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Your analysis is spot on. Late shift, very tired, and I've noticed I tend to revert back to my intern days and commit fixation errors (essentially tunnel vision). We do have IN/IM Benzos

BGL was 113 mg/dL. Because respirations were still regular, there was still eye opening, and there was mumbling initially I suspected it was Rigors and not a grand mal seizure. Looking back at this call I was concerned that I had possibly missed a patient that was indeed seizing and provided...

102.4 degrees Temporal with confirmed 102.1 degrees Rectal

Hey everybody, Had an interesting case the other night that got me thinking. 85 y/o female at a SNF. Patient has a DNR and DNI. Nurse relayed that during med pass the patient was more altered than usual (too frantic to give an accurate/coherent description of normal mental status) and...

Just received the followup on this patient. Flight crew had the patient finally complain of shortness of breath and show more signs of air hunger. Patient received a chest tube either with them or at the trauma center (followup is from the trauma center not the flight service) and on arrival to...

The patient was stabbed in the left anterior chest midclavicular line 2nd/3rd IF. The decompression would have been to essentially stay ahead of the game rather than wait for the hypoxia to develop. I chose the conservative route during the call and it's interesting to hear everyone's thoughts...

ETCO2 remained 33 mmHg. No signs of electrical alternans

No formal asherman seal. Defib pad is the only option. Looking back I agree with you Chase this patient was a candidate for decompression. An odd one in that he wasn't yet hypoxic but one nonetheless

Interesting patient I had the other day. Dispatched for a stabbing you arrive on scene to find one 29 y/o male patient sitting in the middle of a cow pasture. He appears to be in mild distress (anxious), breathing approx 22 times per minute and notes that he was stabbed once in the chest with a...

I like what you said regarding EBM. It is amazing to see the changes and how quickly things develop. However as a new medic I've allowed it to cloud my thinking at times and make me second guess myself Sent from my VS986 using Tapatalk

Posted this scenario to see how everybody's systems handle these patient's who need a trauma consult but don't meet high acuity "alert" criteria. In my neck of the woods it is "all or nothing". In this case the LII trauma center was 30 minutes away. I called the alert simply because of the...

No shortening or rotation secondary to the injury. Vitals remained WNL except for a mildly elevated HR at 95-105. BP remains as such that you don't have to administer any fluids

Vital signs: BP 106/68, HR 95-105 Sinus w/ no ectopy, 98% on room air

Dispatched to "rollover with entrapment". You read your CAD notes and realize that it actually states that patient is trapped in between a vehicle and a building (in this case a double wide trailer). You arrive on scene to find a mid sized SUV sitting extremely close to said building. You see a...

Looking at that 12 lead in conjunction with the patient's symptoms I'm seeing a Sinus rhythm with a RBBB with PVC's, there are (as of now) no signs of infarct, to call those T waves symmetrica/hyperacute and evidence of LAD occlusion is tempting but considering the Hx they are more than likely...

Hello all, Just graduated from EMT-P school back in December. A little background, I'm 20 years old and now the youngest provisional paramedic in my service. I had about 10 months of EMT experience prior to paramedic school, for most of my career (and school) I've been the "white cloud". I...

Mainly in the setting of trauma/head injury.

Hello all, Wanting to start a conversation on combative patients and your local protocols. Mine have moved to not forcing full immobilization and simply placing a C-collar if we have to physically restrain them. Previous to this we had the dinosaur protocol where almost everybody who was...

Thanks for the encouragement. I think you're right, just need to keep improving and let the fear/nerves go.

After reading that book mgr22 I think I'm overthinking it, rushing because of nerves, and making some pretty simple mistakes. Thanks for the reference to that book.