craig

Ondanseron acts on the 5-HT3 receptors and works to block the Serotonin, whereas the Metaclopramide inhibits the action of Dopamine. in a basic nutshell.............. hence thats why at times I use both....anti nausea and anti vomiting actions of the two drugs

we have both metaclopramide and ondansetron depending on what I require it for it is horses for courses on which I use at times I give both as they both have different actions in their use ondansetron seems to be the less with adverse reactions

dont care about what they gynaie said, what did her lecturer say about having a baby in the 1st semester of the 2nd year? bet that was a class that would have had some type of class participation in it...... awww you talk funny?

could not agree more......... what was the net benifit of these guys attempting to put out the fire. If the car was fully engrosed then of what value did it have pumping water on to it.....unless it was to save a life or vast amounts of other property. But then again in litigous USA, maybe they were worried about being sued for not attempting to put it out.

sweet....2.5 hours O/T........2 hours at time and a half and then half hour at double time,,,,as well as a meal penalty for going past 2 hours after end of shift.........$$$$$$$$$

Just to clarify, Paramedics (our basics) can give - Adrenaline 1:10 000 in cardiac arrest IV - Adrenaline 1: 1 000 in Anaphylaxis IV/IM/ Neb - Atropine Auto injector for CBR/NBC incidents - Glucose gel for Hypoglycemics - Glucogon for the same - Glyceryl Trinitrate for ACS - Hartmann's Soln. (ringers lactate) - Lignocaine 1% (local anaesthesia) - Metaclopramide - Morphine for pain - Naloxone - salbutamol (Neb) adult and paed. - Aspirin (ACS) - Midazolam (fitting) IM / IV/ IN - Methoxyflurane - oxygen - Paracetamol - Ipratropium bromide (adult & paed.) - fentyanl IN - Benzyl Penicillian - Influenza vaccine - Ibruprofen - Tenecteplase (selected officers currently, rolled out as standard by end of 2012) - Enoxaparin Sodium (selected officers currently, rolled out as standard by end of 2012) - Clopidogrel (selected officers currently, rolled out as standard by end of 2012) - glucose 10% - Ondansetron - fexofenadine - Obidoxime (CBR/NBC) and skills are 12 lead egc, LMA, OPA, NPA, IVI,IN, IMI, SCI, BGL, Laryngascope & magill forceps just to name a few. the ICP can do more and give a few things more as well..

sounds the same as it is here kiwi, except we dont say it with a funny accent,..........

thanks for posting the reply kiwi, saves me doing it I say what i did dfib, because of the differing level that ou guys have in the states, the 'basic' ambo has very little to go with. the basic qualified level we have here in nsw is what kiwi has put up, give or take.... the only level lower than paramedic (P1) here is trainee/intern and they can not work without a qualified officer hope that helps a little to understand very similar here to kiwiland though only there are more of us...........lol

guys from my experience of a rural community it really dont matter I am the only ICP on my station and therefore work with everyone else, however our "basics" are a little more advanced than basics in most areas of the states. we take turn about each day as to who drives and who treats, If the patient requires paramedical interventions then i will step in and do what is required, but other than that I am happy to drive whilst the other guy treats.....

bikies = bisciuts =cookies to you old term in Aus.....tea and bikies means that you have to have a chat with the boss...on the carpet so to speak

well if an over zealous FF or EMT was driving too fast, hit a tree and killed them self or forbid any one else YES they would be an idiot...........yes we all make mistakes, however we are also taught from day one....dont become a casualty yourself...............driving so fast you have an accident causing a death is not silly, its not a mistake...its a criminal offence......we should not have time in this profession for people that act like that......too many wankers are wanna be's and look how they are refered to on this site. How could anyone in this line of work condone the action of someone driving so fast it can cause death...........makes me wonder what you have come to believe. If I had a probie that acted in this way, then they would be having tea and bikies with the boss for their actions........If they killed someone then IDIOT and MORON would not be strong enough words.......thats my 2 bobs worth..... besides good intentions do not necessarily make good decisions........."oh mr police officer, I had good intensions to just scare the little kid from breaking my window with my gun, but I didnt mean to shoot and kill him, it was a mistake it went off".......... where do I get a job with that department if that is the 'duty' they get to do , we would all sign up...........bet if the service funeral did happen, who would they give the flag to?

kiwi question........guarding and pain on palp of abdo..correct? the trends on the vitals that you have listed are stable except the increases in the temp of the patient..........is this an amnomially or is the patient getting warmer? ie infection

definately from New Zealand then.................

If i had a prancing stallion as a company ride, i wouldn't care about the Pt.....get another unit to transport

Yes a CALCULATED risk maybe, but attending a fire in inappropriate gear to save a car on fire when NO life was in danger is not a CALCULATED risk...it is just plain STUPID the point exactly is that they were NOT IN SERVICE....they may have had a fully operational truck, but by NO MEANS WERE THEY......They were OUT OF SERVICE no need to be confused mike......they didnt die,,, they may have "died" of embarassment of being caught out fighting a no gain fire in lady's clothing and then HAVING people from across the WHOLE WORLD laughing and commenting about them....... irresponsible?..... YES do they deserve the title of LODD?......well they are still breathing (luckily), so what do you think? grin and bear is and call them HERO?....NOT BLOODY LIKELY....More like IDIOTS, MORONS, FORTUNATE ONES.....maybe they could be more appropriate.........

bunt objuct? you talk funny......... when you moving over you could be in car FOUR SEVEN NINE,,,,,,,,,,work in a city that has a REAL harbour bridge

BAA BAA BAA

my boys love bro'Town........if it wasn't a cartoon I would have assumed it was a docco on new zuland

trouble with that is that i understand it........been watching way to much TVNZ.....ahhh shortland street and outrageous fortune have a lot to answer for........

C'mon Kiwi, If you came here they wouldn't understand all that when you did ay it to them....unless it was in Bondi (or should I say west Aukland) should it not be......... Yis hullo I um Kiwi, thus us Craig, bet nobudy likes hum, now live heow lung hev you hud thise pains en your chust bro?............... Kiwi c'mon on down..........

HATS!.....HATS!....WE DON'T NEED NO STEENKIN' HATS!........ that is an old photo Kiwi, dont work in that uniform anymore, and the caps have changed as well... either wat we are still better off more than 30 cents in the dollar than you guys........

at the moment I am on 33.95 an hour as an ICP with rescue allowance that equates to 35.95 US 35.92 Can 22.76 UK 44.15 NZ 273.60 SAR 27.34 Euro

problem is that with a DUI you lose your licence to drive....how can your prospective employer get you to drive an ambulance when your LEGALLY cannot do it?

what DFib? you do this sh*t for nothing???

Kiwi.... you can think your awesome........... come to the great land of Auz dollar exchange is 1 Aus to around 1.30 NZ and 1.07 US that way you will get more money....... and i got around 100K last year before tax....and it's better here (just ask the millions of other kiwis living on our shores)