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Recently I have been finding myself questioning more and more the post-intubation sedation protocols or guidelines that most systems use for pre-hospital management. Where I currently work we have the option of either Ketamine or a Fentanyl/Versed combo. I am finding Ketamine to be a poor agent...

Looking advice, pay, comments, and overall thoughts on the jobs and services available within ~30 minutes of these areas (and in between). I know very little about EMS in Michigan but am trying to find out a bit more. Anything you can point me towards as far as pay, benefits, protocols, or...

Dispatch comes out for "breathing problems". Notes state 52 year old female. Address is in a not great area of town. You have a 6 minute response time. No other notes in the CAD, you are on a double medic truck and you also have QRV back up coming to you about 1 minute behind you and fire...

Yes, this topic has been beat to death, I have read a million studies and etc..etc..etc.. I am wondering if any of you would be so kind as to share any resources you have (power point presentations, basic articles that you found informative and helpful, any other resources you might have). I am...

You respond to a pediatricians office about two miles away from your local hospital, upon arrival you find a 7yo male patient lying on his side on the exam table. Office staff called when patient had a seizure. Patient was held out of school yesterday due to "cold symptoms" per grandma. Patient...

I have looked through my books a bit and browsed google some and am still fuzzy on the physiological process by which the extra pressure that CPAP can cause on the heart can cause electrical changes on the EKG, massive ones at that. Below is several 4 leads and 12 leads with some patient...

I put this in ALS because the potential greatest use prehospital would be for STEMI patients, however this is as simple as putting a manual BP cuff on. http://www.jems.com/article/patient-care/remote-ischemic-conditioning-during-myoc Thoughts? Seems very promising pending more study in...

Called out for chest pain around 10pm, 50 year old female complaining of chest pain and also fell down. Upon arrival find 50 year old female lying in floor in living room complaining of chest pain and headache and she "hit her head". Patient states she fell down and she doesn't know why, hit...

So I am going to pose a scenario with limited information starting. You may ask any and all questions you like. Please be detailed in the questions you ask, I can give you the answers to any and all questions you have regarding anything that I paint a picture about. I will be fairly quickly...

Had a call a couple days ago with a 19 month old, called out for unresponsive not breathing. Upon arrival child is breathing but unresponsive to painful stimuli, feels very warm to the touch, family describes seizure like activity prior to going unresponsive. Just curious about personal...

Looking for some products and finding limited information online. We are getting serious about our hypothermia program and have ground transports when the chopper doesn't fly in excess of an hour to an hour and a half to a suitable facility. Looking for core temperature monitoring capability...

Having trouble finding some concrete answer to this (probably just looking in the wrong places). Lets say you have a 55 year old male witnessed arrest. You get on scene 15 minutes later, CPR is being done by first responders prior to your arrival. Cause may be cardiac, does not appear to...

Be Safe out there tomorrow guys. Down here in the Carolina's we are supposed to start getting snow around noon tomorrow throughout the late evening...they say 2 inches where I live, may be a lot more. This area is ill prepared for any snow and I know most area's will have an increase in call...

IN Glucagon administration is starting to pop up in local protocols around here, this one was new to me... It seems that we are finding more ways of administering drugs less effectively. I am all for putting more tools in the "toolbox" that EMS providers carry and I see IN as a viable...

After reading some other posts in other threads I find myself interested at the lines drawn by EMS for what we consider an emergency. Especially compared to the term critically sick (or very sick) in a hospital setting. After reading through Veneficus thread "Life and Death" I realized in part...

To preface I did to a forum search and then a google search and was not satisfied with the answers I found there. As the title states. What I was told by an EM Dr. is that he would always prefer to give Cardizem SIVP for SVT over Adenosine as long as the patients BP is stable, and by...

I have a whole host of questions that I have been scouring the internet trying to find answers for. I am hoping I could find someone who works as managment for one of these companies who would be willing to answer some question for me over PM. If anyone wishes to chime in I am curious about...

More then once the I have seen the issue brought up of a lack of continuity of care from the EMS or first response system through admission to the hospital. I think there is a much greater loss of continuity of care for those admitted to the hospital then those who are just treated and released...

Discuss please and educate me, for I know little but wish to learn much.... Mostly looking for current uses in EMS and hospitals, as well as optimal uses in EMS and Hospitals...as we know those things tend to be different.

I am starting medic school here shortly and would love to pick up some of my books used if possible. Here is the list I have that are required, It is a primarily online course and I am guessing that having one edition older is not a big deal. Or a book of similar type (A&P books for example...