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  1. J

    FP-C

    I'm not sure really. Two other gentleman at my service took the test and were unsuccessful. I really don't know though. Since I've passed a lot of people are asking what were the questions and basically what's the fastest and easiest way to pass the test. That's frustrating. So I hope it's...
  2. J

    FP-C

    Yeah I thought it was a little crazy too. To be fair though I guess, my service does 911, CCT, BLS, and fixed wing. She's just probably not aware of what FP-C means since the service wants more CCP-C for thier busier ground transports. I'm sure it'll work out. I think I'll study for a couple...
  3. J

    FP-C

    I passed with a 80. It was a very difficult test and I was happy it was because I haven't been challenged like that in awhile. I read 5 different books (2 text and 3 exam prep) and a comprehensive online course over the timespan of 1 year but I would say that only prepared me for about 50 to 60...
  4. J

    Anaphylaxis!

    Thank you for this! We are currently gathering info for some protocol changes and I believe this will help!
  5. J

    Oxygen

    ............
  6. J

    Anaphylaxis!

    Still SQ :wacko:
  7. J

    Oxygen

    I have :) 46 yo male w/ hx of cluster migraines received 15lpm NRB and was asymptomatic before our arrival at the ER. Pretty simple physiology behind why it's therapeutic.
  8. J

    Oxygen

    I concur ;) Neonates w/ L ventricular hypoplastic syndrome rely on a patent ductus arterious for systemic perfusion most of the time. When given high flow O2 the resulting vasoconstriction closes the PDA which results in death. Which is bad. So if you get a call for a "blue baby" and find...
  9. J

    Treatment Question

    Sounds like a handful! My initial treatment probably would've consisted of Xopenex via neb at 6lpm, 18g IV w/ 250ml bolus, and Trendelenburg positioning if the pt would tolerate it. I've witnessed Trendelenburg increase BP many, many times. It's not a myth in my book. What was the pt's...
  10. J

    LR and DKA

    Yes! :cool:
  11. J

    LR and DKA

    Remember that Type II diabetes can be progressive in the pt with poor eating habits. That can easily render Metformin ineffective and the pt would have to start taking insulin. Sometimes, the pt finds this out the hard way if they don't routinely check their glucose levels by experiencing HHNS...
  12. J

    LR and DKA

    Why do you say that? I have a sneaking suspicion ;) I'm just wondering if it's for the same reason.
  13. J

    LR and DKA

    Also, Metformin can cause lactic acidosis. So if the pt was taking it and experiencing lactic acidosis, lactated ringers could exacerbate that I would think.
  14. J

    Any thoughts on giving Thimaine during DKA?

    Good job but still call for your orders! Magnesium is also needed to create the co-enzyme TPP (thiamine pyrophosphate). Given the hyperglycemia the pt was more than likely also experiencing hypomagnesmia secondary to HHNS induced osmotic diuresis. This pt probably needed "banana" bag along w/ a...
  15. J

    What's the nerve that is stimulated by intubation?

    There is a problem with that question. The vagus, hypoglossal, and trigeminal nerves are stimulated by intubation. Possibly the facial nerve also, I can't remember. So you weren't really wrong. If the question had read "What cranial nerves are stimulated by intubation?" your answer would have...
  16. J

    18 yo heat stroke discussion

    Yes, exertional heat stroke has a acute presentation. Yes, Heat exhaustion/heat stroke can cause rhabdo. Heat exhaustion/heat stroke can also cause hyponatremia. We do not know what the soldier had to drink that day or the consistence of his perspiration. The treatment for hyponatremia is not...
  17. J

    LR and DKA

    Lactate is metabolized into glucose and glycogen during anaerobic metabolism. I believe it's called the Cori cycle. Maybe there is a correlation?
  18. J

    18 yo heat stroke discussion

    So you are saying rhabdo and hyponatremia would be considered a ''zebra" in this situation? Electrolyte imbalances and elevated CK/myoglobin go hand in hand with most severe heat exhaustion and/or heat stroke pts. Apples and apples I would say ;) My point here is that treating aggressively by...
  19. J

    18 yo heat stroke discussion

    I'm simply stating to not withhold transport. Do not attempt to "fix" the pt on scene and then transport. Everything can be done en route. If the pt had only water to drink or is a "salty sweater" hyponatremia is a real possibility. The only way to know is through labs... at a hospital. Also...
  20. J

    18 yo heat stroke discussion

    I would have initiated transport early. Cooling can also be accomplished in the back of the ambulance on the way to the hospital. On that note, unstable pt's should be transported as soon as reasonably possible. The pt could have been experiencing a number of medical emergencies secondary to...

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