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  1. mikie

    Flutter Valves

    Here's some of that evidence: http://www.ncbi.nlm.nih.gov/pubmed/22987168
  2. mikie

    "Outside the norm" paramedic drugs

    Just curious, no MJ here... Does anyone carry Propofol? Or is that only carried if initiated by a doc (an infusion)?
  3. mikie

    ACL Injury

    If you need it, do it! ACL surgery in '02; Out patient procedure, week of some not so nice pain (they make drugs for that) then 4-6 months of PT/rehab. I had the hardware (screw) removed a few years later from some minor pain. Today, zero issues lifting, moving pt's and everyday mobility. No...
  4. mikie

    Another Photo Contest!

    Am I too late?
  5. mikie

    bachelors degree in paramedic

    Not usually all 4 years... Not all Bachelor's degrees that are related to EMS and involve a paramedic certificate typically (to my knowledge) do not spend all four years 'prepping' for your NREMT exam/paramedic curriculum. That's usually reserved till the 'upper' years. First two years...
  6. mikie

    Another Defib. question

    I think I understand the concept but what is the 'value'/importance of the impedance being displayed? Is there any clinical 'correlation'? I assume you would want the lowest amount of impedance possible? Is there a normal? On an unrelated question- how is the HR calculated if it's VF...
  7. mikie

    The brain and insulin use

    The technically term for -glycemia AMS Neuroglycopenia. now say that 10 times fast.
  8. mikie

    Another Defib. question

    So I never noticed this before...in the rectangular box where it says 'Impedance' - is that the actual amount of joules delivered the patient? (This reminded me of my recent question about the 200-300-360 on biphasic monitors; this was biphasic defibrillation at 200J; second was at 300J but I...
  9. mikie

    The Skinny on Defibrillation - 150J, 200J, 300J or 360J? Biphasic or not? Waveform?

    Biphasic Question What is your dosing for biphasic (adult) defibrillation? We are being instructed the 200-300-360J for our new LP15. I thought that was for monophasic defibs. We currently have LP12 and have always been escalating the 200-300-360J way. Our new LP15 (biphasic; not 'in...
  10. mikie

    Whoops! No Valium in our box

    hospitals around here are experiencing drug shortages; it's affecting our stocking of 'regular' (non-scheduled) drugs.
  11. mikie

    Fisdap

    http://www.fisdap.net/what_we_make/testing
  12. mikie

    Dual Sequential Defibrillation

    Try looking up Double Sequential Defibrillation
  13. mikie

    BD Closed IV Cath

    I too have worked with these IV sets in the ED setting (so easy to draw labs!). And the tubing diameter changes with the gauge of the needle (i believe). Never any issues with fluids, rapid infusion, blood, etc. I noticed at one hospital that used these sets, frequent hemolysis occurred in...
  14. mikie

    Ever google a call?

    Community Driven Media Unfortunately, most of our calls (the ones that occur in public typically) wind up on Patch.com anyway (and a stock image of our ambo or something) or other known sources. Community driven media (not just Facebook posts or SOCIAL media anymore) is making privacy, etc...
  15. mikie

    Medical Director Ride-Alongs

    not to change the topic.. For those with experience with medical directors/doctors on scene, how does the dynamic of the 'crew' change? Is the doctor doing interventions, observing/assessing and using the medics for interventions? Can they authorize you to administer a drug/dose outside the...
  16. mikie

    Oridion (provider of Sidestream Co2) with US import ban - implications?

    Is there any legitimacy to this? I wonder how long it'll take for this to get locked...
  17. mikie

    How accurate are the LifePak/Zoll Defibs at Identifying Rhythms?

    on a side note... Is that what is standard across all the models? LP, Zoll, Phillips? Can you point me in the direction of finding more information on the actual 'algorithm' for how the EKG interpretation does occur throughout the various machines (LifePak mostly)? Google-ing wasn't so...
  18. mikie

    Stuff you are just sick and tired of reading and hearing

    "It's what the protocol says"
  19. mikie

    Any ALS instuctors in MD that could do a protocol update with me?

    Not true! The morphine dose changed just last year! :rofl: but seriously, you're pretty much spot on. OP- do you mean an official skills refresher or just a 'review'?
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