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Question. If your company calls you in for a fixed wing transport and you complete the transport in the evening, but are unable to fly back due to the pilot timing out and have to stay in a hotel, are you payed for the entire time? Maybe I am wrong, but it seems like if I am being forced to take...

Hello all, been a long while since I posted on these forums. I'm looking for some advice. my goal ever since starting my career has been to become a flight nurse. I finally achieved that goal recently and will start orientation in a couple weeks for a local non-profit HEMS service. I've found...

These EKGs belong to a 74 year old female being transferred from a small hospital to a large facility for orthopedic services due to a L2 compression fracture that happened a few days prior. She came to the ER days later due to worsening back pain. Her only complaints are feeling "dizzy" which...

I know this has been discussed here, previously, but I wanted to bring it up in hopes that someone can help me convince my medical director to change his mind. Our current protocol for PAI (we don't rsi) is Ketamine 0.5-1.5 mg/kg for induction. Post intubation sedation is versed 2.5 mg every...

This is a 79 y/o female who was found by her daughter lying in bed difficult to arouse. She has a hx. of dementia, stroke, hypertension, and hyperlipidemia. Daughter states she is more confused than normal. Unsure of onset as she just came by her moms house and found her in bed. On arrival...

If you're working an arrest that goes the full twenty minutes without any signs of ROSC do you take the families wishes into consideration about what happens next? Do you just call the code and tell the family there is nothing more to do and inform them someone will come to pick up the body...

So at my nursing clinical the other day my instructor started talking about Zofran potentiating narcotics such as morphine. I've never heard this. I'm well aware of phenergan and it's narcotic potentiating effects, but hadn't heard that about Zofran. I did my research and found nothing on...

http://www.dailymail.co.uk/news/article-2270944/Rocky-Mountain-High-School-Outrage-high-school-recites-Pledge-Arabic-saying-One-Nation-Under-Allah.html#ixzz2SAiCr600 So this has been on my Facebook feed due to some of my friends re-posting / sharing this. It seems to have some people super...

http://eshiftproductions.com/portfolios/king-county-medic-one-promotional-video/ Watched this today... and now I want to move to seattle and work for medic one! Too bad my wife would never agree to that. Looks like a pretty awsome system. I like the idea of tiered response and the 10 month...

http://www.youtube.com/watch?v=ROrpKx3aIjA This video is pretty insane. This is in West, Texas and its estimated around 70 people are dead at this time and 100 buildings including homes and businesses have been destroyed from the blast. People as far out as 100 miles away are reporting...

Alright so had a transfer today that rather bothered me. Taking a 75 y/o lady on a 1 hr transport to a more definitive facility out of a small ER. She has diabetic neuropathy and little feeling in her feet which causes her to fall. Today she fell and hit the back of her head on the night...

I've been doing a lot of thinking recently, and have decided I'm pretty sure I want to go to med school. My initial plan has been to do a medic to RN bridge program that starts this summer, and eventually move on to DNP. The more I think about it, I would hate to feel limited as a NP and most...

So I had a transfer coming out of small rural ER going to a large downtown facility yesterday. I get there and am told that a 80 y/o female came in for SOB. Pt. is reportedly hypotensive and tachycardic with low oxygen sats. Pt. has A-Fib with RVR at a rate of 100-110. Blood pressure is around...

Hey so I just finished the 6th book in the "Game of Thrones" series. These books have consumed my non-school / work related reading for the past two years. Now that I'm finished (till the 7th comes out) I'd like to read something non-fiction. No medical textbooks I'm getting guytons phys. for...

A little backstory: This is around 4 months ago, my last night working in the ER. I found these strips under my dresser when I was cleaning my room today. I had saved them to share on here and forgot. So the details of the case are little fuzzy as I don't remember them exactly but I'll do my...

Anyone have experience with these? Specifically thinking about getting Guyton's Physiology for my iPad so I don't have to carry another big book with me everywhere. I have never used a e-version of a textbook before so I am not sure how user-friendly they are or if it's just worth it to get the...

Wow I just discovered this from a co-worker last week and it is amazing. If you're not familiar with it, it's basically a massive database of audio / video / course materials from college classes. All for free! You can literally listen to entire semesters worth of lectures from professors at...

Watching this on netflix right now. It's about the EMS system in South Africa and is very interesting. Follows paramedics from private and government ems systems. I just watched a paramedic intubate a emphysema patient who apparently had some significant pulmonary edema going on (I guess from...

Just wondering how you guys use MONA, as paramedics around here that I've talked to have differing opinions on how to use this combination of medications. I found that the way I was originally taught to use MONA in medic school (by my old school firefighter teachers) is much different that what...

Heres a little history. Called to a nursing home for 91 y/o female who you find lying on her side in the hallway. Patients son states she got up to walk and became very dizzy and weak and he had to help her to the ground so she did not fall. Patient states she had a steroid shot in her back two...