VTach on the 3 lead, bother doing a 12?
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the_negro_puppy
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Indeed but then again actually sick patients are a rarity. Even if they gave us more drugs and cardioversion/pacing we wouldn't use them enough to justify IMO.
Some people are crying out for ET tubes at our medic level, however considering I've put in 2 LMA's in the last year, there's no way we would eve get enough to be proficient. Did I mention that although our medic training is 2.5 years and now moving to a 3 year BS degree, we do 0 hours of hospital placements?
NYMedic828
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What do you do for 3 years??? :unsure:
Your educational standards are what ours should be but then you can't do anything with it? I don't get it.
KellyBracket
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Yeah, I want 12-leads from the field. Lots of them.
An initial ECG, a second one after starting treatment, a third as you pull up to the ED, and additional shots anytime something changes. More ECGs the better. Also makes for great posts on this forum!
There can be some critical data there, and if the patient has a pulse, as several folks have pointed out, you have 30 seconds to grab a 12-lead.
An initial ECG, a second one after starting treatment, a third as you pull up to the ED, and additional shots anytime something changes. More ECGs the better. Also makes for great posts on this forum!
There can be some critical data there, and if the patient has a pulse, as several folks have pointed out, you have 30 seconds to grab a 12-lead.
the_negro_puppy
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the 3 year university degree is spent covering subjects like A&P, pharmacology etc with clinical placements "prac" ride times on an ambulance.
To be fair, we can pretty much do everything your medics can do except for anti-arrthymics, IO and ET tubes.
The Inetnsive care paramedics who can do the above have an extra 18 months training and are moving to a Masters level qualification, plus a requirement of 2 years minimum on road as a normal medic
CANMAN
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Not to thread jack, and I am all about higher education but that's ridiculous in my opinion. Moving to a Masters to give IO's and tube....I will go get my Masters and practice anesthesia here in the states.
Its not about toys and skills bro.
The education requirement is set by the services and they also set the skill sets that their own paramedics work with, and what they cant work with is 3000+ paramedics all trying to stay competent at some gnarly toys that they will hardly ever use
m sure theres some remote enough places up there where this could be beneficial though?
Are they talking about cold tubes or IFS/RSI?
BigBad
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who here has ever cardioverted a unstable vtach into something other than dead or really dead?
Christopher
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Mine have gone to a paced or sinus rhythm (that often speeds to around sinus tach).
the_negro_puppy
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Cold tube. Our Intensive Care Medics can't even RSI. Though we have a few Emergency Doctors with fly cars in metro areas that can RSI, given packed red blood cells etc
They carry blood in their vehicle?
the_negro_puppy
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Essentially yes. They drive small AWD fly cars and also carry equipment such as FAST ultrasounds, chest tubes etc