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I like to write angry letters to former coworkers and occasionally politicians using letters cut out of magazines and newspapers that I carefully glue to nondescript legal sized plain white paper all while wearing latex free gloves ive stolen from an EMS agency 4 states away.... No...

I have a meeting with our medical director on Monday, a one on one. Im going to voice my concerns with him then. Our MD is a very reasonable and very understanding guy...but he also expects you know your job and do it appropriately. I will be bringing this up. The higher ups look at more...

Neither.. its our agency administration. They promoted a friend of our chief from a road paramedic to captain in charge of QA/QI issues. He has been with our dept about a year or so, tops. He was hired with a sense of entitlement because he is friends with the Chief, and seemed to exude the...

This is a good piece of advice. I dont understand for the life of me... how or why anyone or any organization would do anyone the disservice of putting on a paramedic class with no real hands on human intubation experience in it? I also dont understand why anyone would shortchange their...

ok... im glad to see that a majority of you are on the same page with intubation. This scenario is based on a patient i had in the not to distant past. I changed some minor details but the basic concept and presentation was the same. I too opted for a drug assisted airway, and intubated...

we carry phenergan and morphine.. but i dont typically use either... im a fan of fentanyl!:blush:

assume capnography was not placed on initial assessment Once I get some more responses I'll give out further details. I dont want to give out *too* much info until I am able to get some opinions.

Ok.. I have a scenario for you folks... I want some opinions. You respond to a 21 yo male with facial burns Upon arrival on scene you find a 21 y/o male laying on the ground next to a full size pickup with an ice pack on his face and crying. He states his face burns. You look at the truck and...

Something else i just thought about.. we had a patient who was a "regular" faker when I worked in Pinellas County here in florida. She actually made the news.. she was so good at faking a seizure & other medical conditions that she has been trauma alerted in the past.. been flown via helicopter...

i like the NPA idea... i use it often on questionable BS. But.. before I insert it, I say in a loud voice "Ma'am(or Sir) if you can hear me, i need to insert a tube into your nose to protect your airway, its very uncomfortable, if you can understand me, please let me know, otherwise im going to...

This is whats wrong with EMS today. COOK BOOK MEDICINE = FAIL!!!!!! I am just so damn sick of the ignorance and lack of free thinking in EMS anymore. Makes me just want to hang it up and never look back!:excl:

My opinion is that your "instructor" is in need of some serious "instruction" of her own!

EMS49393 I wasnt picking apart your post.. im sorry if you took it that way. I was speaking in a generality. I see many many many many paramedics who throw a drug at damn near any problem someone has. There is a time and a place for pharmacology, and then there is a time and a place to hold off...

Well.. i'll say you are right. I just couldn't imagine working some where that i wasn't allowed to think for myself, examine the patient, and treat the patient based on my exam, irregardless of what the "protocols" say. I feel like my hands are tied as it is ... being a paramedic. Id love to...

But... isnt that why the EZ-IO was invented? I prefer to use the "obese" patient drivers to do a craniotomy btw... B)

Personally, on any inferior wall MI I assume there IS right ventricular involvement, and treat accordingly. Hows this for a reason not to do it? you're more concerned with playing with the monitor to do a right sided 12 lead.. but who really is going to pay attention? How will that actually...

I have a better idea before ya'll jump into using medications like adenosine. how about some calming reassurance and some good ol' normal saline? if her rate comes down, it was anxiety, and dehydration. She said she takes xanax every day.. but did not take it today.. seems pretty simple...

So what if you dont even work under protocols? Our agency doesn't. We have medical guidelines, but we are told to do what needs to be done for the patient, as long as its accepted medical practice, or we can defend our actions with sound reasoning, then we are in the clear! I guess our...

I generally prefer to make sure that the nitro wont be detrimental to a patient because their chest pain and symptoms are due to a dissecting aortic aneurysm or a perforated ulcer, or other conditions from the list that would cause similar symptoms. it doesn't take me but a few minutes to do a...

+1 on that. I worked in detroit... this is nothing new and has been going on for YEARS. Yes you read that right.. YEARS! Im glad i left when I did!