need to be bagged in the first place if they still had the ability to fight off the NPA. And if they're still responsive to pain, try bagging them first without an airway adjunct (since having a foreign object shoved up one's nose hurts like hell).
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    New To ems pay and overtime question

    Most services pay the standard time and a half over 40 hours per week. I've only heard of a few rural private services who may cheat you with "on call" situations.
  7. U

    Use of NPA on ALOC patient?

    For what purpose? Are you just trying to suction the nasal sinuses?
  8. U

    "I'm Having A Heart Attack"

    I don't think it's possible for anyone's "normal" BP to be well into hemorrhagic stroke territory...
  9. U

    Haix Airpower XR1 boots Size 10.5

    Don't be so sure. I had the same concern with my R1's, but they fit perfectly once the foam around the steel toe formed to my foot. So long as you aren't having to curl your toes with your heel pulled to the very back of the boot, you should be very happy with them for years once broken in...
  10. U

    "I'm Having A Heart Attack"

    Yep, never seen anybody with actual ischemic chest pain running around and agitated. They're generally on the lethargic end.
  11. U

    Haix Airpower XR1 boots Size 10.5

    Are they too big or too small on you?
  12. U

    I am thinking about living in solitude I'm the Alaska wilderness for life...is prn EMT work good?

    As long as you won't have internet access, go for it.
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    Checking pulse

    I count the seconds between each breath (just pick any point in the respiratory cycle and count to the next one). 2 seconds = 30 resp/min 3 sec = 20 4 sec = 15 It may not be for everyone, but I'm rarely off by more than 2 breaths per minute.
  14. U

    L&S Ambulance surrounded and stopped by ATV riders- What would you do?

    He was trying to pass them, one bike got in front of him and brake checked him, he bumped him and knocked him down, and was then hounded by dozens of riders for miles. If I recall, he was also dragged from his car and viciously beaten in front of his terrified family once he got off the highway...
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    Financial constraint question

    Interesting first post...
  16. U

    Overtime vs. 2nd Job

    Overall, I don't think it matters whether the income comes from OT or a second job, as you just pay taxes on your total yearly income. If you get taxed higher on each paycheck for OT, you'll get a better refund than if you had worked two jobs. Edit: Chaz already explained this. Deductions and...
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    Do you utilize law enforcement on your medical calls?

    Nah, he mentioned that his partner is a medic. Inspir, I've heard of the "stare of life", but not the "circle of life". I suppose it would be even more effective due to the extra manpower...
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    Do you utilize law enforcement on your medical calls?

    Why did it take 6 people to administer Narcan?
  19. U

    When you're working and come across a MVA are you obligated to stop

    If they are non-emergency only and don't hold a 911 transport license, they can't bill for a random patient transport. Admin doesn't like giving free rides. At least that's how it works here.
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