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Hello, This patient was transfer out for angio by fixed wing. The Dx was NSTEMI (he had a postive Tn-I). His pain was an issue. EMS gave one dose of Morphine. He got sick. We gave one dose of Morphine(with Gravol) in the ED just before the flight team arrived. Emesis++ and he had mild allergic reaction. So, we tried some Fentanyl IV. This worked well and he settled. Less pain. Less anxiety. He left on NTG at 100mg/min. The crew d/c the Labetolol infusion and gave Fentanyl PRN, Metoprolol IV x3 and called it a day. BP was down in the 140 range and his heart rate settles around 80 or so. As a side note, the EKG (t wave depression) fit the classic patter of Wellen Syndrome. Anybody with Dubin's EKG textbook will find it in there. Also, I read a article called 'Wellen: The Forgotten Rhythm' as few days before this. So, it was fresh in my head!! =) Here is a link about it: http://www.onlinejets.org/text.asp?2009/2/3/206/55347 Cheers

Just an Idea .... get a Lawyer to look at the agreements signed with your school, let it quietly slip from someone elses lips as they DO have an legal agreement to educate you, students do have rights and or is there not a impartial faculty member not available in the entire Institute to explain your concerns too ? If policy is "coined" ask for the written policy document the school must have provisions for uncontrolled "circumstance". And if your Liaison for field practicum is not answering either phone or email (I believe there is a distant on line involvement) then this should seriously be questioned if undue delay in tangible response sounds as if you are responding in a timely manner but others ... are not. That said on the flip side you could take time off or perhaps investigate another school to transfer your present credits if you need a short sabbatical. ps Good thing I did not apply to teach in that facility ... to hear of this conundrum just confirms some of my initial spider suspicions that less than stellar understanding of the human / student condition. cheers and keep us posted ... quite obvious EMT City supports you

Hulk Hogan could not understand how he lost the match: he'd won all the rehearsals. 1) I have been trying! 2) As a member has mentioned in their signature, these are NOT training videos! Does that mean if I run off of a cliff, I won't start falling until and unless I look down and see the valley below where I went off of the cliff?

Yes, it is TV, but it is BAD tv. It portrays a profession very poorly.

Well this has been fun it started with a discussion on the king airway but because a basic brought it that point fell out to the old traditional paramedics rule basics drool argument. but I would still like to know dust do you think the king is a good device. Also there was some pending problems with the king airway and the FDA, how did that come out. As far as the age old basic verse paramedic argument if we throw money out of the equation and did strictly what was best for the patient we would have a ER doc and nurse plus a basic for a driver on ever call in every state but this is the real world know what?

And if I could get layed at the hospital as much as Grays Anatomy I would have been a doctor