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  1. 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...
  2. mikie

    Intubation Experiance

    When you first started intubation (which maybe a LONG time ago from some of you geezers :) ) , field/clinical/OR, wherever; were you successful, unsuccessful? Found it easy, difficult? At what point in time did it take you to "think" you were competent in ETI? Obviously every patient has...
  3. mikie

    Pre-attached Electrodes

    In recent threads about lead wires, etc, got me to thinking. As a paramedic student & EMT, i have seen many different agency setups...My question is, do you pre-attach your electrodes to your leads? I have seen both. I have heard anecdotes about reduced efficacy/stickyness if you pre-attach...
  4. mikie

    Littmann Scope Question

    So I'm having a problem w/ my Littmann Master Classic II. If i place it in a bag, pocket, etc, the cover over the diaphragm and protective rim comes off frequently. Does anyone have a solution/recommendation? I hate pulling it out and it fell off (especially for fear of losing it on a call...
  5. mikie

    From E911 to NG911..

    Has anyone heard of this? Have it in place? http://www.cnn.com/2011/TECH/mobile/08/11/text.911.mashable/index.html?hpt=hp_t2 Are people going to start texting instead of calling 911? Don't get me wrong, it has it's place, but is the dispatcher going to text back CPR instructions? :cool...
  6. mikie

    New Paramedic TV show...

    EMSWorld Link So when they say comedy, do they mean parody?
  7. mikie

    PEEP vs. CPAP, are they the same?

    Well, is it? This was brought up in class recently. Teacher said no. My rationale: They both exert >10cmH20 (though PEEP would be more titratable in certain situations) of pressure within a closed ventilator circuit, preventing atelecastsis, maintaining open alveoli and keeping extrastitial...
  8. mikie

    So what do you call it?

    Just seeing the stats on our usage of the synonymous terms for a stretcher...
  9. mikie

    Suture & "Scenario" Question

    Obviously this isn't something we'd be do in the field (speaking broadly, that is (I'm sure there are some system that allows it)), but thought I'd ask anyway since we do have some bright & experienced people around.. Is there a "window of time" for sutures? Scenario: (we'll say this is a...
  10. mikie

    Blood pH

    We were talking about blood pH today (mostly in regards to changes from hypovolemia). Teacher: "the blood pH should be between 7.35-7.45" My question: Is there a difference in pH of venous vs arterial blood? My rationale: Venous pH would be higher because of the metabolic byproducts being...
  11. mikie

    Your IV Technique

    I've seen plenty of IV tips around the site, but I'd like to talk about a specific technique: I've seen people mention going into the side of the veins instead of directly over top. My problem, lately, is that I try to go over top and wind up missing. Should I try this "going in through the...
  12. mikie

    Simulators

    Just finished a 16 hour Laerdal SimMan training session. My school just bought a few & variations. The thing's pretty darn cool, heck of a lot of features. It'll will be interesting to see how it will be integrated into prehosptial education Is anyone else's...
  13. mikie

    Heart Block Nomenclature

    In regards to Heart Blocks, when interpreting, would one say, for example that it is a Sinus Rhythm with a 1, 2, 3 etc or can/do you omit the first part? i.e. The Pt has a 1st degree heart block (1degree AVB acceptable?) vs the pt has a Sinus Rhythm with First Degree Heart Block (same for...
  14. mikie

    2010 AHA Changes

    So who has the inside word on what's about to change? Future of CPR Discussed at FH World I have a feeling a change is amidst us.
  15. mikie

    Speedos

    Are they apart of your uniform? Please tell me you wear BDUs over them :rolleyes:
  16. mikie

    Article Section?

    It seems that lately people have been posting some articles that have sparked some good debates. I know there is a EMS News section, but I would imagine that be more suitable for NEWS. What if there was a section for Articles? Just a thought.
  17. mikie

    "I had this one call..."

    Do people ever get on your nerves (colleagues, mostly) for always starting or interrupting conversation with, "I had this one call..." and "I was like to the medic..." ? Partially ask because I have a colleague that does and after a while, it gets in the way of work (EMT-B...
  18. mikie

    Prehospital Blood Draws

    Does your service draw blood enroute to the hospital? If yes... -Private or Public service? -For what purpose (speeding up lab times?)? -What are your protocols (some patients, all patients)? -Is there a 'chain of evidence' issue (ensuring the blood is in fact that patient's despite not...
  19. mikie

    Blue Lights.

    This has absolutely nothing to do POVs!!! Just thought the title would attract an audience. Do different units (ie an ambulance and a rescue squad) have different color emergency lights (ie light bars, strobes, flashers, etc) in your town/city/etc? PD as well? Does it help distinguish...
  20. mikie

    Friendly Reminder

    Just a friendly reminder to everyone... Get out and vote! ;)
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