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Our agency recently acquired an AmbuBus/MCI Bus. We converted an old transit bus that was donated to us. I am looking to develop a policy or SOP for its use and deployment. Do you guys that have one care to share your deparment guidelines or have any advice for me. Thanks!

Immensely. Thank You for your reply. Speedy

This Teleflex (if you use EZIO) will gladly come to you and do training. There is also a wealth of information on their website. https://www.teleflex.com/en/usa/ezioeducation/index.html

DrParasite post: 659955 Several different questions come to mind The first is, what does your department plan to use the BLS units for? 911 response, special events, BLS IFT, etc. Thank you Dr. for your reply. Our BLS units will be used primarily for 911 response. We will be using a priority...

Hello all, Our service is considering implementing BLS units. We currently run 20 ALS units that are either dual medic or Medic/EMT. I was looking for some information on best practices for the credentialing of the EMT to step in to a lead role on a unit. Any insight you can provide from your...

I too am intrigued by this and wonder if there is only a certain subset of patients that will benefit from this. In a presentation by Dr.Scott Weingart (link below), He seems to feel this is a benefit to all patients who we may have considered using RSI. It seems like you are supersaturating the...

yes! thats what im gettin at. Thanks for your reply.

Sorry Sanpit. I should have been more clear. Basically looking for what process do you have in place as an ALS 911 provider to clear that paramedic who will be in charge of the truck. Chaz....thank you for that information. You have a phenomenal process in place.

I am trying to gain some insight as to what other departments are doing do clear their paramedics to be "In Charge". Our process includes: * 12 lead competency * Scenarios with the training department involving differential diagnosis and critical thinking skills * Protocol test * A face to face...

I was also under this impression. If he started in fib you would want to give an anti arrhythmic to prevent him from going back into that initial rhythm.

I'd love too! But hay..... It's my protocol and I have to follow it.

We carry it also for RSI. We administer 2mg per kg IV push followed by anectine 1mg per kg. We can follow up with 25 mg IVP and repeat that if necessary for continued sedation.

Great post...thanks for sharing!

For some reason , wether to lack of caffiene or some other distraction , I am having a hard time comprehending the relationship between metabolic acidosis and a low ETco2 . I just read an article stating metabolic acidosis could be a culprit in seeing a low reading . I disect it in my head...

sdadam.....seriously.....you are advising him not to ask a question in a forum? :rolleyes: Why dont we just eliminate forums all together and we'll just google all our questions then ? Yes there are a million resources out there but he chose to come here for answers , possibly looking...

If a pt has an AICD in place and it is firing . You put them on the monitor and they are having runs of VT should you give them antiarrhythmics to supress the arrhythmia or let the defibrilator do its job? Lets say the pt is conscious and alert and the pt is not converting with multiple...

^ lol....good question!

Manatee County EMS is a great place to work . Just North of Naples on the west coast of Florida . We are a very progressive county based EMS service with 18 stations . We have state retirement and great bennys . We handle all the 911 calls in the county and there is a private service here that...

Why is hyperkalemia important to detect in the prehospital environment? Are there any drugs typically carried on an ambulance that should be used with caution in the hyperkalemic patient?

I am a little confused about ACLS . Specificaly VF/VT . I understand you now do 2 min of CPR then begin the algorhythm . So CPR 2 min , Then Defib (If VF/VT) , then immediately resume CPR for 2 min....before difibrillating again right? And in the mean time give the epi . So essentially you...