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  1. truetiger

    CPAP for COPD ?

    Perfect subset of patients to use BiPAP in.......we carry the ReVel vent and use it quite often.
  2. truetiger

    CPAP vs BiPAP

    Having used ketamine a lot...and for this purpose, I'm sold. Do you really need a study to back up common sense in this instance? If you have a respiratory patient who is toeing the line of respiratory arrest, do you really want to risk making them worse? Disassociate them. They'll either get...
  3. truetiger

    CPAP vs BiPAP

    Give mag if you want to add some bronchodialtion. CPAP isn't going to cut it for COPD. You're going to need inspiratory support to get them over the hump. The pressure support is going to blow open the alveoli and the PEEP will keep them open. As far as the Ketamine goes, why are you hesitant to...
  4. truetiger

    CPAP vs BiPAP

    If you want to reduce anxiety, just use a benzo. If you're to the point that a benzo isn't cutting it and you're still needing to get them on BiPAP (I would worry about getting actual BiPAP before ketamine) you're probably going to be tubing them. Ketamine -> BiPAP-> Tube. If it turns around and...
  5. truetiger

    CPAP vs BiPAP

    For its bronchodilator effect or to disassociate to BiPAP?
  6. truetiger

    CPAP vs BiPAP

    If you have a vent that does both your going to want to almost always use the non-invasive positive pressure ventilation with pressure support...
  7. truetiger

    Battle of the Best 12 Lead ECG Placement!

    They're called limb leads for a reason.....putting them on the torso can alter things such as axis.
  8. truetiger

    Why do people hate on LA County protocols?

    Because they're ****?
  9. truetiger

    Jump bag

    Anything past a cell phone is overkill.
  10. truetiger

    Gauze

    Why are you having to supply your own supplies?
  11. truetiger

    Drug Expiration Date Tracking System

    Operative IQ
  12. truetiger

    HIPAA???

    Lets apply some common sense here...this is not a violation of any sorts. We just had our annual HIPAA seminar with our district's lawyer. He was asked about several situations like this. He was also asked if anyone has every been prosecuted. To his knowledge, no providers have been prosecuted...
  13. truetiger

    Paramedic to Paramedic handoff?

    We'll have to agree to disagree then. Being part of a "flight crew" does not qualify ones experience. Being that EMS is a small field, I know many people that fly or have flown. Most air programs are a revolving door. People leave the ground to fly and then come back to the ground. I've always...
  14. truetiger

    Paramedic to Paramedic handoff?

    In MO RN's are not automatically granted ALS privileges, they have to be given by the medical director. No offense to RN's but I don't think you're level of care is any higher than a paramedic's. If you believe differently, please explain. Nursing, as a course of study, is designed to teach a...
  15. truetiger

    Paramedic to Paramedic handoff?

    Where is this hierarchy documented?
  16. truetiger

    Paramedic to Paramedic handoff?

    I've seen it in the case of a no-go. I've seen a flight crew take a patient, and then land 20 seconds later because the aircraft was over on hours (big oops.) Or in the case in which the patient codes before the flight team could load, etc. I have yet to see or have anyone be able to cite...
  17. truetiger

    Dopamine in Sepsis?

    But the thing is...it shouldn't be your first line.
  18. truetiger

    Dopamine in Sepsis?

    Levo should be first line in sepsis....
  19. truetiger

    Dopamine in Sepsis?

    Do what for septic patients?
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