ARothenberg

Wow, you must really be afraid that this guy is gonna come after you, if you don't want to post just cause I happen to have the same last name and inintal. Guilty conscience? Well if you are gonna let a little conicidence stop you from hangin out on the board, your loss. Have a nice day! Adam Rothenberg FF/Paramedic Chicagoland, Illinois

Never heard of him, and last I checked that's not me. sooooo, thats all the proof I got. I can provide stool sample if you want.

Our system eliminated Lasix in January based on studies that Lasix does not releave CHF in the acute setting, it works well over time, but not for the field. They also felt that too many medics were pushing Lasix on pneumonia pts because they heard crackles and did not realive that the pt had a feaver and was dehydrated which did not help that issue any. Now we give 0.4mg NTG SL q. 3-5min w/ no dose limit while SBP is 100 or greater. We also perform 12-Lead ECG and start CPAP if they are alert and SpO2 is 95 or less. The CPAP works wonders for these pts, but we continue to give the NTG w/ the CPAP in order to decrease that preload which needs higher doses of NTG to occur.

You know, I have used several models and The more expensice littmans a great, but they are more expensive. I recently found the littmann select in the firehouse supply closet and put it into service on the ambulance, it has worked for me better than several of the more expensive models. I believe that it is due to the tuning ability, but all I know is I love that stethoscope. What I am getting at is more $$$ does not always mean that it will work well for you, if you have a way to try a couple of models, maybe someone you work with has one, do it, but remember that something that works great for others just might not be the correct fir for you.

As stated above remember out terminology per AHA for ages Infant <1 year old Child 1yr - onset of puberty Adult Puberty till death As far as the AEDs on infants it is best to look back to your EMS system SOP/SMOs what your medical director wants. As the AHA stated there is no good data and most child cardiac arrests are due to airway isues or trauma. Also remember that you have to make suere the pads are correct for the AED. Depending on the units you have they will either have a resistor in the peds pads to absorb the excess adult energy, or they will tell the AEDs programming to dial down the joules. Be cautions mixing pads from cardiac monitors/defibulators and AEDs, often they will fit on both, but the peds pads will not recuce the power setting since defibulators are designed to be manually set. Adam EMT-P, ACLS, PALS, PHTLS