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A coworker of mine responded to a young female in status epilepticus. Seizures continued for 20+ minutes without the patient arousing at all prior to their arrival. Upon arrival the patient's GCS was 3 and some vomit was suctioned from the oropharynx. Vital signs were otherwise non-specific...

Does anyone have a checkout or inventory sheet they'd be willing to share with me? I am revamping our service's checkout sheet and don't necessarily need to reinvent the wheel, but am looking for good ideas. You can post here or PM for my email. Thanks in advance!

If you were redesigning your agency or system drug box, what would you put in it? I think we can assume the ACLS drugs (epi, vasopressin, atropine, amiodarone/lidocaine, adenosine, dopamine) are there. ? on procainamide... I would argue for: zofran aspirin nitro SL + IV cardizem narcan...

The recent thread on caffeine got me thinking about treatment of chest pain secondary to stimulants, whether that be caffeine, cocaine, whatever. Obviously these things can cause vasospasm, increased myocardial oxygen demand, etc., and lead to ischemia and infarction. Treatment of chest pain...

Another discussion about pain management... Took an ITLS class the past two days. I was largely unimpressed with the course content (couldn't find a single thing not in the EMT-P curriculum), but we had several very intelligent instructors and students, and several good discussions resulted...

I'm headed up to Petoskey, MI for a Wilderness Advanced Life Support class next week. It's accredited by Wilderness Medical Associates and hosted by Northern CAIRN. Supposedly taught by the MD president of WMA, and a CEN/RN/WEMT-P-IC/FAWM. I'll let you all know how it goes!

Patient Summary: 26 y/o female with worsening left flank pain over the past 3 days. It has been a 2-3 out of 10, just kind of achy; but this morning is a "20" out of 10, woke patient out of her sleep, and she couldn't get back to sleep because of the pain. Patient was tachycardic, tachypneic...

I have three bags available for sale/trade: 2 StatPacks QuickLook Bags. In good shape. The clear outside area (for the AED's) and clear top of each module/pouch does have some sticker residue from 1x3" label stickers we used to identify the contents. http://statpacks.com/ems/quicklook.htm...

Phillips FR2+ AED Recall http://www.healthcare.philips.com/us/products/resuscitation/products/fr2plus/action.wpd Philips Heartstart Fr2+ Automated External Defibrillators - Recall Audience: Fire departments, emergency medical services personnel, hospitals Philips and FDA notified...

From another thread, "Titration for normal saline" (http://www.emtlife.com/showthread.php?t=13850) Hextend, Hespen, or others still being used? Civilian or military only? I heard all of these products were taken off the market due to poor outcomes in civilian studies.

Our protocols call for diazepam IV in the case of seizures. If IV access is not available, we can give rectally. I had a patient this past week who was actively seizing upon our arrival, and had been for 20+ minutes. The patient had limited perhiperal IV access. I had no luck despite three...

Passed medic class yesterday with the highest final grade in the class (thanks to emsresponder and emtlife forums, no doubt). Now it's just a 150-hour externship and NR... Also took a full-time spot working a 911-only ALS car 6p-6a. Should be a good time.

What is the process for becoming an NREMT proctor?

I am an EMT-I and on a ground SAR team. I would like to take a wilderness medicine class. Are there major differences between the WEMT and WALS classes, other than fluid administration? Are there a lot of differences in ALS care between wilderness and urban situations? Is WALS worth taking?