the 100% directionless thread

VentMonkey said:
With this rate, I'd simply go with a WCT, though there is positive concordance, so yes ventricular in nature I would guess as well.

I get the on scene complaint being R. Ankle pain, but if the initial c/c was syncope can I ask why the 12 lead wasn't performed sooner?

That being said, aside from a full set of V/S the patient hardly seems symptomatic, so probably the standard ALS treatments, unless of course the patient became symptomatic...
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Sorry, I wasn't clear on my post. The scene was only 1 mile away from the hospital. 12-lead was preformed immediately after I found out it was a syncopal.
 
Patients with a history of VT on antiarrhythmics, especially Sotalol and Tikosyn, commonly present in a slow VT in the 100-120s. It always happens to be just below their AICD VT/VF range. Most tolerate it for a while but they can crash pretty quick.
 
Chase said:
Patients with a history of VT on antiarrhythmics, especially Sotalol and Tikosyn, commonly present in a slow VT in the 100-120s. It always happens to be just below their AICD VT/VF range. Most tolerate it for a while but they can crash pretty quick.
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Good info, thanks!
 
cruiseforever said:
We too are getting our first snow. It just happens to be a blizzard.
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I'm not sure we could call it a blizzard last night it was blowing over 40 and iced the roads.
TransportJockey said:
Tbe only requirements are having ccpc or fpc at time of application. Im not sure what all benefits or special skills it has, as i think is service dependent
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It is somewhat service dependent, but among other things it removes RSI as a waivered procedure.

EpiEMS said:
I like our extrication coats for warmth...but, boy, are they ugly!
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Pants+the nice Blauer jacket they give us=calendar ready (maybe not really).
 
Chase said:
Patients with a history of VT on antiarrhythmics, especially Sotalol and Tikosyn, commonly present in a slow VT in the 100-120s. It always happens to be just below their AICD VT/VF range. Most tolerate it for a while but they can crash pretty quick.
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Patient was on an antiarrhythmic (for A-fib). I only remember the name started with an F. The ED pharmacist said it is a very old school one that usually only older doctors prescribe.
 
Tigger said:
Pants+the nice Blauer jacket they give us=calendar ready (maybe not really).
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I don't know if anything EMS is ever calendar ready...

I think it might be the lack of hoses?
 
DesertMedic66 said:
Patient was on an antiarrhythmic (for A-fib). I only remember the name started with an F. The ED pharmacist said it is a very old school one that usually only older doctors prescribe.
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Tambocor (Flecainide)?
 
DesertMedic66 said:
The ED pharmacist said it is a very old school one that usually only older doctors prescribe.
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Reminds me of this meta analysis from 2005 (there's a free PDF - yay!), they found that:
Of 62 published studies that measured physician knowledge or quality of care and described time since medical school graduation or age, more than half suggested that physician performance declined over time for all outcomes measured. Only 1 study showed improved performance for all outcomes measured.
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Hooray...
 
TransportJockey said:
I hate you guys. This 75 degree weather and hanging out on the beach is getting really old ;)

Sent from my SM-N920P using Tapatalk
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I go from beautiful Hawaii, I think the lowest temp was like 65 or something, now I show up to drill weekend here in San Diego . ...now SD very certainly has its charms, but this morning temps were in the 40s while we were doing PT!
 
Jim37F said:
but this morning temps were in the 40s while we were doing PT!
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Thats NY day highs right there ;). i think this morning was 21, but i thought cali was 70 with a slight breeze year round all day.
 
Jim37F said:
...now SD very certainly has its charms, but this morning temps were in the 40s while we were doing PT!
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I used to think 40's was cold, too...til I moved up here.
 
winter%20from%20Texas.jpg
cancelled
 
Yeah if Daniel Defense could hurry up and make their lower parts kit, that'd be great.
 
CALEMT said:
That belongs in the Gun Porn thread sir!
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And where exactly is this thread located? [emoji7]


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