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    AmbuBus

    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!
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    Lead EMT best practices

    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...
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    Medical Director Clearance

    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...
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    Metabolic acidosis and decreased ETCO2

    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...
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    Internal Defibrilators AICD

    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...
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    ACLS questions

    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...
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    Acute withdrawal syndrome...

    Just wanted to share a recent call I ran and get your opinions on narcan administration and what your protocols dictate . Dispatched to cardiac arrest in a vehicle . I arrive on scene to find approximately 30 y/o female slumped over in her vehicle in a parking lot space with no visible...
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