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    Trouble with Ivs

    Well, you'll notice I never encouraged anyone to exceed an 18, and you can't always clot a bleed...if there's abd pain, and distention, I'm more worried about keeping saline running, and prevent hypovolemic shock that way, than I am trying to clot an internal bleed. 16's and 14's are almost...
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    Trouble with Ivs

    Hi There! I can say from an EMS Standpoint,and working in hospital...bigger is NOT always better. 20-22 is almost always appropriate, and the AC isn't your only option!! For some reason, medics I know are HELL-BENT on an 18g. If the PT isn't a trauma, ST-E, or arrest, you can drop to a 20, or...
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    Nremt

    Thank you, but yes, I just got my state cert in PA. I'm just curious of what all testing you need to do for NREMT cert. Is it just written? Or is it practical, too?
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    Nremt

    Hey, all! So, I'm a new EMT, I'm thinking about doing the NREMT, just because it seems to be more comprehensive than state testing, so it's a good learning tool (re:studying for it), and I just want to do it for my own satisfaction.... Outside of that, and it probably making it easier to...
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    Obtaining BGL

    I'm not from NC, what exactly is a Medical Responder? Is that similar to a First Responder that will go in, and just sustain until a transporting unit can arrive?
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    reference material

    When it boils down to it...if that's the biggest grammatical errors that are being made, who cares? I promise MDs, DOs, and RNs scribble right along with poor grammar, and horrific spelling. I can say that confidently, because I live in a medical family...2 MDs for parents, and an RN sister...
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    Placebo?

    Hahaha gotta love those old tricks that aren't allowed anymore...:rofl:
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    Placebo?

    We were always trained to always put oxygen on, it's not going to hurt the pt, it may not help, but it just may...especially when you're dealing with anxiety....oxygen is a valuable drug
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    Obtaining BGL

    Yeah, that's one of those silly rules that seems to be pretty standard...I mean...if you cause someone harm by checking a BGL, you've royally screwed up, and don't deserve your cert...:rofl:
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    Off-Duty Scope of practice in Pennsylvania

    Thanks for the input, I was always trained to (and I imagine how it's reported varies between areas) report abuse, negligence, etc, etc, to the ER staff, and that's a practice that I've always lived by in my work, just document, and report, granted this guy couldn't document exactly, but, that's...
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    AED use in a moving ambulance

    Never and Always aren't used in the medical field for a reason....is it possible to go back into cardiac arrest from ROSC? Of course...it's less likely, but it's possible, even with the 10 minute wait.
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    Off-Duty Scope of practice in Pennsylvania

    Thank you SO much for posting that, I hadn't been able to find that. Now, unless I'm reading that wrong, where does transporting the patient fit into this? I didn't see anything to allude to anything, but, I may have overlooked it. The "diagnosis" came into play because the patient didn't...
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    Off-Duty Scope of practice in Pennsylvania

    Basically, duty to act is a non-issue here
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    Off-Duty Scope of practice in Pennsylvania

    There was no reference to duty to act, and just because duty to act doesn't apply, doesn't mean that acting is against the scope of practice off duty
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    Off-Duty Scope of practice in Pennsylvania

    Yes, the nurse, whom I generally have a terrific amount of respect for, tends to be inches from the deep end, and frequently falls off haha. She would never admit this, but I don't think she actually has any real respect for EMS Thanks for your input so far, everyone! I really appreciate it!
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    Off-Duty Scope of practice in Pennsylvania

    I totally agree, I see no breach of anything, but then someone brought up, and it's valid, that the good samaritan act typically doesn't apply to licensed (or in our case, certified) medical practitioners. The biggest advocate against the EMT is an ER Nurse, who went off about the EMT acting...
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    AED use in a moving ambulance

    That's almost silly, you'll need to get that patient to the hospital as soon as it's safe to move them, it's not like you just get their heart going again, and wish them the best. With that being said, once you get them going, and in the ambulance, depending on what caused it, they will likely...
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    Off-Duty Scope of practice in Pennsylvania

    So, this is was a scenario thrown out, and the conversation is actually getting a little dumb, it's similar to a dog chasing its tail....:rolleyes: Here's the situation.... An EMT-B, who is not employed by any service, comes across a woman laying on the ground. ABC's are good, and she has...
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