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Almost hit the nail on the head here, the main problem with your post is with Gold Coast. Gold Coast is the busiest and most ran area of the county, as well as the most overlooked, and the guys there have an awesome relationship with fire. The OFD is bls only and they do a awesome job. They help...

Sea medic you have a PM, thx

^^ this call was a month or so ago, I can't recall all H,A,M. Just ran too many calls since then. Sorry. B/P was 190/100, repeat B/P were all around 170/90 ish... Like I said, pt. did have a pacemaker, however she had no pacer spikes on any of the 3 cardiac monitors she was placed on...

Just thought I'd share a call I ran recently. Got a Code 3 ambulance only call at 1300 to a Clinic for a heart problem. Onscene found a 80 y/o female lying on table. pt. c/o chest pain rated at 2/10 that began at approx 0530 am and awoke her from sleep. pt. awoke and started to do some...

Depends on the company. Ask how the pay works as some companies only pay OT after 40 hrs a week so on your "A" week you will only make straight tme as you have only worked 36 hrs. Be careful moving though if you are making 13 an hr. Most companies don't pay 24 out of 24 as stated above. Also...

Not my point at all, I said treat because we are ALS providers with the knowledge about how this medication works and how the body works and can put the two together that this kid is feeling symptoms and is uncomfortable because of it and needs treatment. End of story. Yes my protocols back up...

In a way you have changed the argument a bit. Are you saying that because the kid does have a funny feeling in his chest that he is for all intents and purposes symptomatic, and he should get the adenosine? Im not changing, I'm just offering a perspective that this pt. is symptomatic by what...

So, a few questions: -What are you concerned about, why, and what are you going to do about it? #1, Head Bleed, especially with the lac to the head, warfarin, unequal pupils, high BP, and decreased pulse. -Spinal precautions? Absolutely.... Old with fragile bones and obvious strike to the...

1. I agree with that statement. 2. It is not rolling the dice, it is treating the patient who obviously is feeling something that he can't describe, but is affecting him. 3. In my protocols it only describes the indication for cardioversion reserved for hemodynamic instability, so if I gave...

Once again another "roll the dice" kind of answer. :wacko:

Another great post 18, If there wasn't a funny feeling in this kids chest then he wouldn't have said anything to his parents and they wouldn't have taken him in. He didn't just take his pulse and say wow, 212, I should go tell my mom because that is outside my normal range. This kid is...

^ Best post in the whole thread. We have been given the tools to solve problems and the education to back them up. If it is broke (even stable SVT in my protocols) then fix it with what you have in the box. If you are unsure of your knowledge/protocols then consult with the ER Dr. at the...

Gorilla... Pm me the name of the company, im curious and i might be able to help you. And other companies...

My $.02

Let me now what you think. and any more ?'s

Welcome!

Good Read.... Hope to see more Great job on this scenario. So in depth and intellectual. I appreciate a post like this. :beerchug: So, that being said, I am a big believer in prehospital pain management and the pt. setting their own "pain goal" Most people would be gracious with a pain level...

So I have a "?" for all of you smarty pants.... What are the different effects in giving Nitro @ 0.4mg SL or giving 1.6mg SL? And why are the effects different?

I have done this before. The incision splits open and oozes blood, and the chest is easier to compress because most likley they separated the ribs from the sternum. Very fun code to work. :P

Come to NV Contact AMR here in Las Vegas, they are always hiring and if they aren't MedicWest is. They pay decent and the cost of living is really low. And if you decide to go to medic school, there will be even more oppertunity out here.