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Its a bad idea to have emt b's obtaining 12 leads they cant read, as you cant have an ER physician walking up to the fax to read every 12 lead that is taken, at least not in a busy urban setting.

Heres an interesting fact about my service (forgive me for quoting protocols). Dispatch now directs pts to take 325mg of ASA online, prior to our arrival. A practice I find reprehenisible, as our dispatch struggles with determining a proper C/C on the average call, let alone directing pts to...

Our guidelines are generally Morphine 5mg q 5mins to 20mg, 5mg q 15min thereafter. Or fentanyl 50mcg q 5mins to 200mcg, 50mcg q 15min thereafter. If these narcs arnt cutting it, then we can go to Ketamine or toradol as well.

We don't run

I'm a total TV junkie, and a lot of my favorite show have been mentioned on here. Honestly, as mentioned Breaking Bad is terrific, in fact it may be one of the best shows in the last ten years. I suggest you at least give it a few more episodes to feel it out a bit. As for Stargate, I...

Any one have other links? This story is way too brief to get all the details.

We were luckly, I don;t remember what the pts specific problem was, but we were able to walk him to the ambulance and have him sit in the airway chair. When we arrived at the hospital our strecher was sitting in the bay where the previous crew left it. Needless to say I never neglect a...

Very good one. On one occasion, I few years back I came on for a night shift. The days crew said "no need to check the truck, we didn't have any calls today." Like an idiot I took him at his word, went inside to eat supper, get called out of town for a man with chest pain, I open the doors to...

Personally, I don't think a thermometer is a magic wand, to be waved over a patient, resulting in an ironclad Dx, as you say its just one part of a larger picture. Why do you think basics or Paramedics can't be taught how to use this tool. In my experience, when new equipment is put on the unit...

So, to be clear, you argue that Thermometers should not be placed on the ambulance because practitoners can not or will not be trained to use them? Yet, on the other hand any middling paramedic can tell the difference between CHF and pneumonia without the aforementioned tool? Thank you...

Personally, before this topic, I'd have thought there was little cause for controversy over the use of Thermometers in ambulances. To me they are almost akin to other vital signs. I'll agree with Zmedic to the point that they don't typically change our Tx profoundly. However, a temp also helps...

I don't really understand why you are against having thermometers in ambulances, honestly, the cost would be quite negligable to have them in every ambulance in the US. If giving antipyretics doesn't result in improved outcomes, as you say, then why even give it to children in the emerg dept? My...

Originally Posted by zmedic Pediatric fever- In most places medics can't give tylenol or Motrin Yep we give tylenol to peds in Canada too Yes, of course the 5-10 seconds it takes to get a temp is a great distraction to pt care, and in no way could be considered part of a competent...

I'm quite shocked that there are services out there that don't stock thermometers. The idea it doesn't effect Tx is hogwash, at least in my service, a difference in temp can determine whether we take a pt to a hospital, clinic, or even leave them at home.

:) Well said Tigger.

Doesn't sound like any sporting event I'm aware of. Unless you know of a game played on a 400 yard field. Anyway, I do agree with you, not good to walk a pt, not promoting doing it, just saying if equipment/manpower is not up to par, then one can help support his weight and have him hop on...

Don't know if youve picked a school yet. I work in the city of Calgary, I've had students from both MHC and SAIT. Typically, there is little difference in the quality of students, both schools are CMA accreditted, so if you work hard you will aquire what you need to become a paramedic...

I can't speak to your partner(s), but personally I'd rather a rookie step on my toes, so to speak, than be a wallflower on calls. You should work out beforehand who will take the lead on a particular call. Once you have done your primary survey and vitals, if your are not 100% sure how to carry...

For the love of god, you Americans are so paralyzed by fear of litigation. The salient point in this query is that its a wilderness type situation (more or less) not an urban or rural situation. Clearly, its not ideal to have this pt walk out, but the situation may dictate some form of...