kevkei

So these people then would be willing to use their concealed weapon while working in EMS? I wonder what their service would think about their carrying? As for arguing with them, what's the point? Obviously they are right and you are wrong in their opinion so you won't be able to get them to see the light.

We have the large orange Ferno cardboard splints and small yellow ones that are a thin sheet of aluminum covered with foam, you can mould them to the injured limb. I think they work quite well. If you have an angulated fracture, after analgesia, are you not allowed to attempt to bring it back to the midline for splinting?

This is true, and is why not just anyone can do it. OMG, do you have the same medical director that I do?

I agree that treating patients blindly or black and white gets you (and EMS) nowhere. It's the coma coctail all over again. That's why they are called guidelines, you have to adapt to each individual patient. And another thing, protocols aren't always correct- hence adaptation. If you do something outside of your protocols, you should do well as long as you meet the standard of care, you use your head, critical thinking and common sense and you have supporting arguments and a train of thought for why you did what you did. (It's called thinking outside of the box.)

If you only have a three lead, you could do MCL 4R (V4R). That would be more effective than only II and III.

LMAO at the professionalism on this site.

Ridryder, what's with the personal attack and "semantics" and was it directed at me? I'm not going to try to defend myself with your rant if it was, other than to say that I don't have an atomizer to administer anything intranasally, and that I have been in EMS for over 12 years. Our system documentation of skill performance in addition to QA/QI will spit out my success rates, and I can assure you they are stellar. The IV comment was directed at someone else about trying to get a line on a seizing patient and it being impossible, which it is not. And that isn't to suggest inserting an EJ.

For those wanting to see what is recommended by the National Association of EMS Physicians (NAEMSP). They wrote a position paper titled, "Prehospital Rapid-Sequence Intubation". http://www.naemsp.org/Position%20Papers/pr...lintubation.pdf Have a read and see if it changes your perspective for or against prehospital RSI.

(Sorry to beat a dead horse) I'm new and this is my first post, so I'll keep it short. Information in the original post: Based on the descriptor here and to be literal, a hypoglycemic seizure really isn't status epilepticus. This patient, although has a BGL of "<4 mmol/L" (72 g/dL) , I would not expect to seize unless they were significantly hypoglycemic, a BGL of <2 mmol/L (36g/dL). If they are mildly hypoglycemic, that isn't the problem so then treat with a benzo. If they are moderate-severely hypoglycemic and if I have no history or indication that the patient is IDDM, I'll try to treat both problems concurrently. I'll administer both a benzo and the glucagon IM. As for being unable to start an IV on a patient in a status, generalized seizure: Since when? I have treated many-a-status seizure and have never had to administer anything IM or rectally in a non-peds patient. Why, because I have always been able to get a line, typically on the first attempt.