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Thanks Medic417 Having not ever had someone convert without the chemical solution, I found this interesting. Thanks, Medic417. Anyone else have an unusual conversion?

More info The female patient was in her 60s.

Well, I'm just passing along an interesting method of resolving SVT. It was somewhat unusual. Called to a clinic to help a patient with a "quivery" feeling. The heart rate was between 150 and 160. The patient had lots of other issues in her history, including liver disease and varices in the...

If not ACLS, then what? Okay, so the treatment protocols are not the best in AHA ACLS. Let's say that is true to consider the alternative. Where is the alternative? Where is the alternative to AHA PALS? Where is the alternative to ITLS, PHTLS, PEEP, and a myriad of other programs. It's...

ACLS a Joke? While I realize that ACLS may not be the best treatment protocol in the world for all providers, I have a problem describing it as a joke. Two questions that have are below. Aren't the decisions made by the AHA made by cardiologists? What other program would you suggest for...

Protocols are guidelines I have always considered the protocols to be a guideline within which critical thinking and medical control contact can modify. I don't know about your system, but if my medical control physician orders me to give a drug or complete a procedure that I am trained to do...

Education? Wow! It sounds like I never got any education related to this topic, and yet CPAP equipment is on our ambulance. Ventmedic, do you know of any good educational program related to this topic? Just how much information do you think that a paramedic with this equipment should know...

Good Discussion Thanks for your comments. Thanks to Ventmedic and his referral to Dr. Bledsoe's article. I don't see this issue as a peeing match between agencies. I see this as a patient care scenario that needs discussion. Should one EMS agency, with the same medical control...

Further information We provide EMS services on an Island thirty plus miles from the mainland hospitals, and although we provide treatment and transport on the island and in the air transport aircraft, we do not have an ambulance at the three airports to which we usually can transport our...

An interesting thing has happened to our EMS agency twice in the last couple of years. We have to transfer patient care from our EMS agency to another agency in order to get our patient to the hospital. The issue has come up twice with two different agencies operating in our same medical...

You CAN make it happen If you are patient enough, if you want it enough, you can make EMS happen almost anywhere. Twenty years ago, this island off the coast of the mainland by 32 miles of water decided that the medical provider needed some help. It took twenty years of hard work to go from a...

Seizures and Hypoglycemia Can a very low blood sugar cause a seizure? It would seem that this would be possible. Why does it seem that chronic brittle diabetics need more and more D50 to bring them out of insulin shock? Why does the blood glucose reading seem to read above one hundred and...

Site for download of new Intermediate objectives? Is there a site available to download the new Intermediate objectives? I have read about the changes, but have not been able to find a place to download the objectives. Ideas?

What Intermediate level will be tested then? Will they still offer the I-85? What will the new Intermediate level include then? I'm preparing to get ready to teach an intermediate course, but now I wonder whether I should wait or not? I don't want to teach to the test, but I need to know...

An Accident when I was a teenager I got into first aid and CPR more than forty years ago as a teenager after coming upon a rollover accident on my way home from a Civil Air Patrol meeting. I was riding with my CAP commander, and we came upon this accident involving a mom and three kids. The...

AMI? CHF? or Infection? I was wondering if nitro wouldn't be a good test for what is going on with this patient. If a SL nitro did any good, perhaps repeat administration of SL nitro or a nitro drip might help this patient. It's hard to imagine this patient with good breath sounds with all...

communication before the incident No one here so far has indicated that there was any communication before the incident between EMS and the law enforcement officers. I know that rural areas are different, but we have to take the time to meet any new officers who arrive in our rural area. We...

Family Runs are the Hardest As the only paramedic in a very rural area with 32 miles of water separating my service area and any mainland hospital, the most difficult runs for me are the ones that involve my family. All of the runs in the rural area involve friends or neighbors, but when you...

Rural in Washington State Bossy Cow--interesting name. We seem to have the same kind of philosophy on this one issue, but to me that is pretty important. I hate to make this post a commercial, but do you know of any rural Washington State agencies that are interested in hiring a rural...

I am still working on a compilation of EMS stories from the rural areas of this country and Canada. I would love to hear from anyone that has something to contribute. I am particularly looking for stories about extended transport times, innovative treatment modalities allowed due to the rural...