FireMedic65

see what getting married will do to you?

Some only hear what they want to hear. You give them your opinion, but argue it when they have no clue. They just look for someone to agree with them to justify their ignorance.

Didn't OHP land their helicopter at a fast food place to get lunch, or was that in Texas? I can't remember.

I saw nothing offensive...

Everyone starts some where. The bulk of your education comes from what you put into it. From studying on your own, reading texts and journals. The chat isn't the best place to get info, but it's not bad either.

Even if you are a basic, it's always a good idea to hear what others have to say in a more advanced manor or care. It's a great way to learn and better understand your patient, even if you can't perform most of what is being said. This way, you will know what to look for and what to ask your patients prior to ALS getting there. Also, all medics were basics first. BLS always comes before ALS. We all perform and ask the most basic of questions and skills before opening the bag of goodies. In this case, the basics were covered. I suggest listening to what people have to say in more advanced settings. If you do not understand, just ask. EMS is a learning experience for everyone.

I was referring to handling this at the basic level. I don't of any basic's allowed to do IV therapy and give fluid boluses, let alone give insulin. Intermediates, yea maybe, but still don't think they are allowed to give insulin.

I thought of him too.

*gets his beatin stick and looks for the horse*

Ok, so it wasn't ak that was arrested, but now that I have your attention, check out this goon who did get arrested. http://www.whiotv.com/video/19697666/index.html viewers beware... it's work safe, but... well, you will see.

Excellent article and a great idea ERDoc with doing this. It's always nice to read up on new studies and having people in trenches discuss them. We have been using solu-medrol for years here. For adults 125mg IV and peds 2mg/kg IV. This is after using neb treaments and cpap/bipap. If no change or improvements, contact medical command. If the patients systolic is under 90, you must contact medical command before administration of corticosteroids. http://www.dsf.health.state.pa.us/health/l...ve_11-01-08.pdf Pages 42-44 for those who want to see. From my experiences, being first hand, word of mouth, and outcomes in the hospital, it is a great thing.

Definitely! She needs advanced care. The person with the scenario stated it was at a basic level. Not much you can do besides what all was stated and getting more advanced care. Depending on your area and scope of practice, there are other options available of course.

I all for the use of new technology and the education/training to go with it. No one said you had to do the ultrasound while in the moving ambulance, or even in the ambulance. They are pretty portable now a days and could be put in a compartment and taken out for training and when you have a call warranted for its use. I would be in line for this training, that's for sure.

hi

The goal is of course to align properly. Unless the fracture is severe, such as multiple breaks, it should not be too hard to align the bones back up properly. We aren't setting the bones for casting or a healing process, we just want to get flow of blood back to the extremity. If you have a pulse, you splint it as is. If not, you try to realign it to regain blood flow. There is not enough info being taught in schools for this though. It is touched on briefly and not mentioned much at all ever again. There should be more specifics taught, and at least some clinical rotations with orthopedics. Just my opinion.

Thanks for another useless post Scotty. Again you do nothing to contribute to a discussion but to bash on the previous poster or someone else. If you would actually read these things, you would see that Dust and me butt horns a lot. So, where you get the idea of me having my head up his ass, is beyond me. Where you get the idea that Dust is washed up, is pretty offensive. The man has experienced more than you could dream of. I have asked him for advice and questioned things on him numerous times. There is no need for you to come into these discussions and offer nothing but negativity on people. If you want to bash of people, start a thread about it, instead of jumping in and getting things off topic.

When I saw the name of the thread, I figured it was in regards to the hazards of being around them after a MVC. Such as precautions to take because of the many high voltage batteries, caps, and compressors. Don't get me wrong, these are very serious dangers you should never over look, but will/should be discussed in another thread if anyone is interested. Anyway, to stay on topic. It occurred to me that this is a danger to anyone, not so much the blind. I first thought of it, when I saw an image of a car running over people riding their bikes. The people claimed they never heard the car coming. There are many newer cars on the road that make little no almost no noise when running and driving them, not just the hybrids.

If we are keeping this at the basic level... Approach the girl in a friendly manner, identify yourself, kneel down to their level. Explain everything you are doing. Remove her from the heated environment. Cool her down with ice packs. Take vitals, get best history from the girl you can, obtain info from school (they should have that stuff on record or from the nurses station). Perform your assesment, get a general impression of the girl. It was said she might have a high sugar, is she diabetic? If you can obtain BGL, do it. If not, call for ALS, if they weren't already dispatched like they should have been.

*sets out a pill bottle of Ativan and a few bottles of water* take the hint

This has gone a bit over my head. Still a great case to follow though.

it looks that way

Thanks for clarifying I was always curious, but didn't want to be "that guy" to ask the dumbest question of the day.

I would have to agree. Pretty hard to tell "for sure" without a 12 lead.

Looks regular from the normal view on the forum, but zooming it, it's not regular. Can't determine P waves. I'm calling it AFIB as well.

I thought you were 16? http://www.emtcity.com/index.php?showtopic=15336&hl=