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  1. M

    Refusals

    We are a very rural dept.(300 calls a year) so it is preferred that we call in.
  2. M

    Refusals

    Having some refusal issues in my dept. and was hoping for some opinions. 1.Do you write refusals for everything you don't transport? Like a lift assist or where they hit their button on accident. What are the "rules" for what gets a report and what don't? 2. What about auto accidents? You...
  3. M

    Help me get my drugs!

    Cost isn't an issue at all. The other poster implied that calling a locksmith would be cheaper than destroying it, At this point IF I could get a locksmith to come, it probably wouldn't be any cheaper than forcing my way into the cabinet. SO I came here to see if there were any better ideas than...
  4. M

    Help me get my drugs!

    Thanks for the oh so valueable piece of advice, I DID call MANY lock smiths. About half of them didn't answer, nor have they returned my call. The ones who did answer, wouldn't come this far on a Saturday. I have to wonder how much it would cost for a lock smith to come (after hours emergency)...
  5. M

    Help me get my drugs!

    I should add, once you enter the code, you turn the handle to open. This handle keeps turning! You can turn it all the way around the the original position. It does this if you turn the knob right or left!
  6. M

    Help me get my drugs!

    Im not trolling, and I am serious. I am the manager, and this is our only rig. It looks like this is the lock http://www.kaba-ilco.com/kaba-access-control/Products/Product-Selector-Find-the-Right-Lock/Simplex-Mechanical-Pushbutton-Locks/292904/simplex-9600.html. No update, the cabinet is...
  7. M

    Help me get my drugs!

    We keep our narcs, 12 and 14 gauge needles, and IO gun inside the rig in a locked cabinet. When you enter the back of the rig from the side door, immediately to the right is where we keep the heart monitor and larger gear bags, above that is a locked cabinet that flips up to open. It is locked...
  8. M

    update your opinion of ePCR, please

    I know this has been talked about, alot. I did a couple searches and read through the responces. I noticed a few things... 1. "we just started using ____, I will let you know how it goes" 2. " we are switching over to _____, I will let you know" 3. The responces are over a year old in most...
  9. M

    O2 Almost killed my patient.

    This discussion reminds me of a very stubborn patient I had once. 80's year old female c/o trouble breathing. No significant medical history, no COPD, no home O2, no meds. Answers all questions correctly, she is actually very with it, she is having trouble breathing however. 2-3 word dyspnea...
  10. M

    Scenario

    according to my protocols...give Atropine 0.5 and get ready to pace. Monitor that airway as it can go south real quick, I would go ahead with high flow O2, I would want another blood sugar.
  11. M

    Scenario

    I took the scenario to mean the patient asked the neighbor to call 911 cause the patient felt she had slurred speech. I can't think of anything different I would do that hasn't been posted. Are any of her meds new (like the Dr started or changed them recently)? I would grab her glucose...
  12. M

    Name the rhythm

    A flutter is one of the answers that was popping up. While I realize flutter isn't always going to be "sawtooth", I have a really hard time seeing those as anything but P waves. Is there a reason you see flutter?
  13. M

    Name the rhythm

    Saw this on Paramedics on Facebook. Lots of interesting answers. I thought I would see what everyone here says. No patient information, the poster said he said it was "this" and the Dr did not agree. The poster has yet to mention what him or the Dr thought the ryhthm to be. This is a link to...
  14. M

    Checklist help

    Our department has never had a daily checklist for the rigs. This has caused us many issues in the past and I think it is important to have one in place. I am trying to get a checklist made, but would like to find a template to go off of. I did a search on here and found a couple things that...
  15. M

    EMT vs EMT Basic??

    Can you elaborate on this a little bit? I am in Colorado, and want to make sure I am understanding it all correctly. I am NREMT-I, if I decide NOT to transition to paramedic, I will remain a intermediate in Colorado but will drop to EMT-A, is this correct? I also work with a...
  16. M

    Who Needs An AED? CPR FTW!

    We had this recently, paged for general weakness. Once on scene bystanders state patient was outside waiting for EMS, and "she collapsed" so bystander checked for a pulse, didn't find one and began CPR, did CPR for about a minute (thank God she remembered it from girl scouts 30 years ago!) and...
  17. M

    Spineboard Types

    I swear everytime I come to this website, I feel like we are more and more behind the times lol. It sounds like many of you don't backboard, or don't agree with it. We backboard EVERYTHING! SO I am curious about this, is there a thread that elaborates on it. If you have a suspicion of needing...
  18. M

    First Call of the Year

    Call 001 Standby for a structure fire. Nobody in the house. On a side note, we also don't give water in the rig. If something is going on that they may need surgery we don't want to put anything in their stomach. I also wouldn't give a patient saline water to drink, yuck. If they appear...
  19. M

    jobs before EMS

    GEEZ, I have done all kinds of things. -Worked as a waitress when I was a teenager. -Then worked at a assisted living center as a housekeeper, latter as an CNA at the same place. Went to EMT school during this time. -Began working part time for local ambulance, still CNA, and bartending...
  20. M

    NO CPR is better than moving CPR...true or false?

    Yes we do. If it is something that should be worked, we load and go. We work it the entire trip to the ER (11 minutes at the very least), once at the ER they work it through atleast one more round of meds and then call it. In 12 years I have NEVER stayed on scene and worked one, and I have NEVER...
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