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54 YOM arrives POV at your station stating he hasn't felt right today and just wants to get checked out. Pt goes on to state that he has an automated blood pressure cuff at home and when he took it a short time ago it was 100/52 with a HR in the 130's. What do you want to know?

We only carry Albuterol at my service, and really patient presentation dictates how early or late i give it. If they are working pretty hard to breath, generally we get them to the truck, throw the pulse ox on real quick, listen to breath sounds, and while I'm doing that my partner is getting...

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I have had a pretty rough past year, and things that i have found that have helped me tremendously: 1)Always have a goal for yourself, no matter how minuscule it may be. Anything that helps you feel better about yourself will help So far this year i have stopped smoking, got CCEMTP certified...

In the county I work, we would have worked her. I agree that there is 0 chance of her surviving this, but being she has agonal respirations, and a shockable rhythm upon arrival, I would prefer to give that responsibility to someone else, particularly because of her age. People like to sue. At...

Thanks for the advice, I will definitely look into that.

I don't understand what the big deal is about all of this. A single nurse wrote a letter on behalf of the ENA promoting her own agenda. As someone else said, we would be just as emotional about this subject if it was being pushed for nurses to begin providing prehospital care. I have worked...

I know several people who used to work for Lone Star, a local IFT company, when Allegiance bought them out. Lone Star was a very well run company, with quality management and happy employees. Of everyone i know that continued working for Allegiance, they had nothing good to say about the...

Thanks for the advice. Unfortunately there is only one company locally that i would consider working for that has a true CCT truck. I would consider working PRN for them now but I think there would be a conflict of interest. I'd bet I could get my foot in the door as a tech in the ICU...

This year will be my fourth year working for a private company that provides both 911 and IFT services for the county. It's not an overly busy system but we run ~10,000 calls annually and have fairly progressive protocols. We carry ventilators and IV pumps on every truck with standing order...

We are waiting for new protocols to come out, and when they do we will be using the vivid track as our primary adjunct. Ive used it a couple times on cadavers and its worked fairly well. Any one have field experience with the vivid track?

I am not an expert on pacemakers, but heres my opinion. The initial ECG has a p wave for every QRS, the rate is regular, and the complex is narrow, it is a sinus rhythm. I am not too familiar with lifepacks, but i am assuming the arrows are supposed to mark pacer spikes? The second ECG is not...

Very nice, thanks!

Anyone care to explain how 02 causes vasoconstriction? Im well aware that hypocapnia can lead to it, but have not heard of 02 causing it before. A link would be adequate, im down for a good read.

Got called for an unknown medical emergency the other night. AOSTF a middle aged male crying laying face down and speaking in spanish occasionally, although he was not hispanic. Come to find out the guy had PTSD from being in a mexican prison for 3 years and was tortured. At first we thought...

So i guess in this situation, dopamine is the lesser of two evils basically? I guess my way of thinking is that the pt's current condition is probably caused by an MI. So now you have to deal with that and the respiratory failure its causing. Giving the dopamine would increase C.O., but...

We actually had a conversation at work yesterday about something very similar to this case. To me, it seems counter productive to use dopamine in a pt with acute pulmonary edema considering the point of using NTG(Which i would not have used on this pt either) is to vasodilate and allow that...

I wonder how much this will impact being able to diagnose an MI though? I didnt think CKMB levels started coming up till 4-6 hours after the damage occured, assuming thats what the blood test is looking for? Seems to me it would be better diagnosed with looking at the pt's current S/S...

1. Things the general public would find disgusting makes you hungry. 2. Your favorite time of the day revolves around when exxon or 7/11 begins selling coffee again. 3. Caffiene and sleep take presidence over food. 4. You can't remember what a "normal" job and working an 8 hour shift is...

Ive been on a 24 hour crew for a few months now. It didnt affect me until recently when we havent started getting busy until around 6 or 7 in the evening and running back to back the entire night with no sleep, every shift. The hardest part for me is driving when im that tired with no one to...