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None of our monitors have functional pulse ones where I work. Even the brand new v4+ LP15 failed in a week. We leave the sensor plugged as per rep instructions, it’s coiled up in the mesh front flap. I have never experienced this many failures. We have Zolls at my AMR job tjst use the same...

I started my Masters in Public Administration this week. All online through a state school and I get a bit of tuition reimbursement from the FD. Do you have a grad degree or interest in pursuing ones? Do your managers/chiefs/supervisors? Culturally, is there any emphasis on graduate degrees...

https://www.nytimes.com/2023/12/22/us/elijah-mcclain-death-trial-verdict.html Lots to unpack. Was it necessary to sedate this person? Was the dose dangerous? Are criminal charges appropriate? We could go on. Whatever happened, to me this boils down to failing to monitor the patient. Sedating...

Does anyone here instruct under ASHI? We are debating switching from AHA for BLS and ACLS and I have no idea if this is a good idea or not. I have been an AHA instructor for a long time and while I hate teaching it, I have a good understanding of the content and whip through it quick. I guess...

What do you carry in your narcotics safe? How much of each? What concentration? What do you wish you had or what would you get rid of? How are your guidelines? Do you feel you can adequately manage pain, seizures, agitation etc? Standing orders, call-in, some of both? Basically I enjoy talking...

We have been instructed to start placing 3M Curos Caps on the end of our IV extensions or drip sets. Apparently they are alcohol impregnated and keep the caps clean. https://www.3m.com/3M/en_US/p/d/b00031542/ Anyone else doing this in the field? I’ve never seen these used in the ED and only...

We recently started carrying Toradol. Have personally had it for spinous process fractures and it was quite effective, others report the same for kidney stones. Anyone else have any tips, tricks, or conditions that they find it especially useful for? 15mg IV/30mg IM.

Called for a 75 year old man complaining of dizziness. On scene you find him ambulating, he says he is dizzy so you have him sit down on the bed for an assessment. The patient is alert and oriented, but does not look super good-- pale and a little diaphoretic. He is able to answer your...

If you had an hour to teach some cardiac arrest management strategies, what message would you want to get out there? I'm tired of dry and bland CEs, so I volunteered to develop a cardiac arrest training. I also think the "provider discretion" that we allow when it comes to individual...

During our monthly continuing education from the hospital system, a pediatric drowning scenario was brought forth. Nothing out of the ordinary, 3 year old in a PEA arrest after being removed from a pool. We don't intubate pediatrics in this system, instead we have iGels down to pediatric sizes...

You're dispatched to a residence for a 60 something male with shortness of breath. The patient's wife brings you to a basement living room where you find the patient seated in a recliner, alert, oriented, and mentating appropriately. Patient is on home oxygen at 2lpm. Wife tells you that the...

You deliver a baby, things are fine for both mom and baby. How are you going to transport the two of them in your ambulance? Let's take away having a sick patient here, mom or baby. If at all possible, that warrants a two ambulance response. So what do you do? Skin to skin contact is...

Our system is in the midst of the yearly guideline update. Thought I'd share some interesting changes for the sake of discussion. Of most note, epi and amiodarone/lidocaine were removed from the cardiac arrest guideline for patients 19 years and older. For most "garden variety" cardiac arrests...

You're called to a pediatrician's office for a 3yo male "sick person, possible flu." You find your patient in an exam room, seated with no assistance on the table. He tracks you as you walk in and interacts appropriately. You note his skin to be quite pale and he is on a simple mask at 4lpm...

Generally speaking, I write or ensure a refusal is written for anyone with a complaint or apparent injury. So, you are dispatched for a suicide attempt. Law enforcement is on scene, at which the party's significant other says the party walked away from her with a medication bottle and returned...

Join Our Growing Team! Ute Pass Regional Health Service District (UPRHSD) in Woodland Park, CO has several full-time Paramedic positions open. Thanks to the overwhelming support of district residents, a sales tax was recently approved allowing these positions to increase daily staffing to meet...

Had an arrest today secondary to a hanging and a large amount of alcohol. Anatomically this patient did not appear to present as a difficult airway, but given the first two things, we planned for difficultly. I struggle with finding ways to stabilize the patient's head while they are...

While interning I ran a mid 20s female who was ejected during a rollover. She was very combative and required a BVM to prevent her from going apneic, had a variety of orthopedic injuries, and I guess what you could call a flail segment on her left chest, except really her left chest was the...

Yesterday we did a great backcountry rescue, and I beat the crap out of my radio on some rocks. In need of a chest harness since our communal ones have gone missing. Note: Only wish to wear for SAR type calls, I am not that whacked out.

Does your service use an RSI checklist? What's included? Would you mind sharing it? I had an RSI as an intern that did not go particularly smoothly and am thinking a more organized process would have gone a long way. Paramedics from three different agencies (us, the vollie FD with a paramedic...