JakeEMTP

Thiamine helps convert carbohydrates into energy. Since D50 is a carbohydrate we give Thiamine to help in this process. We give 25g D50 followed by 100mg Thiamine for BGL less than 60. If the patient's BGL doesn't increase to greater than 60, or they remain in an altered mental state, we can administer and additional dose of 25g D50.

I'm sorry this puts you in a bad spot Herbie. I'll be thinking about ya. There is absolutely no excuse or room for this type of behavior in today's society. I was appalled by the content of the article and some of the posted comments. I have never been hazed, well once when I played junior hockey but that's a different story, and I fail to see what it has to do with advancing one's education. These people didn't even work for the service. They were students.

Sorry the thread went that way Ruff. I voted no. As one who went through the process of coming here legally, and now beginning the process of citizenship at considerable cost and aggravation I might add, I cannot and will not support amnesty for illegal immigrants. What's good for the goose is good for the gander. If one wants to return to their native homeland and apply through the proper channels, I have no problem with it.

Let's see............. nope, done that, can't post that 8), Enjoy the full Talladega experience Explore Europe Attend 1 NCAA Football Championship Drive on the Autobaun In Germany Visit the Vietnam memorial Enter the World Series of Poker and not care how it turns out Teach English as a second language Become fully bi-lingual again in French ( it's so sexy) more to follow.

I have found that a ammonia capsule in a NRB works. I mean I heard it somewhere, yeah, that's it. Yeah, we still have to treat the patient accordingly. As Jsadin mentioned, we cannot just assume the pt. is faking.

Just for shytes and giggles, why not Asysin2leads? :glasses5: I at one time had considered Buddha to be admin. Some of the old guard will remember him. Or was it her? Anyone can be anyone on the internet. :computer:

I wasn't sure where to post this as I don't think it belongs in the "funny stuff" section. http://www.newschannel5.tv/2008/7/3/993932...-Drug-Smugglers Call me naive, I had know idea this was going on. I have heard about ambulances being used to transport illegal aliens, but not drugs. Vitalline, the company that had their ambulance stolen, says they will co-operate fully with the investigation. I truly hope it was indeed stolen. I would hate to think a member of my profession would do this. Another reason to secure your vehicle. Then it won't be stolen thus curtailing such activity. The criminal element will always find a way. Lets not make it easy for them though.

"Here I go again"- Whitesnake Hair Band extraordinaire! http://www.youtube.com/watch?v=oKTiwCez6Zs

Why? Once the heart has stopping beating we have to run it like any other code. I agree with the majority here (I hate being "Johnny come lately" to these things) and say I can't see a benefit to Albuterol down the tube for the reasons previously discussed.

" Ain't even done with the night" - John Cougar

Strictly a dodge to through us of the trail.

I think he just a computer. You know, like HAL from "2001, a Space Odyssey". I've sent him a few e-mails trying to add a P to my screen name, but alas it remains the same. " What are you doing Dwayne?" :hal

Well said. =D> I commend you for furthering your education and making Our profession better, one medic at a time. Although I do have a AAS degree, my education is continuing, sometimes daily.

Our Medical Director is considering it. I know Wake County EMS is doing it presently. http://www.wakeems.com/blog/?cat=6

Here we go again. Having a college education as a Paramedic gives you a more in depth understanding of what's really going on with our patient's. 2 semesters of A & P as opposed to a few chapters in a textbook, I believe helps us as independent thinkers, make better decisions regarding treatment. English composition helps with PCR writing and verbal reporting at the ED, and microbiology might be helpful in decision making, but that's just a guess :roll:. Instead of "Pt. presents like this, Do this", I am able to treat accordingly. In our protocols, the word "consider" appears many, many times. Our Medical Director trusts us to make good decisions. Before we can even work in this County, we have to do a oral scenario based interview with the Medical Director. If we went in there reciting protocols, yeah, he may credential you locally, but he won't be happy. If we going in there and explain why we are doing something, or giving a particular medication and the expected effect on the patient, that is what he wants to see. 2-3 chapters of A & P or 1 or 2 chapters on Pharmacology can't possibly prepare you properly. This is pre-hospital medicine not putting a burger together. Get the education or move on. I refrained from posting in this thread until now, but the temptation got the best of me. Quite frankly, I'm tired of it. Those without a degree as a Paramedic will always try and find ways to say it isn't helpful when it comes to treating a patient. Those of us that are degreed will continue to show them the error in their thinking, but those attempts always prove to be in vain.

I think sevenball has a point when he uses the lack of healthcare/insurance argument. It is unfortunate and somewhat hard to believe that in the year 2008 we have citizens without some sort of insurance or access to healthcare. I believe lack of proper individual healthcare increases our call volume without question. I don't however believe it to the the lone contributing factor in EMS incidents. Public education as to how to take proper care of themselves is key. I know of several agencies that are trying to take this route, but if the public won't listen or even try to educate themselves, well.......... Somehow, someway, we have to eliminate the wacker factor. EVOC classes should be mandatory. I'll go as far as say they should be part of the national curriculum. We could add it to the " Ambulance Operations " section of EMT-B classes. We have to stop sending or calling for helicopters every fricking time there is major MVC etc. They are overused and this needs to stop. We are professionals. We need to act like it. The law of averages say that the more calls you run, the better the chance of being involved in a accident. All we can do is drive according to the road conditions, be aware of our surroundings at all times and be watchful of the other guy. Mirrors are there for a reason. Use them. Good topic Timmy. 8) disclaimer: No reference was intended to people who do take care of themselves. I have health insurance and very seldom use it other than annual check-ups. I do however, enjoy the security it provides.

Reaper, I'm sorry you missed the laughing smilie and my J/K ( just kidding ) part of the post.

Well done Nifty! I have heard though, that the FL medic exam is equivalent to the Intermediate exam here in NC. J/K dude! Congratulations!

Unless I'm mistaken (which is entirely possible), Rural/Metro provides EMS service for the City of Buffalo as well as the City of Niagara Falls NY. and the surrounding counties. According to their website www.ruralmetro.com , they currently have openings for 5 medics in Buffalo, although I'm can't be sure how current that information is. Good luck with your search.

Truly another sad day in EMS. My heart goes out to the surviving family members. I'll keep the crews in my thoughts.

Remember, all that wheezes is not asthma. Look for other signs. Do a thorough assessment of your patient. Do not just give a medication just because your protocols say you can.

Welcome to the City. How can you document canceled call when you checked on scene, made patient contact and made some sort of assessment? We have the ePCR and under treatment there is "No treatment required" option. I believe some sort of documentation like that would be more appropriate. I have them sign a " No Transport form" which is a paper form requiring their name and age. There is certain criteria that has to be met, but for the most part, it is painless and takes just a few minutes to complete. Then I can enter it into the toughbook at a later time allowing us to clear the seen asap and the individual/individual's to carry on their collective way.

Even Trunk Monkey can pull this off. http://www.trunkmonkey.com/content/view/64/1/

The problem with this is, we are dealing with people's lives here. It's not like we can "try it out". If you ( generic you) find this isn't what you should be doing, somebody could die. Either you jump into this profession with both feet, gain the required education and advance into the field or find something else. It is not about us and how we feel, it is about the patient. You mean less levels, don't you? No argument on this. Your posting has greatly improved since you first arrived in the City. I can see you are coming around to the majority way of thinking regarding education and EMS. Keep up the good work. :thumbright:

"Olde Days" - Chicago Well Done afib!! :occasion5: