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  1. Grady_emt

    RAMPART Study

    Anyone else's agency enrolled in the Rapid Anticonvulsant Medication Prior to Arrival Trial? I just learned today that we will be participating in the study. Haven't had the full inservice yet, it was just mentioned in a different meeting. My understanding that on any siezing pt, we will...
  2. Grady_emt

    Wake County EMS begins Advance Practice Paramedic' program

    "RALEIGH - Beginning on January 6, 2009, the Wake County Department of Emergency Medical Services will begin implementation of the Advanced Practice Paramedic (APP) Program. This program represents a change in the configuration of the EMS response in Wake County, enhancing response to the...
  3. Grady_emt

    Delivered my first baby....In the jail

    So the other morning about 45 minutes to shift change, we get a call to the City Jail (not county lockup or The Fed) for a female in labor in the sallyport. 4 minutes later we are pulling up the the sallyport and the doors are already upen and Corrections officers waving us in (normally closed...
  4. Grady_emt

    Run of combative patients recently...

    For some reason I have had a run of combative patients recently. Have not had a decent trauma or cardiac patient in weeks now. Two post-ictal siezure patients, and overdose on unkn substance, an organic brain disease pt in a nursing home... It all came to a head last night when we had...
  5. Grady_emt

    Dispatcher sends wrong agecy to wrong location, woman dies.

    Here in Fulton County FulCo)/City of Atlanta (CoA) there are two ambulance services and 3 PSAP centers. Grady EMS (GEMS) is the ALS 911 provider for the City of Atlanta in central Fulton County. Rural Metro (RMA) is the ALS 911 provider for North and South Fulton County (two separate...
  6. Grady_emt

    Advance Directive question

    Ok, so the other night we were called to a nursing home for a 84yof c/o rectal bleed. She has been a resident for 10 years of this home, is a hospice pt, is completely AxO. Staff states approx 45minutes PTA EMS, when changing pt, they noticed bright red blood in it. Pt has hx of CVA, Lung...
  7. Grady_emt

    Agency Funding?

    I know there are some vollie services, some county services, some hospital based services, but when providing 911 service, does your agency recieve subsidies from the local government (county/city/state) to compenseate for uncompensated costs of care for the indidgent? Looking for a two part...
  8. Grady_emt

    What do you think this is??? (12 lead)

    Just looking to see what you guys think this rhythm (esp the initial one) is. I havent a clue, and we got totally different answers from each doc we asked.:unsure: So on the last night of a long weekend, approx 0345 hrs my partner and I were dispatched to a Code 1 "Diff Breathing, Severe...
  9. Grady_emt

    What do you store your pharmaceuticals in???

    We just got new backpacks (lovingly referred to as rocket packs) for storing our drugs in. Formerly we had a smaller (I guess the size of a larger purse) shoulder bag for everything. While they are 2-3 times the size, the new backpacks keep everything much more organized and visible. Also, if...
  10. Grady_emt

    Treat My Pt, Version 2.0

    44 yof called in by APD unit as Uncon/unresp. 4 minutes after disp, upon our arrival found lying on sidewalk with purse as pillow apparently asleep. Officer advises that he tried to wake her up after driving by and seeing her lying on the sidewalk. Moderate sternal rub awakens her to an...
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