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you know what? screw it, never mind...i asked a simple question about your COGs in your area.....you guys wanna tear apart every little thing. if you don't know why you shouldn't give nitro repeatedly during a htn crisis, then........it was an example why we would call med...

rock on, we have an employee with us out here from cali. when she first got on the trucks, most of the medics were mad cause she was used to the cali SOP and not ours where we are. she wouldn't do much at first cause she wasn't sure what she could and couldn't do. she's much better now...nice...

i could see that with the hospitals being close by.. can you guys take saline bags during a transfer from a hospital?

tx...

true, true....i have a littmann and can't use and that sucks cause it is a nice one and was expensive.

one of the benefits of working EMS in texas is that the physician sets the standard of care in allowing what you can and can't do. the physician that we work under, allows us to "to practice medicine" and stray from the COGs a bit. the COG is a guide line to go by but not one situation is the...

thank you...finally some one that agrees.... being in the field you will learn tricks of the trade that you will never learn in the book or cpr class......that you are never in perfect world in the field if you don't think it will go wrong, it will go wrong...ajust to the situation....

ok not going to argue with you....because i choose not to use a K.E.D. and can get the pt out safely doesn't make me an idiot.....and yes you can talk to my boss about it. there are a thousand ways to do something, think outside the box. end tidal, my bad. a few things didn't come out the way...

thanks....

i do agree with you and yes i do understand what you are saying. i have been through paramedic and have been on the street for 8 yrs. my point was look at the underlying problem in certain situations. if the pt is gonna fight ya don't push the issue. if the pt needs it and will tolerate it...

i'm noticing that here in texas we can do a lot load more stuff......i've heard that cali has some strict rules....

damn!!!! now that would be a notch up on my weird shatometer.

field vs. book, 2 totally different monsters..for testing use the book. witnessed: shock em unwitnessed: 2 min cpr then defib em only if in v-fib or pulseless v-tach! asystole (fine v-fib) :well you'll only shock em once. (joke)

go with the county COGs not NR. NR is just a standard.

if you do have your boot on the floor, use your toe and not the whole foot. i usually rest their arm on my leg. some people use super fancy bells and stuff, the cheap Stethoscope works for me. i have a good one but i can't hear a damn thing out of it.

so true......

an old boss of mine worked for this ems company down in south texas where they had brought a guy in with v-fib. they ran the acls algorithm a few times but he wouldn't convert. when they got to the hospital an old crusty doc was there. my boss said clear a couple of times and finally the doc...

so not going to get into a pissing match with you man.... i've never used an npa in the 8 yrs of being on the street, yes you are correct they do have different uses.... as far as the breathing: dka is whole nother set of issues to deal with. i've been in situations were the pt is...

nope works for me....

i posted this in another thread. always be aware of the situation in the back, if your partner is standing or what not. it's good to call corners, stopping points, big bumps and train tracks. you'll get better at it, it's nerve racking the 1st couple of shifts.. word of advise...