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A Canadian Perspective No, no more IV Salbutamol (that's what we call it) LOL And as for the Atrovent, we only use it in conjunction with the Salbutamol. SQ Epi is still our first-line, followed with Mag and 'roids As an RRT, what are your thoughts on using PEEP, based on starling's law...

Racemic? Just wondering if anyone in the states is using racemic epi nebs in cases of status asthmaticus? Also the initial post mentioned the albuterol, is atrovent (ipratropium bromide) used frequently in conjunction with the albuterol neb in the United States? As for my opinion of epi with...

Thanks for your feedback. Specifically, M.M. We work on the same principles of haemodilution/hypothermia Though I havent yet seen the hypertension side of it used here. Makes good sense for reperfusing cerebral tissues, though i'm curious about the use of epi and the possible increase in...

Hello all you ALS guru's I work up in Alberta, Canada and just recently transported a post-cardiac arrest resuc.. Curious what others are doing with regards to inducing hypothermia of 32-34 degrees Celcius with these patients. Comments?

You're correct, they aren't inert binders. Things like methylcelluose are binders that make the pill stick together. The Acet/ASA/Ibup are added to work synergystically with the opiate by inhibiting prostoglandin synthesis. This is also true in T3's (Codeine, Acetominophen, Caffeine) (The...

The are pretty much the same thing. Oxycodone is the synthetically derived opiate. Oxycontin and ratio-oxycocet are brand names. The ending '-cet' implies that the oxycodone is combined with acetaminophen. Other combinations include ibuprofen and ASA. These are rarer form what i understand...

We rock the tegaderms too.

First Responder's Life in Canada So up here we generally have 4 levels of care: EMR/FMR (First responder), Primary Care Paramedic (EMT-Ambulance), Advanced Care Paramedic, and Critical Care Paramedic. Due to the difference in Scope, EMR's are not allowed to work on-car with Advanced/Critical...

Bananas? Though there is no substitute for live tissues, try the cheap banana alternative. This is more for those learning for the first time, and working to improve insertion technique. Use a good old banana in it's peel. The skin provides a similar resistance and sometimes comparable...

I couldn't agree more. About the AAA, or the tuna on rye. Had an obese pt 2 yrs back with low backpain, no trauma, pressure in the 80's. Pressure responded to fluids and came up to 120's and no obvious pulsating mass. We delivered to rural hospital with cardiac concern. Hospital dismissed as a...

I think the post about using an IV set and an N/C was referring to on-car situations. As for personal jumpbags, ask your service for a recently expired 250ml NS bag and a dropset, as you're not using it for intravenous purposes, saline is fine when expired <1yr to be used for irrigation. Again...