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  1. Christopher

    Openings for Lieutenant in Leland, NC

    Advertisement for Lieutenant Position. Deadline for applications is close of business July 3, 2014. Flyer for posting. Leland Volunteer Fire/Rescue Department, Inc. is accepting applications for the position of Lieutenant. Salary range of a Lieutenant is 45,981.00 - 57,181.50 including...
  2. Christopher

    Standardized STEMI Identification Assessment

    I've worked on putting online a standardized STEMI Identification Assessment using 36 ECG's from a survey-based study on STEMI identification by physicians. It originally utilized a Google Form and would email you a huge 9MB PDF with your results. I've now converted it over to a Google site as a...
  3. Christopher

    Part time Paramedic positions in Leland, NC

    Leland Volunteer Fire/Rescue Department, Inc is holding a hiring pool for Part Time positions opening in 2014. Our service is a combination department with 19 career staff and over 80 volunteers, providing fire suppression, heavy rescue, and paramedic level transport. The four shifts work 24x72...
  4. Christopher

    Unscientific Poll: Ipratropium contraindications in your protocol

    Unscientific poll: Is an allergy to soy/peanuts still listed as a contraindication for ipratropium administration in your protocols? If so, what formulation of ipratropium are you carrying? (Apparently this is a common contraindication still found in many protocols.)
  5. Christopher

    Teaching at Franklin Co VA ACLS-EP

    I'll be teaching ACLS-EP this weekend up in Franklin County, VA. Anybody from here going to be in the class? I don't know much about the area's EMS agencies, so it'll be interesting to see how it all goes.
  6. Christopher

    Leland Volunteer Fire/Rescue Department 2014 Hiring Pool

    Deadline: 2 January 2014 Location: Leland, NC Position(s): FFII/EMT, FFII/AEMT, or Paramedic Schedule: Full-Time 24/72 or Part-Time 12h or 24h shifts Pay: Commensurate with position, experience, and education Leland Volunteer Fire/Rescue Department, Inc. is accepting applications for our...
  7. Christopher

    Consensus statement for the prehospital management of Pelvic Fractures

    h/t to the HURT Registry Blog for this (the great stuff is in bold): Scott I, Porter K, Laird C, et al."The Prehospital Management of Pelvic Fractures : Initial Consensus Statement" Emerg Med J 2013; 30:1070-1072. 1) A pelvic binder is a treatment intervention rather than a packaging...
  8. Christopher

    ECG Cold Read Challenge

    (These ECG's are from a paper I was reading and represent a good interpretation and diagnosis to have locked away in your memory) 66 year old female, ECG #1 from the outlying hospital. ECG #2 is from after transfer at a larger academic hospital. No history, no nothing, because everybody...
  9. Christopher

    Name the Rhythm: 52 year old male

    52 year old male, called 911 because he has felt "sick and weak" and doesn't seem to be getting any better. (click image for larger version) You ain't getting anything else, but I'd like a rhythm interpretation :) Rate? Regularity? P-waves? PR interval? QRS duration? Rhythm DDx...
  10. Christopher

    King County (WA) Medic One 2013 Hiring Pool

    I noticed on Facebook yesterday that King County Medic One (WA) may have 2 openings which they'll test for in April or May. Note you'll need 3 years as an EMT or Paramedic and 1 year at your current service minimum. If you're already a paramedic you'll still go through their school at...
  11. Christopher

    Part-Time Paramedic opportunities in Leland, NC

    If you're interested in part-time (possibly full time if openings become available) employment as a Paramedic (FF/EMT available too) in Leland, NC please let me know via PM before 15 January 2013. Leland Volunteer Fire/Rescue Department is opening up our hiring pool to identify qualified...
  12. Christopher

    2013 STEMI guidelines: EMS has been put on notice

    For those that have not already heard, the 2013 guidelines for the management of STEMI have been put out by the American College of Cardiodiology Foundation and the AHA (ACCF/AHA). If you can read, these guidelines are nothing new or earth shattering. Of note: "New or presumed new" LBBB...
  13. Christopher

    Synchronized Cardioversion - What happened?

    Here is an interesting case which came across my desk that I'd like to share, the full details of which will be in a post on my blog shortly: Printed summary of synchronized cardioversion (click for mega-res): So what do you think happened next?
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