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I am a 16 year old Emergency Medical Responder licensed in Connecticut. I was having dinner with my girlfriend and her mom in New York City and we took the Metro-North train back out to the county where we live after dinner. The conductor came over the loudspeaker stating that there was a...

I just used a 20cc irrigation syringe by itself, effective but slow. I've also heard that sticking a large syringe into an NPA would work?

either he watched a lot of House and thought he knew something about medicine :rofl: or he knew how the response time would be so delayed, but I still don't know how he could think of calling off resuscitation efforts, thats reserved for a physician if I'm not mistaken.

Thanks for the responses! I just heard that it was a fully occluded right coronary artery, so I really couldn't have done anything. Funny, while I was on with 911 (there was a cell phone tower literally 20 feet away, the only thing on the mountain luckily) some cop tried to tell me to stop...

Definitely an important skill! Agree with Mountain Res-Q on how it should only be used in certain situations, not as the norm. edit: haha yeah I guess I don't know much about paramedic protocol anyways

Agree with you there! Just the stethoscopes in the door may lead to reprimand if it means you arent equipped properly for patient care. I know some medical directors who would eat you out for that, which is why most services around me keep the personal stethoscope on the neck and another in a...

The only time it is acceptable to take a BP by palpation is when you are in an environment which will not allow a BP by auscultation. This could be that it is simply too loud, or your stethoscope got shut in the door. (The latter incident could be reprimand-able) It is totally acceptable to...

110/palp I wouldn't get too picky there, both ways are acceptable and its sometime just second nature to providers who always give the "over" when reporting a BP

Not NREMT-B This wasn't the NREMT-B but the Connecticut EMR cert test had mistakes nearly each page, whether it was grammar, changing gender or simple factual errors. Furthermore the test was using protocols that were at least 10-15 years old, not what is recommended anymore! (i.e. direct...

Yeah, we can't hand off to a lower level of care once they are the patient of an ALS provider

Abandonment all the way! Regardless of what the situation was, where I am, if ALS is on scene they cannot hand the call off to BLS unless its a masscal scenario. Though it seems this should have been full ALS transport.

From a lowly First Responder's point of view... 1. Intubate 2. Start an IV 3. Have a walking and talking code save 4. PAID wilderness work 5. Get my WEMT 6. Get my medic license (and achieve 1 and 2!)

Maybe it is a difference in our training, I'm a wilderness responder so I have to think more long term, but I feel it would be irresponsible to not thoroughly clean the avulsion with aseptic fluid prior to bandaging. Whether or not I was going to close with steri strips would determine how...

the patient cares? I certainly don't want any infection or abscess that the ER doc has to deal with on my ***!

He says as the patient lay there bleeding out :rofl:

not too light now Yeah your pack is heavy, but if you're going to be the EMT for the team you should have some BLS gear. Trust me, wouldn't you know it the one time I went out without my medical gear my buddy coded and aspirated, real worst case scenario. So I would keep it light with: Oral...

Stick to your training Manage all life threats just as you would on the ambulance, this includes suction, adjuncts, etc. Think about it, you wouldnt contact medical control to put in an OPA in the middle of a code! Refer to your state BLS protocol and stick to that, they can be found online...

Name first! I feel like I have to get the name, so at the very least I can set up some rapport with the patient (or know who to contact if everything goes south.) After that I go into a quick history (allergies and medications.) Next I work with the signs and symptoms (why did you call 911?)...

Equipment fail? I've had BP cuffs (appropriately sized) give me readings around 250/65. With that kind of a pulse pressure I was wondering why the guy hadn't stroked out yet, so to confirm I used a different cuff and got a 130/75. Could just have been the equipment! Or you may have had some...

Scene Safety You said you were wondering about becoming a first responder? If you aren't trained/certified appropriately, just make sure you stick to procedures in the scope of whatever official training you have. Otherwise, stopping at accidents is a mixed bag. If you're on the highway, pull...