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Hello. Your my first friend! Whats up ?

I think by most standards we (EMTs) are no longer considered good Samaritans. We are licensed professions expected to work within guidelines and protocols and perform to a certain scope of care with the equipment available (just one States chopped wording). Different States have different...

Paid patrol. OEC intructor. NSP. Working in NH. 11 years on patrol

And on that note Im sure eppi did not increase his chances for survival any in this situation. Maybe CPR only would have been better

I really am so glad to have covered so much about dopamine for this case. This patient died by the time dopamine was actually administered, quickly D/C dopamine and ACLS protocols initiated for PEA. Starting at a higher end dosing and trying for inotropic with pressor effects was my goal in...

no renal failiers in Hx. obese but otherwise healthy male

Im loving this thread. I think 02 demand was addressed in this thread at one point. Also we discussed inotropy for cardiogenic shock. Im sure the ACLS eppi didnt do his case ANY favors either. Simple or not I love that " rales/hypertension: rales/hypotension" something kinda clicked when I...

awesome information and to see different pain managment protocols. Ohhh yea ketamine would have been his godsend. Im enjoying the thread hope its getting better for you too.

I think that is a good idea.

you were able to get an 18g, would u still go nasal vap ?

Is there any concern giving morphine when you cannot obtain a BP due to peripheral site being burned? Or clinical assessment sufficient? Nice replys.

How things are perceived is important to me. I also dont always know what other perceptions are without hearing them. Thank you for letting me know. I guess I never know what else will spike good conversation, thats why I have been librally posting. I had a feeling something was up.

Ok, I will back off. Makes sense. Sorry

yes, and again after the hospital provided RSI. It was implied at that point for transfer:)

I didnt think of it until I asked the doctor after he stated to the truama center that the pt walked out of the ambulance. My question to the doctor was " Is there something you suggest I could have done more?" His actual answer was "other than using brute force-no, document document document."...

I guess Ill drive :sad: :rolleyes:

I Agree I think a stable fracture may be made worse if moved the correct way- that would then cause neuro deficit and cause a problem beyond just a spinal FX if it impedes on the nerves.-Not the case I hope for this patient. Also He wasn’t exactly doing jumping jacks :rofl: I did palpate...

If only RSI ! Yeah needless to say the report to the truama center included the statement- "Well he walked out of the ambulance" I hope I get an A on my documentation-ick:wacko:

Fluid bolus in route. Do you worry about the parkland formula prehopital? 18g established in one area not burned, secured with gauze. Nearest facility provided RSI and air medical met us there to transport to proper facility.

Without hesitation! All clinical signs of proper perfusion intact, no reason to withold. Fentanyl was the drug chosen for analgesia. There was no reliable way of monitoring a BP at this time.