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Witnessed man down? No pulse? Position and... THUMP! Unwitnessed and 9-1-1 not even dispatched? Check pt hasn't isn't dead. Position and... THUMP! Begin compressions. Rock-paper-scissors for who will do mouth-to-mouth. LOL! Then pull out the pocket mask. Do CPR until EMS...

Well, it is a significant MOI, so immobilization is "required". The additional deficits only enforce that rule.

well, it just isn't an interesting enough thread to read through. I went back to see if anyone else noted the usage for pelvic #s and found NoDirt posted it on p.4. Ok, anyone who lives in the mountains or the northern states may find it useful to know that it can also be used as a decent...

nope. Benadryl and an IV (a hypertonic would be nice, wouldn't it?). Why give Epi otherwise? Don't get me wrong, SVTs are funny as heck, but until the pt reaches unstable and anaphylactic, allergies are managable. As for the hypo, the epi will really just constrict the vessels and the...

Once again, posting without reading the whole thread... KED is a great tool, and extremely under utilized. Has anyone mentioned using it upside down for stabilizing an unstable pelvis? Works beautifully! If it wasn't mentioned, just carefully lift your pt by their waistband or whatever...

Well, it is common sense that you should have lots of different mental tools at your disposal when employed in EMS. An understanding of A&P, critical thinking skills and experience-based logic are all required for a successful career. However, we should always approach a problem from the...

LOL! That's really over-thinking it. A lot of times in EMS, you should employ one of the most important mnemonics of all: KISS (I am certain you know this one). So you can guess that a "blockage" would cause hypertension. Yet, we have hypotension. So what happened between the initial...

If you think about chest-pain as a blockage (partial or complete), then what effect does that usually have on a pt's blood-pressure? Is that consistent with what we see here? Why?

What you witnessed, was one of those rare occurrences in EMTLife Hx -- Rid made an error. Of course, he later corrected himself. He never meant to say Left-sided AMI, he intended to say Right. That's assuming I read your post correctly. As per Hx, I make my share of mistakes all the time.

I remember when one of the common contraindications was P<50. Bradycardia is a common S/S of R-side MI. I had a pt the other day that we were dispatched out to for VD (veak & dizzy). Got there and he was ashen color with cynosis around the lips and B/P of 80/60 (more or less here). He's...

Well, I know better than to argue c Rid. He knows the American system better than I ever will. For Canuckians, never fear! Our system protects good samaritans c training. And in BC, we can practice as good sams the same as we can on car.

That's my point. If you want to carry everything possible, go hard. Someone may one day appreciate it. But just remember that no matter what your certification, after work we are all first-aiders and don't go too beyond that (unless you are allowed....I am, but I don't carry any IV equip...

Phht! I'm sorry but that's just elitist rant. Better questions are "Do you know the indications for supplemental oxygen?" and "Do you know of any contraindications for supplemental oxygen?". O2 is fine for the most simple of people to administer safely. Give O2 by low-flow when there is a...

neat! Never seen a strip of it either.

I am all for going GPS but I agree that we shouldn't become dependent on the technology. I think if you need to fire up the GPS, then you should also be digging out the map. It is just better than sitting in the bus for a few minutes figuring out which way to go if you already have a...

and yet, most of us have personal experiences with glucogel that suggests the opposite is true.

Will do! Google isn't nearly as effective as it used to be....this was all I could find from here and it's not descriptive enough. It's the same question. http://www.diabetes.ca/cpg2003/downloads/hypoglycemia.pdf and then scroll to the bottom of the first page, under the paragraph...

Glucogel itself is a compound that is a macromolecule, not the glucose component. I can't now find the reference to this finding, and I am not a biochemist, but I can provide it when I finish my tour in a few days. Or perhaps someone knowledgeable will be able to corroborate what I have...

Sure if that's all you have to work with. Milk contains Lactose, which is a more complicated form of glucose. However, if the pt is lactose intolerant you won't be doing them any favors. Breads and high-carb products work very well because they are readily converted into fuel for the body and...

Hey Bonedog, good to see another BCAS employee around (if you still are around here) !! You must not get out much past Alpha territory these days. :D There are a lot of EMRs still working in the system, and they can't start IVs or admin any drugs, except entonox and can assist with pt...