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Wow, what a call, it has had me researching for the past hour or so, and something I'm going to bring up to my fellow medics and Docs. My first thought was Tricyclic Antidepressant Toxicity, or some kind of OD. But the Trismus brought me there, not common, but that is where my mind went...

We don't have Fentanyl in our system yet, but a quick search gave me this information for the publication EMSWorld. Reference the article here: http://www.emsworld.com/article/10321758/prehospital-pharmacology-fentanyl?page=2 "Indications for the use of Fentanyl in the prehospital setting...

Lift assist at 0130 ME: how long have you been on the floor PT: 4 or so hours ME: would you like us to put you to bed or in your chair PT: to bed ME: OK, but before we do, have you had anything to drink lately? PT: Hell No! I don't drink! Due to the hour, my partner and I looked at...

Had a call from a addict at 0230 that was out of drugs for the last 4 hours, found him sitting in his drive way with his backpack on waiting for us. Alarm stated the PT says his whole body hurts and it radiates everywhere. PT repeated statement when we arrived.:rofl:

WHAT DO I MAKE? I make holding you hand seem like the biggest thing in the world when I'm cutting you out of a car, I make those annoying sirens seem like angels when you need them. I make myself get out of bed at 3am to risk my life to save people I've never met, I make a difference.

I never stated that the PT was faking, I stated that we tested to see if she was. And found that she WAS NOT. What I stated is that I have never seen convulsions like this that were not being faked.

We didn't witness status epilepticus, which is a life threatening condition, since the PT has long periods of apnea, which in turn causes hypoxia of vital brain tissue, which result in respiratory arrest, severe metabolic and respiratory acidosis, extreme hypertension, increased ICP, serious...

Do you have a PEEP valve for the BVM? I would have hooked up the SVN cocktail to the BVM with a PEEP valve. But, I can use CPAP. So that would have been my first choice with the SVN attached.

REALLY!? How high do you think we put her hand? I take it you have never had a faking teenager as a PT. Also, that was the first question the Doc asked me when we got to the hospital, did you try the hand test. I don't like to give medication to PT that don't need them or treat s/s that...

That is what I thought, but her hand hit her face, we could check pupils with no resistance. I thought those were the tests for Pseudoseizures? Is there other ways to tell? The Mother stated it was POTS - Postural orthostatic tremor syndrome, but that really didn't fit for us either. And I...

OK, we have been talking about this call for weeks now, so I thought I would put out to EMTLIFE. 1620, 110 degree dry heat, Call for a 16y/o female seizure. Caller states that the seizure has been going on for 20min, and that is unlike the PT. House is mid-class, 2 story, well...

And to think that is making more money than me.... Wow!

Great scenario! Todd's Paresis is new for me too and will be sharing that with all my co-medics. I'm also going to use this for training. As I read it I was first thinking Stroke, then DT's, thinking 2 beers were not enough for this guy. But some how i missed the seizure all together...

Sorry to jump off topic, but I promise to keep it clean Yea, I've worked both and I do like the 48/96. It allows me more time at home to get stuff done around the house and within life. 24/48 was good when I started because I only had a 2 days before I got back in the game. But now I find...

Flashcards, Flashcards, Flashcards!!!! read the book, and study all the time. And when I say Flashcards, I mean write out Flashcards, I had thousands of them!

Did you only get one set of vitals? Was there any changes in the time you were with her? What was her skin like? Did they do a 12 lead at the hospital? if so, did you see it? Did you get a chance to count the pills to see if any were taken? I'm assuming you are on an ambo and it was...

Baby oil, that's really good advise! I work 48 hours on and 96 off, but i've been with my wife for 17 years and married 10 years of that, with no kids, to me work is a great was to get out of the house. But we do talk every night and if needed we video skype. Like most said, your making...

PE was my first thought but with the history provided, I can't say that. Was there any pain with movement? during breathing? Was the PT on any meds? What was he doing when it started? The stent in Jan. would lead me to down the path of PE but i need more info. ASA would have been a thought...

Essentials of Paramedic Care (Update) Second Edition. Coverage of new EMS standards. I used this for refresher, and I think it is very complete and easy to read. I recommend this edition due to its updates.