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  1. Hal9000

    What do you carry 24/7 while on or off the job?

    Wallet Keys Phone When in the wild hiking: Ruger GP100 3", Buffalo Bore. Have laser but don't use it.
  2. Hal9000

    Throwing down the gauntlet

    Yes, emphatically. I have told myself that on numerous occasions.
  3. Hal9000

    Help for final!!!

    Said the PA who began to intubate and was then cursed at.
  4. Hal9000

    Accidentally dispatched to Unsafe Scene

    I have been in too many scenes like that. Mainly, they are simply irritating. I've been yelled and screamed at, but I've managed to talk 95-97% of them in to being calm toward me, if not even apologetic (including someone who choked two subjects until they lost consciousness, and then ended up...
  5. Hal9000

    EMT-B says "I'm a medic"

    Whether or not our system saves lives, I don't know. However, I do know that there is very little oversight. In fact, I know a few EMT-Bs that have an ET endorsement and have never even seen one in real life. Great success!
  6. Hal9000

    What kind of call do you fancy? Or not.

    I find that I no longer have a preference. It all blends into a nebulous mass of inspissated memories. I guess I'd rather have ones that involve only friendly people.
  7. Hal9000

    Applied for a job

    I imagine that the creators of that test feel pretty good about themselves. :P
  8. Hal9000

    States and EMT-B Morphine Administration

    As it turns out, the state officials say that currently no company makes an autoinjector in 2.5mg for morphine, though there is one 10mg version that is somewhat common. The state says that a company that makes the 10mg version will cave to demand and produce a 2.5mg one. Given that the...
  9. Hal9000

    States and EMT-B Morphine Administration

    I do not believe that many Basics have posted in this thread. However, since it involved Basics, I did put in the BLS section, though it irked me to do so. It seems safe to say that only one state is allowing Basics to give morphine.
  10. Hal9000

    States and EMT-B Morphine Administration

    This reminds me of my previous post, where I mentioned the CRNA. It's sad, but I've seen such professionals not volunteer because they didn't want the hassle of "wasting" 120 hours of their lives listening to an uneducated EMT-B lecture them as a "lead instructor." I understand that the...
  11. Hal9000

    States and EMT-B Morphine Administration

    Some great points, and thanks, Veneficus, for giving such a detailed answer—you and JPINFV will be the ones who can make these decisions, anyhow. In some situations, I can see it being used wisely. Given that medical directors have to authorize the trainings to allow the autoinjectors, and...
  12. Hal9000

    States and EMT-B Morphine Administration

    And seeing as how I think the purpose of this is to help with long transports/time to ALS or definitive care, I can see EMTs requesting to use a few auto-injectors of morphine...and then getting to go all the way to the hospital with their one or two Epi-Pens. Anyway, good point.
  13. Hal9000

    States and EMT-B Morphine Administration

    Yes, very Basic EMTs. ;) And I concur with all your points, and believe that the safety levels (BLS units suddenly keeping narcotics with little or no training as to security procedures) will be diminished as well. However, a group of physicians determines these protocols, so my opinion...
  14. Hal9000

    States and EMT-B Morphine Administration

    For the sake of the EMT-B part of this thread, I suppose we should simply consider medications regardless of route. While fentanyl IN may be easier, I'm somewhat more interested in the concept of EMT-Bs being given the ability to give the medication sans direct ALS supervision, regardless of...
  15. Hal9000

    States and EMT-B Morphine Administration

    MT also has glucagon and dextrose, but not Narcan. Of course, most of these are EMT-B plus a couple hours for an endorsement here and there. I'm not familiar with the levels in TN. Regarding , would you elaborate?
  16. Hal9000

    States and EMT-B Morphine Administration

    I'd personally like either of those options better. Nitrous would be nice because I believe is not on the Schedule, and fentanyl because I prefer its use. The medic system in which I work has moved to almost exclusive use of fentanyl. Your mention of no sharps is also very important, as many...
  17. Hal9000

    States and EMT-B Morphine Administration

    I cannot express my apprehension as a function of my arms, Mr. Brown. The number of auto-injectors is limited only to the number the physician online says may be used.
  18. Hal9000

    States and EMT-B Morphine Administration

    I suppose that will come down to whoever is on the other end of the radio/phone in consultation with the EMT-B in the field. Many of the physicians in the rural areas are of course familiar with the resources they (don't) have, so I imagine that they'll authorize higher doses, in this case done...
  19. Hal9000

    States and EMT-B Morphine Administration

    Those are very valid concerns, not that you need me to confirm that. I have witnessed a certain naivety among rural providers. It's sometimes easy to forget that their are meth labs around, but out of sight, out of mind. What would you suggest instead of morphine, if you don't mind my...
  20. Hal9000

    States and EMT-B Morphine Administration

    Yeah, that's why I went with just single digits. I thought that perhaps such rural areas as WY, AK, etc. might. According to the Montanan Board of Medical Examiners, EMT-Bs can now utilize Morphine 2.5mg auto after contacting medical control and with BP systolic >100; further admin...
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