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Recently got called for the shortness of breath in the middle of the night. On arrival we found a middle aged women sitting outside on a bench of her apartment building, tripoding. She states she was awoken by the difficulty breathing, has a hx of asthma, and has used her inhaler with no...

Had a call a couple days ago for the rollover on a local highway that had me guessing. 4 car MVA one rolled multiple times and everyone, somehow, was ok and ambulatory. One pt was pregnant and wanted to be seen at the hospital just to check on the baby (22 weeks, not the car that rolled, hasn't...

Get called for mid 50s yo male complaining of 8/10 right sided non radiating dull pressure with increasing shortness of breath on exertion. You find the pt sitting in a chair Alert x 4 Breathing 20 per minute, Strong radial pulses in the 100s, skin is diaphoretic. Sinus tach on the monitor and...

Wondering if anyone has successfully converted a SVT with the 3rd Adenosine dose? Protocols here are 6 mg, 12 mg, 12 mg. Personally never seen it work, either breaks/shows underlying rhythm with 6mg or nothing at all with all 3 doses

http://www.ems12lead.com/2014/11/11/sudden-cardiac-arrest/ Interesting article/videos about sudden cardiac arrest with pts having tachypneic agonal respirations and posturing while in cardiac arrest. Some videos are painful to watch because of care or lack there of but good info

Ran a SOB call on a pt who has been receiving photodynamic therapy for lung cancer. The cancer treatment was unknown until we made pt contact. When we arrived on scene (around 0100) in a lightning/rain storm, no lights on from inside/outside the house or any apparatus already on scene, and in a...

At 0200 your ALS rig gets dispatched to one of the city MBTA stops for the fall, not dangerous. OA you find a 64 yo M local drunk who you know has frequent episodes of Rapid Afib with RVR and very poor vascular access, pt is walking back and forth near train platform, sits down crosses his legs...

I'm a paramedic in New England that works for a high call volume 911 city based private and might have an opportunity to work as a Fire Medic. Working fire based is not my first choice but we all know the story about a pension. Before the opportunity I was looking at moving and working in...