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Ok, not to contradict myself, but rolling a pt into the lateral recumbent position and applying some glucogel into the buccal space is a good idea. The pt will just drool the excess out anyway and the airway will be fine. If even a small amount gets in there, that's a good thing. Remember...

I just had a call the other night with a pt in heart failure that couldn't breathe. Got there and standing, he could breathe with accessory muscle use. Sat him down and he quickly degraded. Sats were like 80% and his lungs were swimming in fluid that when he coughed up, was pink-tinged...and...

Group Supervisor (MCI)

Speak clearly into the mic one second after you press the PTT (or after the tone if you are connected to a repeater). When you are connecting to the hospital, you want to first get their attention because they may be busy with other duties, say, "Big H, this is Screaming Bandaid, got your...

I've heard high praise from his A-list celebrities (Halle Berry, etc.) but other than that, well, I don't know. I have a program that I like called FitDay. It tracks all my calories and daily details and helps me to make choices that follow the routine for the results I am looking for. Look...

I'll start this off, but I'm not going the whole route. I'm going to organize. Need ppl to run the home show: communications, staging and treatment, equipment and operations, and intel. Next I'm going to get Search & Rescue moving. Start with a couple of reconn units (partners in...

Cerebral Herniation Syndrome. Should have been marked by a bounding pulse, not a weak regular radial. BP is peaked so you should feel it unless there is an injury to the extremity (but then you'd be checking both pulses for comparison). Hyper-oxygenate (high-flow) pt to reduce...

Very sad indeed. What a sad world, really. I don't think guns everywhere and licensure of those guns will be a solution to this growing problem. Citizens and the Gov't are just going to have to wake up and stop using lethal force for everything. Start by making bullets a world harder to...

This site needs a disclaimer like, "If you are experiencing a medical emergency, please call 9-1-1"

any fever? Let's get to the hard questions about those abortions, done under care or a home remedy? Any complications? And my other questions above still need answers.

Well, that was enlightening. But not a common scenario for emergency care providers, so we learned something new. Nice.

I'd be thinking UTI. But I would be investigating for rebound tenderness in LRQ, Hx of low-grade fever, and if she still has an appendix because it is really embarrassing to give a provisional diagnosis that it is appendicitis and find out it has already been removed. I would also watch...

I've seen kidney stones that presented over a period of time longer than a week. Come and go and generally more of an irritation until the big day, but yah. Any fever with this pt? How old were those scars? Any history on those? Any pain on palpation? Which side of the abdomen is...

That's what I'm saying!! LOL!

I feel that the less education you have, the less the employer will have to pay you. And I believe that's a big reason for the low standards of EMS. "If you don't go to college and have certification and a restricted medical license, why should they pay you more than a few bucks over minimum...

Wow!! BC is looking damn good! Even SK (where I came from) pays better than that. I make $20.17/hr and ACPs make $30/hr to start. We receive an increase of $5/hr after 5 years. And we are currently VERY upset with the employer because they made a deal with our membership to provide us with...

Do you still have EMRs in NS? We have EMRs working in BC, some remote stations are still entirely EMR operated (relying on local clinics). Not much for ACPs in most parts, so PCPs have a lot more drugs and protocols than other provinces....we're getting Morphine and ETT soon too, and advanced...

Any of you need to cool the burns for 10 minutes? Burns are extremely painful and cooling is the best thing for that pain. Hypothermia and infection are serious issues. But I digress as I believe that Rid will give us a better rundown of how to handle burn pts and why (and I'm rather eager as...

OH, I have another one for people who want to try other. I think this is a good one because I really don't think many rescuers are adequately trained when dealing with burns. I'm really eager to hear Rid weigh in on this one. You are called to a fire. Pt brought to you by FD found inside...

I follow my provincial rules (PCT) and Canadian Heart & Stroke guidelines. I like CH&S better than the AHA, as it makes more sense. Which is odd because the new CPR really was born out of Seattle (Good job, WA EMS!!). We don't typically thump an unwitnessed, but things have really changed...