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    Dnr

    no OOH-DNR - work it. unless you can find paperwork in which case i'm still not going to waste any time looking for paperwork at the expense of providing pt care - if its just me (qrs) i'll be working till someone shows up to help and then either they or i can look quickly to see if there's...
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    *%#@&$^#%# Children!! :-)

    born 1984.........made my one partner feel REALLY old the day we discovered he got his first EMT (he's a medic now) certs 3 months before i was born....lol
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    Amusement parks

    i spent a couple years at an amusement park doing first aid - one bls provider for entire park of ~40 rides, plus a water splash deck/play area (no depth so no lifeguard needed). average guest attendance was 1-4k occasionally getting as high as 6k on some rare weekends. the majority of the...
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    Latex Allergy

    a few years ago there was a company a couple hours away that had transported some balloons in the front of their rig to a company party - then got tapped for call. the pt (who DID live and was fine) had a severe latex allergy, to the point where the crew could not put her in their ambulance and...
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    Full Arrest

    2-person, double-handed, head-tilt chin-lift bag valve mask with cricoid pressure! that was the saying in my medic class....and we had to say it out loud every time we had to bag a person..........that's of course for medical no trauma, if trauma it was modified jaw thrust BVM.....
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    Would You Tell

    gloves are on before i leave the truck (usually put on enroute to the call) or as i am walking in the door (if i have a hard time getting them on). gloves come off before i hop in the truck if i am driving (load the pt, strip off gloves and toss in redbag trashcan, hop in front to drive) and go...
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    Single Green Car looking for Lonely Telephone Pole

    1st is safety - park the ambo in such a way as to block the scene from traffic as much as possible but still in a safe place so as not to jeapordize MY safety. 4Ps of safety - Personal, Partner, Public, Patient (yes pt is last) first make sure you and then your partner are safe, then make sure...
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    Albuterol for CHF

    i don't know.....i'll have to see if i can find my books again and re-read them....i don't remember. meh.
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    Albuterol for CHF

    heh, your guess is as good as mine. i think what our instructor was saying with the diagrams he was drawing - circles and all that i can't figure out how to put on a computer - is there's a difference b/t broncospasm and broncoconstriction and the spasm is more asthma while constriction is more...
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    Long Transports

    the one service i run with our transport times are anywhere from 20-40 minutes depending on where we are which hospital and traffic. bls calls or non-critical pts, if the pt wants to talk we can talk about whatever they want to talk about, or i will ask more detailed questions about something...
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    Electronic Patient Care Records (ePCRs)

    Most of the companies in my area (county) use EMStat - it's on computers back at the stations. Charts are done on the computer then printed and faxed to the hospital or printed and placed in a billing box for collection by the supervisor (depending on what company you are at). the only time...
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    Albuterol for CHF

    from what i understood and remember from class (forgive me if i ramble and go all over the place bc i'm tired).....wheezing is the first sound you hear in CHF (meaning it's the beginning sound from there goes to fluid and etc). bronchoconstriction in asthma is caused by spasming of the muscles...
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    unconscious person

    Final DX okay, so here you go. During your assessment, as part of your physical exam in the ambulance, you palpate the pts abdomen. Pt until this time did not c/o any abd pain. Upon palpation you discover her abd is fairly tense, and pt cries out in pain when you push gently on her lower...
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    what is your trigger for runs

    don't have much of a trigger for me (besides trying to eat hot food) but i used to have a paramedic partner who every time he heard the song 'don't fear the reaper' on the radio (but not if he played it off cd) he would have a code that day somewhere along the line....don't know if it still...
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    What do you call an ambulance?

    truck i think is most common. also used are rig, amblance, buggy, unit, bus, bamblance, ambo, vanambulance or vanbulance, and beast. in reference to the transport units/wheelchair vans - tard cart, window licker van. in reference to a specific ambulance - either by number (the number 5 bus)...
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    unconscious person

    eydawn - 2100 hrs last night, no hx of syncope. only thing for me is personally i'd go with an 18g - nothing wrong with a 20g but if i can get an 18 in this pt i would, just in case her bp doesn't come up or starts going down and she starts crashing; however you are correct in the flow rate...
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    unconscious person

    wow. lets see if i can answer all the questions in one post without forgetting anything. no recent hospitalizations, ER visits (not since being stung when discovered allergic to bees), no surgerys, tattoos, piercings, or recent immunizations. social status - not quite sure what you...
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    unconscious person

    HA someone caught it.....now for the twist (can't just be simple now can it?) yes she is 17 but parents are out of the country and pt lives in her own apt. now can she sign off? alcohol/drugs.....no alcohol, pt denies drug use (no track marks etc.) and states she has never even tried them...
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    unconscious person

    "How is her skin turgor? How has her urinary output been? Color? Odor? Frequency?" skin turgor is good, she states she is peeing normally, not excessively dark and no odor. " Your patient (yours because BGL is a BLS skill and every BLS truck should have a glucometer) is on...
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    unconscious person

    Your findings: S: pale/cool/clammy skin; lightheadedness, dizziness, H/A, nausea A: PCN; bees M: Epi-pen PRN P: anaphylactic shock after bee sting 16 months ago; no other med problems; pt denies pregnancy (LMP 2-3 wks prior, no BF for 4 mos no relations since prior) L: about four...
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