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Some of you might have have been medics giving the midazolam autoinjector in this study...well here are the results! http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/02/15/BAAU1N84CU.DTL&type=health In case anyone is curious, RAMPART stands for "Rapid Anticonvulsant Medication Prior to...

A little tribute to all that you guys do... :blush::D "EMS Dream" (To the Tune of Teenage Dream by Katy Perry) http://youtu.be/4wc1sl-R4GY 4wc1sl-R4GY

Hey everyone, I've been on an interesting journey trying to find out the new required hours for California EMTs to meeting the 2012 implementation of the National Education Standards. Essentially, the bottom line is that no one - even at the State level - knows exactly what the requirement...

Hi everyone, In case you were curious when NREMT will be adopting AHA Guidelines 2010 for their exams, it will be: - Nov 1st 2011 (Paramedic) - Jan 1st 2012 (EMT) Importantly, remember that C-A-B is only for cardiac arrest...NREMT will expect medical/trauma assessments to continue to...

I've been doing a lot of thinking lately (dangerous, I know) about how unusual it is that NREMT requires 72 hours of CE for certification. With the 12-hour limit on distributed education (which is pretty ridiculous, because there are some awesome online classes out there that far surpass...

A summary can be found here: http://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf Major changes: - No more ABCs sequence. It is now going to be Chest Compressions-Airway-Breathing (C-A-B ) for all age groups. - No more atropine for asystole or PEA -...

This is a question I've been mulling over a while - and I've asked my supervisor and a bunch of others but the answers seems pretty inconsistent throughout the nation - so I'd thought I'd ask here. If your department/agency pronounces in the field after a resuscitation attempt (i.e. no...

Hello All, I tried searching on this topic but apparently "SNF" and "nursing home" generates too many responses. Sorry if it's be answered before. I am trying to figure out if something I keep hearing on IFTs is real or an EMS myth. When running IFTs, I hear a lot of EMTs and Medics...

Issued a couple of weeks ago from Welch Allyn . Affects 14,000 AEDs apparently. If you have a Jumpstart AED or an AED-10, check out this recall information. If you purchased a Welch Allyn AED10 or MRL JumpStart defibrillator your product may be subject to the voluntary recall we...

For those of you who use Zoll AED Plus defibrillators, there is corrective action request issued just a couple of days ago. http://www.zollaedplusbatteryhelp.com/ On February 12, 2009, ZOLL® recommended that all AED Plus® users whose units have serial numbers with the last six digits...

The end with the Ambu Man makes me sad as a CPR instructor. :) http://youtube.com/watch?v=Ecbjo2J5auM

I was in a simulation class two weeks ago, and we went and did a scenario with the Laerdal Simbaby presenting with vfib. When we shocked the infant -- to my horror and surprise -- the manikin actually "jumped" when the shock was delivered! What an interesting design feature, and for me...

I've heard a lot of cot marketing these days from Styker and Monster Medic about how their cots won't "HOT DROP". I use a H-Frame cot on my ambulance so I'm not really familiar with the term. What exactly is a hot drop? And does anyone have a term for when you pull the cot out of the...

Does anyone else here have protocols that require a 18 gauge IV or larger inserted in a suspected stroke? I am trying to figure out the rationale for why so many county protocols require, at a minimum, an 18 gauge? Here are some thoughts before anyone jumps to conclusions: 1. CT Contrast...

Can anybody help explain to me the difference between the "X" style frame of a cot, and the "H" style? Here are some differences that I gathered thus far: H-Frame cots are easier to roll in/ roll out The H-Frame requires only one attendant when rolling an empty cot into the rig X-Frame...

When I bring patients into the ED and explain my patient tripped and fell, the charge nurse cannot help but label the patient as a "mechanical fall". I kind of scratch my head because I've never heard the term before. I've heard a variety of explanations, but how would you define it? The...

Hi there, The current paramedic Ventilatory Management - Adult testing station currently requires paramedic students to provide endotrachael suction to a patient. I have noticed that during the section where the student is tested, questions arise on how to achieve the requirement to...

I was curious: What are your company's policies on the need to stop at the scene of an accident you come across (i.e. you did not cause it), while you have a patient in the back during a code 2 or code 3 patient? Are you required to: - Pull over and call dispatch (or 9-1-1), report the...

This is a question I have been confused about for a while, so I'm hoping you ACLS studs might shed some light on this. :) I honestly have no idea how often you might have a pulseless SVT in a clinical setting, but this question has come up in training. Question: Why do we treat a SVT...

One of the things not extensively covered in the current ACLS course or in many county protocols, is post-resuscitation care. What do you personally do after you get a return of spontaneous circulation after V-Fib/V-Tach? Specifically: - Do you like to hang an infusion of the...