redundantbassist
Nefarious Dude
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What are some local protocols you hate, but still have to follow? What would you do to change them?
So when are u coming to ALCO?CSpine protocols
not having a general pain management protocol
having to call base for adenosine, pacing or cardioverting in peds
HAVING to use braslow tape instead of being able to take mom's word for it. (granted if mom isnt sure, then ill use it, but all dosing is based off that tape)
i think thats it
So when are u coming to ALCO?
We have all this.
They even print out individual pre-dosed sheets for the babies in the NICU. High stress and specific doses. Broslow and PediStat are wonderful tools.Pedi arrests tend to be the most stressful incidents a paramedic sees. The Broslow tape was designed to eliminate the added stress of trying to determine a weight based medication dose during what is usually a highly emotional incident.
I'd rethink that "Broslow tape hate".
Having etomidate as the only induction agent.
Having only 5mg Versed for intubation with med control orders for combo with Fentanyl......weak
Ours is worse. We are supposed to use the broslow tape to get an approx weight and then go to our county wide drug sheet, find the color and then the med we want to give. It's a pain in the butt.CSpine protocols
not having a general pain management protocol
having to call base for adenosine, pacing or cardioverting in peds
HAVING to use braslow tape instead of being able to take mom's word for it. (granted if mom isnt sure, then ill use it, but all dosing is based off that tape)
i think thats it
Have you learned the "handtevy" method for pedi dosages? Takes two seconds to know pedi dosages. The broslow has many issues. Such as the epi dose is the ET tube dose, not IV dose.Pedi arrests tend to be the most stressful incidents a paramedic sees. The Broslow tape was designed to eliminate the added stress of trying to determine a weight based medication dose during what is usually a highly emotional incident.
I'd rethink that "Broslow tape hate".
Yep we have begun to implement it.I learned the Handtevy method at a pedi workshop I took, very quick and easy. I didn't know any EMS systems had switched to it. Has yours?
And yes, you're correct, the Broslowe tape has several issues. Namely it fails to address underweight or obese children, both can impact drug dosages profoundly. But, at the end of the day, both are simply dose estimation tools.
My point was; it's always better to use a dose estimating device (or an app) when you're treating a pediatric patient. Most paramedics underestimate patient weight when asked to provide that weight for a drug dose.
It's not a subject that studied much, but this one is definitely worth a look.
http://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1263&context=jephc
Couldnt have said it better. I understand the thought process if a pt is on the edge of the cliff then these doses will "help" give that extra bump to knock them down but otherwise just a waste of time.
"HANDY"Have you learned the "handtevy" method for pedi dosages? Takes two seconds to know pedi dosages. The broslow has many issues. Such as the epi dose is the ET tube dose, not IV dose.
Let me know if you want me to explain. It's super easy. And very handy.