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  1. J

    CHF with low BP

    This is exactly why I love this forum! New information all the time. Now I know I can throw that "well they have a palpable pulse at this location, so their BP must be this" thought process out the window. Sent from my iPad using Tapatalk
  2. J

    Nremt says I failed but personally I feel like I passed.

    If you're choosing to shock A-fib and not V-tach clearly the test is doing its job. Like many others, I suggest you re-read your books and get ready for your next attempt. Sent from my iPad using Tapatalk
  3. J

    Amidarone ?

    May be a silly question, but if we give 300mg of amiodarone and they convert why would we then hang a 150mg drip? They're no longer in the arrhythmia which amiodarone is indicated for? Sent from my iPad using Tapatalk
  4. J

    IM Epi in full arrest with anaphylactic etiology.

    Holy moly that's a lot of epi Sent from my iPad using Tapatalk
  5. J

    What certifications do you hold?

    CPR, ACLS, PALS, NRP, ITLS-Advanced. Sent from my iPad using Tapatalk
  6. J

    first call of the day is...

    Woman who gets violent nausea/vomiting and abdominal pain when she eats hot dogs.....went on a binger last night. 48 dogs went down the hatch, 48 came back up. Picked her up on a street corner.
  7. J

    I am thinking about living in solitude I'm the Alaska wilderness for life...is prn EMT work good?

    You have the strangest posting habits.....in a matter of weeks you've gone from telling us how emergency vehicles save no time during response or transport, to bragging about driving like a butt head down the Tennessee interstate.....and now you're off to live in the Alaskan wilderness? Sent...
  8. J

    Dopamine in RVI

    would you use it in hypotension?
  9. J

    Is hitting 90 mph transporting L&S on interstate acceptable?

    Tnaemt94, your posts never fail to make me giggle.
  10. J

    Dopamine in RVI

    What are everyones thoughts on the use of Dopamine (it's all we have available) in a hypotensive RVI refractory to fluid boluses?
  11. J

    Hypotensive CHF

    What is the best way to treat a hypotensive CHF patient? Our normal course of action here for a normotensive patient would be nitro (SL,IV or patch) and CPAP (both which could reduce pressure even further). If they are hypotensive we can start a Dopamine drip and talk about CPAP with a doctor...
  12. J

    MFI/RSI

    Seems like a pretty aggressive RSI protocol if you're RSI'ing one person for every code you tube.
  13. J

    Re-thinking EMS education.

    More training on communication, how to talk to people, managing chronic health issues. We spend so much time training for the high acuity 5% of our calls.....and no one seems to train people how to talk to grandma who slipped out of bed.
  14. J

    DC EMS adding AMR to the Mix

    I agree there aren't many better alternatives, but how many deltas end up being a true delta? It would be better to allow the medics assigned the call to use their judgement, or better yet, have an als paramedic or physician reviewing calls in the dispatch center instead of having call takers...
  15. J

    DC EMS adding AMR to the Mix

    MPDS is a joke. Over triages way too much.
  16. J

    Alberta paramedic exam

    Hey everyone, My class is just finishing up our 2nd year of paramedic school and starting to get ready for licensing in June. We're looking for advice on what to study for ACP, what the medic test is like etc. Any information is appreciated, saying more than "read the AOCP" will be even more...
  17. J

    Saline flush complications

    Hey guys, Quick question regarding flushing IV lines with pre filled saline syringes. Standard procedure here when an IV line isn't running is to attempt to flush it with 10cc of NS. Assuming it isn't flushing due to a clot at the end of the catheter, is it possible to create a...
  18. J

    What do you carry? - The mega thread

    Gloves, pager and radio
  19. J

    Blind airway devices.

    Further to your post.......what are your guys thoughts on intubation after caustic substance ingestion?? My medic school instructors keep saying it will melt the tube.....how would you then manage the airway??
  20. J

    Just got licensed as an ACP. What next?

    What's wrong with Holland? I would also agree with tru being a good school
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