spenac

Just perhaps OP and princess will stop by chat one day and you can ask them to return and discuss on the forum more of their views.

Every where I have ever seen just makes more copies as needed of PCR. Of course all services had designed their own rather than a darn generic PCR. Even my new service which use electronic PCR has back up paper copies just in case comp goes down.

The Op has reached what was his goal as has another that posted on this thread, know what I mean I hope as I'm not allowed to say it. At least it led those that really care having a decent discussion. As to discovery Paramedics are they ever going to put out new episodes?

Jake gives good advice have both holding. Or use the red handle if your impatient. Honestly ours raises just about as fast as old stryker using partner to lift wheels.

Heres a post where I tell my opinion. To lazy to retype. http://www.emtcity.com/phpBB2/viewtopic.php?p=146767#146767

So am I the only one out there that thinks you need all the books?

Multiple deliverys don't remember how many were what.

They and anyone else on that scene must have been idiots. If its red on a stryker it moves something. The power cots are very reliable. If the battery dies grab the freakin red handle and lift it or lower it just like any other cot. I hate that my new service is still changing over so I being newer usually get a truck with the reg stryker. I hate the extra wear and tear on my back and knees. Why would anyone not use something that honors the first rule of EMS MY SAFETY?

Check with your state EMS division if this is for real.

Nope we're prejudiced.

No almost all narcs I have administered are to so called minoritys.

An ostrich being eaten by a camel?

Another reason for the 10 codes and others to disappear. Simple English is the best.

Still best advice.

Richard on here I just bet somebody will.

Alright Brent you move up a couple of places in my book but I wont say how low that still is. :twisted:

HELP Forget codes if dispatch is to stupid to understand that they need to be fired and shot.

I have found that palpation tends to get me a systolic 5 to 20 lower than by auscultation. Because of this at times it is advisable on long transport to stop the ambulance to confirm BP. You may want to invest in an electronic stethoscope if you have hearing loss.

"it is recognized that decompensation is a late stage in the disease and it may be appropriate to decompress earlier" Exactly what I said get ahead of it. In any situation stay ahead never fall behind. Be aggressive and give your patients the greatest chance of survival.

Dude don't try and restir up the bull crap that went on earlier. I know you are trying to make light but not time or place. Thanks.

Another reason to have all patients remove all clothing.

SAMPLE OPQRST and other acronyms palpate auscultate EMS is about all your senses. For the most part do just like you did as a basic then based on answers you will treat except now you can treat at a higher level than before.

I'll take easy way since case was solved. But obviously check for airway obstruction. None found. Patient is still moving some air but very limited based on description. Attempt to assist breathing with BVM find very restrictive. Unconscious tube him, positive confirmation. Still restrictive to bagging. Only option is give relief. Bilateral chest decompression. Bilat chest decompression still warranted if he has not gone unconscious. He's broke bad and if you do nothing he will be dead by the time you reach the hospital. Since chest is so tight may want to consider multiple needles bilat, in order to get lungs and heart room to work.

Tell that to my niece that even has good blood gas levels at hospital but ends up cyanotic, and ends up hospitalized long periods of time. You obviously have no experience. In the ambulance I have seen it many times confirmed with multiple pulse ox's on different fingers on both hands and both ears.

I've had patient SATS 95%+ and cyanotic. Treat the patient, not the machine or protocols.