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I have a personal backpack type bag I bring to work as a solo medic prior to volunteer arrival. Trying to consolidate the bag a bit. It has a tube and IV kit. In the tube kit I have the full span of Mac and miller blades. I never plan to use a miller blade for anything larger than an infant...

I just ordered the 5.11 ALS Responder backpack. It hasn't come yet but it looks like it comes with a pretty sizeable IV and airway kit module. I am looking for a drug module I can put in it, 5.11 doesn't sell one. Not looking for a giant full size kit, just something that will hold at least...

So a friend of mine had his medic state skills test today. He failed trauma because he gave morphine to a burn patient with facial burns. Our protocol in NYC allows standing order morphine for burns (up to 5mg) with a bolded note "Morphine shall not be given in the presence of burns to the...

Over in the ALS vs. BLS thread the topic of anaphylaxis was starting to get pretty heated so I made a thread at the request of abcKM. Discuss anything anaphylaxis related... My first question, in the event of severe laryngoedema, how much are the lower airways affected? Do they only...

With the most recent "medics are basically RNs on the road" thread, this thought popped into my head. How big of a role does your environment ultimately play in your ability to grow and further educate as a provider? Be it an ambulance, an ICU, an IFT or CCT ambulance, hospital, trauma center...

I'm sure this will get into some heated debate about BLS before ALS but it's been talked about a few times in my short time as a member here but I just wanted to get a general idea of what people think overall. Is there real a reason for EMT to be a prerequisite to become a paramedic...

78 female came in as unconscious called by son. Patient was feeling fine and was about to take a bath. Son heard her collapse and went into bathroom to find her on floor with vomitus in the tub and she defecated. Firefighters moved her to the living room before we go there. Upon contact...

So, I am starting to explore my options with getting into a BSN and it was brought to my attention that paramedic to RN programs exist online. I don't really quite know what it means to get a "GN" (graduate nurse) But my goal is ultimately to get a BSN that I can move on to NP with. Has...

So my girlfriend was writing a powerpoint project for her nursing class and she wrote that atrial fibrillation results in poor blood oxygen levels. It never really occurred to me now but other than in later stages of shock where systemic failure sets in with MOD and whatnot, is there any reason...

Trying to find an actual quality horizontal holster that doesn't look ridiculous. I've seen people with nylon ones that usually hold shears/flashlight or multitool. Anyone have any links for me?

Sorry I don't have a strip to show you guys but it's pretty straight forward. Get called for unconscious, 96 years old. Only history HTN/dementia. Patient "suddenly" went into an abnormal state as per family. BP 110/70 HR 80 RR 16 BGL 140 non diabetic. Painfully responsive. 3/12...

Whatcha think?

Ok I know that's completely absurd in reality but I'm sick of almost everyone I work with putting all my patients on oxygen by one method or another. The nurse looked as us like we were mentally challenged yesterday because we had someone who was otherwise completely asympomatic on o2...

So we always bring up why even have EMTs when you could just staff paramedics. Well I want to talk about why even require EMT before medic? People always drop the BS line of "you should have some field experience before you go for medic." Which is nonsense. Often it leads to people getting set...

So this randomly came up in discussion with my partner who states that Benadryl in an anaphylactic shock patient can actually worsened hypotension. It was my understanding that in an anaphylactic response, basophils and mast cells release large amounts of histamine resulting in profound...

So we had a respiratory failure with presumed aspiration this morning 2nd to vomiting. (stage 4 lung CA, no DNR/DNI.) Unconscious, hypoglycemic, hypoxia sat in the low 80s. Normotensive, normal sinus. Anyway, we BVM for a little no improvement and has a gas reflex. Set up for intubation...

I am having a little trouble comprehending the Bohr effect and can't really find any good articles/texts on it outside of wikipedia. Is it basically just saying that when the acid content of cells in working tissues becomes higher, it allows for easier exchange of CO2 with oxyhemoglobin? Or am...

So people are always posting that regardless of being sedated, procedures such as intubation are still painful to the patient to some degree. Does the same concept apply to pacing and cardioversion? For example if I am going to pace someone using 5mg versed should it really be 5mg of...

Personally, I feel this is one of the biggest factors holding EMS back, especially on an educational and professional level. For starters, few people will take your work seriously when you tell them you are an EMT and their response is "o that's great my nephew is a volunteer at ____." How can...

As far as I know he's doing well, but I just wanted to post this as a reminder to avoid turning into the stereotypical EMS worker. My partner is relatively young to have attack and it just goes to show how poor lifestyle choices really end up effecting you. Please exercise regularly, try...