ptemt

You have failed your original post by arguing "the point" on pages three and four of the thread. Can I trust anything you say?

Thanks for sharing! I note that the confusion of Le France is not missed.

Indeed! My original question though was which would increase BGL quicker, oral paste or D50?

Have you ever slowed down to the speed limit or below it in response to someone flashing their lights, or if you are speeding and someone flashes their lights do you just continue to speed and live with your choice?

Shock breeds shock. Without oxygen delivery to the cells and CO2 being removed, they go from aerobic to anaerobic metabolism resulting in lactic acid build up. The sodium/potassium pump fails leading to potassium moving out of the cell and sodium moving in. Excess sodium in the cell leads to cellular swelling and lysing of the cell. Potassium moving out leads to hyperkalemia and cardiac dysrhythmias. As I recall anyway.

Here is another thread on this topic from a year ago. http://www.emtcity.com/phpBB2/viewtopic.ph...&highlight=

Dennis Edgerly, the author of the article, runs the HealthOne EMS paramedic education program in Denver. HealthOne is associated with Swedish Medical center in Englewood, CO. The program is accredited and can lead to an associates degree through Arapahoe Community College (local), those are the objective facts. Subjectively, Dennis is an excellent, motivated educator. Look for him at regional EMS conferences as a speaker. I have just completed his didactic program and am now in the field internship phase, and looking forward to a late June completion and NREMT exam.

I had a medic school clinical at the "home" today, now I can't get this Little Feat classic out of my head! Paul Barrere, Gabriel Paul Barrere Off our rockers, actin' crazy With the right medication we won't be lazy Doin' the old folks boogie Down on the farm Wheelchairs, they was locked arm in arm Paired off pacemakers with matchin' alarms Gives us jus' one more chance To spin one more yarn And you know that you're over the hill When your mind makes a promise that your body can't fill Doin' the old folks boogie And boogie we will 'Cause to us the thought's as good as a thrill Back at the home, No time is your own, Facillities there, they're all out on loan The bank forclose, and your bankruptcy shows And your credit creeps to an all-time low So you know, that you're over the hill When your mind makes a promise that your body can't fill Try and get a rise from an atrophied muscle, And the nerves in your thigh just quivers and fizzles So you know, that you're over the hill When your mind makes a promise that your body can't

With right ventricle MI, giving nitro could be detrimental due to the vasoldilation reducing preload and making the heart more ischemic. Better have an IV first and be ready to challenge with volume. I trust a member of the COE will slap me straight.

I took my NAEMT tie clip and cut off the "NAEMT" part leaving just the star of life and then pinned it to the back portion of the soft top on my heep. You have to be standing behind the jeep and looking close to see it.

Mosbys's text says 0.5 mg IVP every 3-5 min for desired response with a max total of 3 mg. It is what they are teaching us for symptomatic bradycardia.

You could try making it more interesting by challenging her to palpate your bilateral femoral pulses when you wink at her..........could be an http in it if you use your imaginations.

"I believe the intent was to "think" outside the box. I personally never heard or recommend Tetanus injections in the field as routine care. Again, hopefully to educate and expand on wound care and the possible illnesses associated. R/r 911" I think Rid and Anthony drilled it. Thanks everyone for giving this topic a shot.

page 554 ------------------------------------------------------------------------------------------------------------ Critical Thinking Why is it crucial for you to be knowledgeable about and to ask the patient about tetanus vaccination if the vaccine is not carried on your ambulance? ---------------------------------------------------------------------------------------------------------------- It just got me wondering if anyone has it in their protocol.

Mosby's third edition revised paramedic text seems to suggest that some ems systems have tetanus shots in their protocol. Mine does not, does your's? Please post yes or no and where you are located if the answer is yes before delving into any controversy. Thanks