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If the pt codes after first round of EPI and Vaso its right back to EPI…..

lol pouch should have been push…. silly spell check

Have someone call 911, place pads on pt if AED is with you start compressions while it is charging if shock advised make sure everyone is clear of pt deliver shock…. if no shock advised continue CPR until it is time to analyze the rhythm again or until ambulance arrives

AND….. Simply trying to understand if the nurse in portugal was able to function as an RN or Paramedic would here is all….. its kinda called learning…. I would not want to tell someone I would do something differently in their part of the world simply because I was arrogant enough to think...

Tigger, please do not get me wrong, I DO NOT backboard every pt that has a traumatic event…. my judgement as to whether I do or not is based on my ENTIRE evaluation of my patient…. from the reason for the fall, (dizziness beforehand or accidental) to their level of consciousness to the mechanism...

Not at all….. Pleasure to meet you…. I find that debating in this fashion keeps one on their toes…. one can never learn to much when it comes to caring for others

I would have to agree wording is inaccurate having had a child with croup you don't EVER forget the sound, it is rough and harsh however based on the description I am surprised more people did not say pertussis (whooping cough) which is often mistaken as croup…. Just glad the child is ok…...

In this one they do……. Paramedics have more standing orders than Most nurses here

I will do what is always in the best interest of my pt…. Never anything less…. while we don't agree on this topic I am sure we both feel the same about our pts

As for my required CEU???? AMLS PHTLS PALS CPR ACLS ABLS…. as well as work at at agency that trains regularly and has initiated the RICE protocol for rapid cooling in cardiac arrest pts. test ran and implemented the auto pulse in cardiac arrest, did studies in using synthetic plasma as opposed...

No SEVERAL FX's cervical and lumbar…. I am NOT an advocate on back boarding those that need not be but you CANNOT get complacent and blanket ALL trauma as not needing to be immobilized unless of course you have potable x-ray machines on your unit to rule out spinal injury

error in post

as for the person who questioned cardiac monitor on a child….. HAVE you ever seen a child compensate to the point of arrest?????? I HAVE

OK a squeal like sound aka wheeze…. musical sound is a wheeze…… seal like rough bark or cough is indicative of croup

Peanut allergies this far along would show difficulty swallowing and breathing…. GEEZ HX of asthma….. status asthmaticus people

(It's February. He has the croup. Give him humidified oxygen. Take him to an EMERGENCY ROOM!!! If he has a PMHx of asthma give him a "nebby". If he has a Hx in ambulances he'll be fine with it, if he fights it it's not worth it. If it's not croup it's acute bronchospasm and the sympathometic...

Albeuterol 2.5 and atrovent 0.25, cardiac monitor, IV normal saline KVO or NS lock. if the wheezing remains neb treatment as needed secondary albuterol at 2.5mg and prednisone at 1-2mg/kg PO… if the pt did not respond to this and BP is less than 90mmHg and less than 8 years old Mag sulfate at...

What was his heart rate?I am thinking more along the lines of dehydration and depending upon how long he has been dehydrated and when his last bowl movement possible impaction which will cause the desire to pouch with no effect other than stimulating the vasovagal response…. was the patients HR...

Just because you are an RN in a prehospital environment does not mean you do not work under the license of an OMD who sets your standard of care

I am not disputing the fact that standing take downs are the norm….. Every situation is different…. I had a pt who was in a car accident and in confusion automatically went to get out of the car she stated neck pain and lower back pain…. I stopped her from moving and used the standing take...