rhan101277
Forum Deputy Chief
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We are getting into the more complicated 12 lead details. Beyond the easy, tell where the MI is and what artery could be occluded.
Anyhow, many medics I talk to say they don't look at this. It is extremely important though as lidocaine is contraindication in hemiblocks and LBBB or RBBB. I am going to use all my knowledge to do the best I can in the field, regardless if others get grumpy because I don't do things the easy way.
Same goes with chest pain, when i asked one about right versus left side MI, he said I just give nitro like the protocols say. But right MI needs fluids, if you give nitro you can make them worse off and be at their funeral. Same goes with giving lidocaine in bradycardia or the blocks above which I previously listed or any 2nd degree or complete HB.
Seems like many medics I talk to, just blow this stuff off, like it won't happen to them.
Just wanted to blow off some steam about it. Some medics seem to not take patient care seriously and I think it is a problem in EMS.
Anyhow, many medics I talk to say they don't look at this. It is extremely important though as lidocaine is contraindication in hemiblocks and LBBB or RBBB. I am going to use all my knowledge to do the best I can in the field, regardless if others get grumpy because I don't do things the easy way.
Same goes with chest pain, when i asked one about right versus left side MI, he said I just give nitro like the protocols say. But right MI needs fluids, if you give nitro you can make them worse off and be at their funeral. Same goes with giving lidocaine in bradycardia or the blocks above which I previously listed or any 2nd degree or complete HB.
Seems like many medics I talk to, just blow this stuff off, like it won't happen to them.
Just wanted to blow off some steam about it. Some medics seem to not take patient care seriously and I think it is a problem in EMS.