medicRob
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Nitro before IV
- Thread starter FFMedic1911
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Leonidas1
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RMC, chewable aspirin at least 162mg (if no hx of allergies, or GI problems) NTG.04 mg/sl if systolic B/P is 100mm/hg or above.
TransportJockey
Forum Chief
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This might be a dumb question, but what does RMC stand for? I don't recall ever hearing that one before
Royal Marine Commando?
One of my professors was an ex Royal Marine Commando in the Falklands War when Prince Andrew landed on his ship to take a dump ... the boys bagged it up and sold it at the pub, needless to say that Prince Andrew never came back to thier ship!
Leonidas1
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RMC (Routine Medical Care) for ALS providers in the Chicago North EMS System consists of... IV, oxygen, cardiac monitor.
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If patients go to the hospital or his GP is an IV, oxygen and cardiac monitor routine care provided to them?
So why is it that in EMS it is acceptable?
*Brown once again yells loudly that not every patients needs a bloody IV or oxygen crammed down thier throat
medic417
The Truth Provider
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Well there's your problem, don't shove the O2 tank down their throat. :wacko:
reaper
Working Bum
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socalmedic
Mediocre at best
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I feel that the problem is not with the field level medics, we all come out of school wanting to learn more, expand our knowledge, so forth. I feel the problem is with management and Md's who do not want us to do anything more.
It dosnt matter what my patient tells me or what I read in the 12 lead. if the machine says ***ACUTE MI SUSPECTED*** I am ordered to adhere to a particular algorithm. I know there are systems out there that allow medics to think, however Southern California is not one of those systems for any host of reasons, lets not get into the "its the Fire Departments fault" topic we already have one of those.
medicRob
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JPINFV
Gadfly
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Which bar did you pick up "Big Red" at?
[YOUTUBE]http://www.youtube.com/watch?v=56S81vVDufI&feature=related[/YOUTUBE]
socalmedic
Mediocre at best
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you dont want to know, she is a bit of a rough ride. she sure does get my hose hard though.
MasterIntubator
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I will agree with this... but that is a double edged sword.... free thinking with ignorance gets folks in just as much trouble. Some just free think too much, and without a good solid basic knowledge... it gets all hosed up.
YoungMedic
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Perfect, exactly what i would say/do. This so happens to be my protocols as well, for good reason.
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This is interesting. I just got done with my cardiology/ECG lab tonight and actually asked my instructor this exact question. I know I am in I school and not a Paramedic so I don't know if this may have something to do with it and she told me that its best to give the NTG first then secure a line...with the explanation that its better to let the NTG start doing its thing before worrying about starting a line, but it seemed to me and seems to be pretty unanimous on here that you would want a lifeline pre-NTG just in case sh*t hits the fan....
Just some food for thought.
Just some food for thought.
slb862
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I learned it as O2, IV, EKG (12 lead included),ASA, vitals were done by the first responder, and then the NTG. ASA is thee only drug that is going to be of any medical benefit. I have enough people working with me, if they are not starting the IV for me, then they are handing me what I need when I ask. You don't ever want to see a pt. "crash" after giving NTG without IV fluids/IV ready. Peace Out!!