nsmedic393

its not healthy to be anal retentive

Same here in Nova Scotia

i think he means; you are doing compressions on the chest then you walk to the other side of the highway and give two breath to the head.

I thought the idea of medics taking ACLS and practing ACLS was so you could bring ACLS to the patient. There is no reason that an arrest should be run any differently in the field that in the ED. Here we do not transport any arrest where we can deliver ACLS at the scene. Our only exception is if we cannot obtain Intubation or IV access than we are required to transport. Transporting an arrest by helicopter is unheard of. "And a 10 min transport time is long??? Please,i have had hour long transport from inside my county doing CPR. no helo's available here. but we did it because thats what we are here for, the PT. And no the PT did not survive. but thats not the point. " just a question, what possible benifit could any patient in cardiac arrest have from an hour long transport time? If i have an arrest and can provide ACLS on scene than i will pronounce on scene. I don't care if im right across the street from the hospital.

The only time I have ever thrown up as a direct result of something other than the stomach flu or alcohol toxicity is when my ex girlfriends four year old son had projectile dirrhea and litterally blew his own pants off.

I don'd know about the zoll but the lifepack 12s you need to enter manual mode, disable the VF/VT alarms and then under print options switch into diagnostic mode.

Whatever be the case, our Provincial Medical Director has decided that we will be tossing the lidocaine and picking up amiodarone sometime in the next six months. Our protocols are evidence based so I'm guessing there was a good study done somewheres.

Here is what i want to know: Can Iv drug use trigger an asthma attack? Does it make the lungs more sensitive to extrinsic factors that can cause an asthma attack?

Its impossible to say weather i'm going to provide patient care in the truck or in the house. I definatly bring all my bags in with me in case I need them. Just as every patient is a unique individual each scene and each presenting medical condition is unique. If the patients condition requires rapid transport than I will pack them up and treat en-route if their condition dictates TX on scene than i will treat on scene and if it requires a middle ground than I will find a middle ground unique to the call. The answer to this question from everyone should be "whatever patient care requires". I know some people would prefer to treat in the house and others would prefer to treat en-route and I have my preferences also however when on a call the patient and their condition are in fact "the boss" and I do whatever patient care requires.

As I understand it (and please feel free to correct me if i'm wrong) Asthma from drug use is more of a chronic condition than an acute condition. It would not necessarily be a recent use of IV drugs that triggered the asthma attack but these people are prone to asthma attacks as a result of long term IV drug use. Say when someone is using crack IV. They boil the solid rock down (I watch cops, don't know from experience) into liquid form and then injeck it into a vein. The crack may be fairly liquified but there is still particulate in the solution. With multiple injections of this particulate filled solution the alveoli become "plugged" with particulate and and now have less ability to exchange gasses and are more prone to extrinsic reactions ie. Asthma. And as the study says when they have the attacks they are worse and tend to need intubation more often.

Our Critical Care flight medics, do thoracostomys under standing orders and have a great success rate.

What is your current level of registration and what do you like about working at that level? What are the highlights of your scope of practice?

Quite the discussion..... Maybe what asys is trying to say (and if he is, i share his frustrations), is that I am tired of being monday morning quarterbacked by a wet behind the ears BLS provider who apparently has learned everything he needs to know about EMS is the week that he has been working this job and has nothing better to do that sit back and count the number of percieved mistakes I make on a call. Now keep in mind that our BLS providers PCPs are quite good for the most part and go through infinitly more education that the average emt-b in the US. I can see where in asys's case it would be even more frustrating to hear that BS from someone with a two week education in EMS. Now i've been thinking about what might make a medic think he is higher up than an emt; pay, skills, and education, maybe.... The big one RESPONSABILITY... That patient is my responsability, its easy for someone to say I would have done this or that when they don't bear any of the responsability of those decisions. If its going to benifit my patient to shove my BLS partner face first into the flower-bed because he's so horny to get to the action than look out for the ground buddy. I'm a nice guy, I have nothing but respect for good BLS providors, but my patient comes first and I would bet that most medics have 100% more contempt for someone with a BLS hero attitude than a medic with god syndrome.

I completely agree.

I think the other definition of "paragod" is a$$hole. I think the true cases of paragodism, where someone was a nice guy up until the very moment they finished medic school, are few and far between.

Ditto for me

I think wat PRPG is trying to say (and if he is I completely agree with him) is that we have no way of measuring how much pain a patient is in. For example if a patient were to say that their heart rate was 180, I can very fy that by looking on the monitor or take a pulse and treat that paitent acordingly. However, a patient can say that they are having pain and since we have no way to verify, we should give them the penifit of the doubt and treat for pain. When it comes down to something so subjective I would rather take the chance on giving someone pain meds who is faking an ilness than guess wrong and withold pain control from someone who really needs it.

:?: :?: :?: :?: :?:

As long as you were acting within your scope/protocols and in the patients best interest then you did the right thing. It sounds like the doc may have been making a general comment, not an actual attack on what you did. I know that there are medics out there that do give drugs just because they can or because it makes them feel/look important. As long as you aren't one of those people than I would just let the comment slide as it doesn't pertain to you.

In my other life i'm an auxiliary police officer. Its volunteer work. I'm certified to carry and use hancuffs, baton/asp baton, pepper spray and tazers. I do not carry a firearm although i am trained to use one. I don't however carry any of these items while not on duty with the police service.