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I'll give you the basic scenario. Get called Priority 1 for a 25 y/o male, had a seizure in the shower, door to bathroom locked. Downgraded to priority 3 by FD on scene. Arrive on scene to find the patient sitting on the couch. Awake, alert, oriented. Pt states he has had idiopathic seizures for...

On a serious note, this place hasn't changed much. I return after a lengthy time away only to come back and have someone start an unprovoked argument about BLS/ALS in a thread that asked a question as simple as "do all seizure patients require an IV?" I hope you're drawing in a ton of new...

I am so depressed with what people STILL continue to do with the most basic of threads. It's why I got completely turned off and left in the first place. Most of the time, when someone brings up the terms "BLS" or "ALS" they aren't trying to start some philosophical discussion. It's simply a...

You seem a bit passive aggressive. That overreaction was remarkable. I'll rephrase in order to avoid another outburst. Does every seizure patient require an IV?

Long story short, to my shock, I discovered yesterday that our protocols say that every patient requires an IV. Can't say I agree. Thanks for the responses.

Is it ever possible to have a BLS Seizure? Does every seizure patient require an IV?

http://www.skyscape.com/index/home.aspx The free base program has default pages, including an extensive drug list.

If a caller requests an "early shutdown," we will shut down the siren and lights after leaving the main roads and entering the neighborhood. At that point, it's not much of a risk. I've never known a patient to tell us no lights or sirens at all, but early shutdown is very common at night...

1700-0500.

Do those things. If a higher level provider tells you to stop, or not to do it, then simply stop and don't do it.

I got mail awhile back asking me to apply to their company. I thought it was a joke.

A guy that actually had a panic attack so severe that he hyperventilated to hypoxia and had a seizure.

I've personally seen patients tell me that they don't feel comfortable having me assess them until the first responders who -wearing jeans and T-shirts, chewing tobacco, and using unprofessional language - were removed from the scene. And you better believe they were removed without any...

Risky, but probably okay this time. Just remember that at any time the patient's family can change their mind and complain that you didn't make any attempt. And you have no defense without a DNR.

Again, tons of opportunities in the West. Sometimes you have to be flexible. People need to stop suggesting there's nothing in Michigan though. They're honestly dying for both EMTs and medics over here. I'm not kidding. Working on Medic/Basic truck for 12 hour shifts, making an average of 6-9...

To dispatch with 'em!

Sparrow's? Oh, you mean their uh...95% sitting in a small room answering the phones like dispatchers and 5% jumping on the ambulance for interfacility transports? I just wish I could remember what they're called. But no, not last I checked. I wouldn't want to do that anyway.

Personally, for dumb, I prefer patients. Today, I noticed a guy drive up next to the ambulance, get out, and start walking towards us. I'm like, okay, he just wants directions. That's fairly common. He approaches my side, and I roll down the window. I say hello, and ask how he's doing. He...

I hear HVA is quite the experience. And by that, I mean being written up if you're wearing a long sleeved uniform shirt on a warm day. What say you?

I've never tried to RSI a horse (yet), but I have plans. And those plans involve a lot of Ketamine. That being said, Ketamine really is the perfect drug for pediatric RSI.