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Crashing airway patient

Discussion in 'Scenarios' started by Rialaigh, Jan 2, 2017.

  1. Jon82

    Jon82 Forum Ride Along

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    Quick question. Is a QRV a quick response vehicle? I am new to the scene, I just passed the EMT-B NREMT, and am trying to understand as much as I can. I searched for it and all I came up with was quick response vehicle.
     
  2. VentMonkey

    VentMonkey Chief Schmief Premium Member

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    Yep.
     
  3. Jon82

    Jon82 Forum Ride Along

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  4. NomadicMedic

    NomadicMedic formerly DEmedic

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    A QRV is a non transport truck, usually has a single paramedic on board, along with all of the ALS gear that would be on an ambulance.
     
  5. Jon82

    Jon82 Forum Ride Along

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    That was my next question, but I wanted to see if I could find the answer on the web without derailing the thread. Thanks for the answer!
     
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  6. NomadicMedic

    NomadicMedic formerly DEmedic

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    Here's a couple of examples.

    They can also be SUVs, but squad body trucks are sexier. 10/10 for Johnny and Roy factor.

    IMG_4368.JPG IMG_0155.JPG
     
    VentMonkey likes this.
  7. StCEMT

    StCEMT Forum Deputy Chief

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    Sounds like it'd be a pretty sweet job to do for a bit.
     
  8. VentMonkey

    VentMonkey Chief Schmief Premium Member

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    Or at the end of one's paramedic career at the right QRV service. @DEmedic that L&M intercept truck sure is purrrtty.
    Too late, thread derailed! There's no going back!!
     
  9. StCEMT

    StCEMT Forum Deputy Chief

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    I always pictured a nice career ending place being a 1 call a day base where you can cook, sleep, and get paid to be moderately retired. QRV does sound nice though.....less lifting people who consider diet and exercise double fisting McDonalds....
     
  10. Jon82

    Jon82 Forum Ride Along

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    Show some shiny trucks and any thread is bound to get derailed. :)
     
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  11. TXmed

    TXmed Forum Lieutenant

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    I am kinda too lazy to read ALL the comments, has someone already suggested a PE as the etiology? i think this lady wouldve arrested anyways.
     
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  12. VentMonkey

    VentMonkey Chief Schmief Premium Member

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    Lol, no.
     
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  13. TXmed

    TXmed Forum Lieutenant

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    oh well, if its a respiratory arrest early epi helps, if its a witnessed cardiac arrest early epi helps, if it is a PE turned arrest early epi helps.

    i am a fan of the peri-arrest/pretty sure its an arrest period just starting CPR and ACLS. although ive never done the pericardial hump.
     
  14. VentMonkey

    VentMonkey Chief Schmief Premium Member

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    Precordial thump? If so, done a handful of times, it never worked. A good buddy of mine did and had ROSC, though I have no clue of it was actually the thump converting the VF at the right time in the arrhythmia or other measures.
     
  15. TXmed

    TXmed Forum Lieutenant

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    precordial thump ? i guess thats why that ACLS instructor looked at me weird
     
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  16. StCEMT

    StCEMT Forum Deputy Chief

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    Call it the hulk smash next time. I've never seen it done, from what I read the results are iffy. Sometimes it converts, sometimes it doesn't, sometimes it converts to a crappy thing like asystole.
     
  17. Remi

    Remi Forum Deputy Chief Premium Member

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    I was a handful of years into my career but somehow had never even heard of the precordial thump. We were on short final at a cardiac referral center with a sick patient and he went into VF. Before I could get the defib paddles off the monitor (yeah, we still had paddles) my partner leaned across the cabin and whacked the guy on the chest. He converted (swear to god) instantly and I think I sat there dumbfounded with my mouth hanging open until we were on the pad.
     
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  18. cprted

    cprted Forum Captain

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    Precordial thump is still in our guidelines based on organizational culture and anecdotes.

    I've had one or two opportunities where I could have used it, but it was never drilled into me during training so I always instinctually reach for the "Charge" button instead of popping them in the chest.
     
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  19. E tank

    E tank Forum Lieutenant

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    If it's a witnessed onset of v tach or fib, an immediate thump can be pretty successful...done it twice with success both times. Both times I was the only one that saw the rhythm and everyone in the room thought I'd lost my mind. I had to dig through the monitor strips for proof I wasn't nuts.
     
    NomadicMedic likes this.
  20. EpiEMS

    EpiEMS Forum Deputy Chief

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    While the precordial thump isn't super well studied, the anecdotes are compelling. Then again, the plural of anecdote is not data.

    I'd love a good study if anybody can point me to one.
     

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