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PMD - Paramedic CCP - Critical Care Paramedic NRP - Nationally Certified Paramedic or Neonatal Resuscitation Program NREMT - National Registry of Emergency Medical Technicians IAFCCP - International Association of Flight and Critical Care Paramedics ASTNA - Air and Surface Transport Nurses...

Here is the NEXUS study, as published in the New England Journal Of Medicine in 2000. It specifically list, "a normal level of alertness" as what is required when it comes to satisfying the patient mentation portion during the implementation of the "Decision Instrument"...

The 2002 Maine EMS Spine Assessment Protocol, on page 6. This is the closest thing I have found to what I am looking for. But I would still like to actually find something from the actual NEXUS study itself...

I believe most ems providers are aware of the NEXUS criteria. Now looking at the criteria, the presence of an altered mental status -or- inability to communicate -or- intoxication, is listed as indicators for spinal immobilization. With that said, to my knowledge, I am under the impression...

If a pt complained of chest pain/dizziness/xyz anginal equvlent, passed out hit head on ground. Then had a seizure, I will do a 12-lead. It also could be used to look for possible electrolyte abnormalities causing the seizure.

Disregard.

Just like individual states currently licensing their own paramedics, individual states are developing their own Critical Care Paramedic Licenses/Endorsements. So far I know of: Wisconsin Kentucky Tennessee Colorado - Being crafted as we speak! Going to use the FP-C/CCP-C as the...

Just started one. :ph34r:

If anyone has any stories they want to share about vent. transports, and problems encountered during the course of transport, post up and lets hear about it. Malfunctons? Vent. Setting Problems? Known limits/issues of particular vents?

This has only been posted for just over 3 hours and look, we already have 6 votes in the affirmative, with 0 opposing it. This is an excellent idea. :) And then eventually, I think it needs to be moved to the front page, listed directly under "ALS".

It's is precisely because nausea/vomiting can be an anginal equivelent is the reason why most, but not all N/V Pt.s need a 12-lead. If I give you morphine for pain management and you feel nauseated afterward, a 12-lead is of no benefit.

Yes, let's get the other FP-Cs, CCPs and RNs in on this thread, and get their thoughts/votes.

I blame this on the bad apple paramedics that don't care enough to use proper method resulting in higher infection than hospital lines.

Have you ever had a STEMI present with only nausea/vomiting before? I have. That's why.

By acute care, I am meaning 911 ALS response, all 50 States BTW.

I am with Expat on this, we need a "Critical Care" Forum on the main page immediately beneath "ALS Disscusions". Paramedics are involved in more than acute care, we have now branched into critical care as well. There is a lot to be discussed about with Critical Care as it needs to be front and...

Littmann Master Cardiology Stethoscope

Technically? Really. More like nausea/vomiting is without a doubt ALS, and needs full ALS exam including 12-lead if not 15-lead assesment, with an IV! Fluids/Zofran as well. I see that your a student, so I don't fault you for this as much as I would an experinced provider. The last thing...

I agree with every bit of this post, and I currently operate this same way. :cool: This is solid reasonable logic, and properly justifies the necessity of pre-hospital venous access.

If the pt. is going to / possibly have blood drawn for labs at the hospital during their course of care. How is vascular access prior to arrival, fraud? It's for an actual purpose. Prehospital vascular access allows blood to be drawn faster. Now I know what some are going to say, " they...