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Does anyone have experience with the First Tactical ’large’ Jump Bag? It seems to have a few nice features — ‘infection control’ exterior, module-based interior organization, and no exterior pockets of zippers to get caught on doors (I’ll admit, this has happened to me a few times). Do other...

A friend of mine works for a volunteer fire service which also does medical response. They have an ambulance and sprint truck (Chevy Tahoe) in their fleet and operate as ‘medical first response’ (stop-the-clock). Since they not a licensed ambulance service, they do not transport patients. I’m...

The protocol for Succs. lists the following Contraindications: - Hypersensivity - Family Hx Manignant Hyperthermia - Known or Suspected Hyperkalemia - Myopathies assoc. with Elevated CK The first three make sense and are discussed in various airway, pharm., and anaesthesia texts I have...

Here in Canada, EMTs and Paramedics are starting to appear in Emergency Departments (EDs) in a few provinces — Nova Scotia, Saskatchewan, and British Columbia. No surprise, these are the provinces with the lowest paid medics and also have very rural areas and low populations. I can’t speak for...

I was re-listening to EmCrit podcast #205 titled “Push-Dose Pressors Update” and around the 25min mark Dr. Weingart made the claim that ‘anyone using push-dose pressors should know how to initiate a Transvenous Pacer (TVP), otherwise they shouldn’t be using them’. My question is this — why...

My news feed just produced this article. Interesting story. I purchased a Garmin InReach Mini a couple months ago and seeing stories like this confirms I made the right decision. Side note — does anyone know what heli company this is? It says ‘Utah DPS’ which to me means District Police...

I just wanted to take a moment to say ‘thank you’ to the people who post here on EMTLife. I recently made a post on an anesthesia forum looking for advice on text books (I’m looking to further my knowledge and have aspirations of attending medical school to pursue anesthesiology). Needless to...

Phillips recently purchased RDT, the manufacturer’s of the Tempus Pro cardiac monitor, defibrilator, ultrasound, and video laryngoscope machine. Basically the most amazing device I think I’ve ever seen. However, there’s almost no literature/reviews out there. I’ve spoken with RDT and they...

Every protocol I’ve ever seen indicates Dimenhydrinate as the primary antiemetic and specifically indicated for nausea secondary to narcotic administration. I’m also not aware of Ondansetron’s efficacy for narcotics. Despite this, almost every patient I’ve picked-up for transfer has received...

I feel like the title of this thread is almost an oxymoron. In EMT school we learn to ‘resusitate’ hypotensive patients with fluid because, well... that’s all we had. As Paramedics we have better understandings of underlying physiology and more tools in the toolbox. Someone recently told me...

I did my Paramedic training in an area where Propofol was a Critrical Care only drug, so while I was familiar with its purpose but I did not receive any specific training on its use. I have now transferred to a different region where Propofol is within my scope, however despite completing the...

My pharmacology textbook identifies Dopamine as the precursor to Norepinephrine and suggests it has the same pharmacodynamic profile. To the best of my knowledge, we do not typically associate NorEpi as causing tachydysrthmias. Some internet-based sources suggest Dopamine shares equal...

Years ago I was shown to dilute Diphendramine in a 10ml Saline flush (1ml drug + 9ml saline). Recently however I was told that’s bad practice and to always draw my fluid from a saline bag. The person correcting me suggested there was something in the saline flush that could interact with the...

I’ve been noodling about this for a while now. It’s an issue I’m pretty amped-up about, but feel like it might create a polarizing response. The issue is this... I have two seizure protocols that effectively state for any patient experiencing a seizure in presence of hypoglycemia, they are to...

I’ve seen a lot of different styles; some shoulder-sling bags, others repurposing camera bags so they can stand their coffee mug up in them. I’m curious what you use. *if possible, please include a photo of your set-up* - C

I’ve been flying on the AW139 as of late. Man that is one sweet rig, but I’m told by the senior guys that it makes a significant difference if you got the ‘air medical’ unfitting completed by the manufacture or third-party. - C

Hey all, I’m trying to decide which book to purchase, but I haven’t been able to get me hands on either copy to flip through. Is anyone familiar with these texts? ECGs Made Easy (6th ed.)...

I’m curious about working in the UK. As a Canadian, we have the opportunity to work in other commonwealth countries fir up to two years without too many hassles. I’ll be finishing up my Advanced Care Paramedic program next semester and I’m wondering about labour mobility and registration...

I'm curious what HEMS/flight medics are making across the US. If you have an idea on annual salary, please post Location / State. Thnx.

***see POLL above*** In my area, tactical medics are a 'newer thing' with each city and its local EMS service taking a slightly different approach to the selection process and how they are implemented. The general consensus is that Tac medics are employed by and report for duty to their local...