While I'm sure it has happened before (or they wouldn't ask that question) the chance of that actually happening is incredibly low. For the most part the physicians at smaller facilities that AEL will usually transfer out of will agree with what the flight crew has in mind 95% of the time. If...
I mean the vast majority of transfers will either be BLS or ALS (Paramedic level), so it doesn't surprise me that some services would keep you at the EMT-B level.
How long have you been waiting on A-Med and Costal? If it's been over a week or two I'd call them back.
I believe that Windsor is...
Yeah, I'm currently on RW.
I feel the same way about the accreditation, wasn't too familiar starting out but doubtful I'd work somewhere that doesn't have it. I find it strange that a service of that size (looks to be at least 7 bases) isn't accredited.
So I noticed that Ochsner Flight Care has a Flight Paramedic opening at their New Orleans base.
Anyone have any info/experience with them? Haven't heard of them before.
I've been trained to transport them but I've only had one flight request so far and we turned it down as we were on the way back from a nasty call and needed to restock.
They seem to be pretty popular in Central Texas and becoming more so in the Houston area.
Probably due to a lack of clinical history with blood pressure management by medics. Since it's engrained in our heads that every time you treat blood pressure pre-hospital a puppy is murdered, many providers are conservative with doing so.
Yep, I had one not too long ago.
Focus on treating not only pain but nausea as well, since heaving is not the best thing for a dissecting patient to do.
We can then either use Labetalol 20 mg q 10 min doubling each subsequent dose to max of 300 mg, or Cardene 5 mg/hr, titrated up by 2.5...
I'm not really sure if there are any tricks to learning the modes, it's probably just one of those things that need memorization. There are tons of YouTube videos, power points, podcasts, etc... to answer pretty much any question you have.
I'd also suggest buying Eric Bauer's book on...
Just goes to show that even dual engine IFR birds are not invincible, despite what some like to make people believe.
So glad that the crew is okay, will be interesting to see the cause.
I'd agree with the others in that Ketamine would likely be your best option if you're worried about further respiratory depression. If the patient's vitals and mental status are within normal limits I'd likely try an opiate first.
Maybe it's your agency policy but per the FDA morphine is only...
A well formatted hybrid course is just as good as a traditional class, if not better than some. You're not going to become proficient at IV/IO skills in any classroom setting, that is what clinical rotations are for.
I'm not familiar with Lenoir Community College, but I did my Paramedic...
There is really no difference in the cost of living in Austin vs Houston, which everyone talks about being so "cheap" to live in. Though thanks to the oil industry Houston rent prices have dropped over the past year or so, but you're still talking about a ~10% difference in prices.
Most people...
Far better than pretty much any ventilator I've used so far, very lightweight and incredibly easy to set up.
I was there at the time they rolled them out, required to attend day long inservice with educators from the manufacturer + online instruction modules along with scheduled recurrent...
I mean DSI is basically just procedural sedation + pre-oxygenation with CPAP being an option not a requirement to provide pre-oxygenation. Weingart has repeatedly said he also likes it because of the chance of avoiding intubation all together.
I don't think that it's appropriate for every...
Well most of the newer medics I've been around still consider abdominal pain a contraindication for narcotic analgesia. They're still teaching (at least in my area) the "ER won't be able to assess" BS.