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Did you ask your FTO how they would have treated this pt then? If you think the answer might be incorrect I would talk to a doctor and inquire about what would be the right thing to do. I find it interesting that this doesn't fall into the combative pt... because he was fighting. In my...

Rob it is good to see that you analyze this call to see what you can improve on. There is some interesting literature on being prepared and reviewing a difficult call. We all learn, sometimes quickly and painfully, but it is key to analyze what worked and what didn't This is an...

Nor would it be mine- "Although since this is not a psychosis related illness I might stay away from Haldol". This pt is still combative (whether he is knowingly resisting or it is base reflex to resist being strapped down and poked/prodded doesn't matter) and will be sedated, or slowed down...

EMCrit talks about lysing intra-arrest. http://emcrit.org/podcasts/mind-resuscitationist-reid/

Rob, I fully agree that it is a trauma pt. But my point was you must gain control of the pt before you can manage his injuries- which for me means this is a behavioral pt. And my guess is that is the protocol you would be under for giving him meds- unless you have RSI protocols, or a trauma...

This pt would absolutely get chemicals from me. To a certain extent he is not a trauma pt until he can be controlled. I have a few options where I work. The first option is Versed or Versed/Haldol up to 5mg/10mg. Although since this is not a psychosis related illness I might stay away from...

Similar sort of conundrum over at Life In The Fastlane- http://lifeinthefastlane.com/2012/09/household-words-chapter-1/ There is a part two already published so make sure to check that out.

Saw this online- http://www.facebook.com/photo.php?fbid=351551461591887&set=a.110144105732625.18943.109295612484141&type=1&theater Looks cool!

Ohhh read my links!! haha

http://hqmeded-ecg.blogspot.com/2012/08/gunshot-wound-to-chest-with-st-elevation.html http://hqmeded-ecg.blogspot.com/2012/07/right-bundle-branch-block-after-blunt.html Dr. Smith highlights two cases where there are EKG findings not associated with ACS. This guy you are talking about...

I had a guy, right in front of me brady down to 23. I caught it with a 12 lead at 27bpm then it went right back up to the mid 70s. He was talking right the way through it like nothing had happened. This guy almost sounds like a panic attack/hyperventilation.

University of Iowa Hospitals and Clinics. Reasonable chance of a job someplace in iowa. But I'd do the program then choose a place to do your ride time where you want to live.

Quality of the instructors is everything. One of the primary instructors has decades of ER nursing, flew as a critical care nurse, is a paramedic, and has been teaching for years (oh yeah... she wrote the Iowa CCP guidelines- one of two nationally recognized CCP curriculums). Another instructor...

Awesome program. Fantastic hospital where you receive your training (only level 1 for hundreds of miles), fantastic instructors (many specialty instructors come in and give lectures), you get to ride in a heli. Very high first time pass rates of the NREMT (ask them- they know all their...

Saw a guy with a core temp of 110 degrees. This was taken after the cooling process had been started already!

Per my protocols, anybody that has been ambulatory after an event and has no neck/back pain or altered mental status does not require a collar or board (although I can use one if I feel it is warrented). So since it sounds like none of these things fit in this pt- I would not board or collar...

Every job will have a points limit set by their insurance carrier. Where I work that limit is 7points. As long as you don't have more than 7 points, technically, you are good to go. Obviously, it is management's choice to hire you or not, but I know people who have gotten hired with a DUI...

I thought the Mosby text blew. They managed to use 100 words to say something that could be said in 10. Slow, boring reading just because it took so long for a concept to be explained then repeated many times. Reading something the the Princeton review's paramedic text would probably...

Septic? I have also heard of high ammonia levels causing people to act a little weird. Stroke (The Cincinnati stroke test doesn't get them all)? Good case.

If the person is not a diabetic, the body will regulate the sugar levels. If I don't eat for 3 days I won't have a sugar level of 12.... it should still be close to normal. I know most of your scenarios are hypothetical but you shouldn't give a treatment to a pt without just reason to do...