JakeEMTP

I think you are describing the Auto-pulse aka: Geezer Squeezer. We have it on our ambulance and it works great. It gives much better compressions than you or I could, and for a considerably longer time. It is not difficult to place on a patient. Actually, I find it disturbing someone put it on wrong :? . Just relax, don't get to excited and place it on the patient. My partner and I ran a code last week and used it. Oxalator and an EJ + the Auto-Pulse, one could conceivably run a code from the Captains seat. http://www.zoll.com/product.aspx?id=84

:sign5: On occasion there used to be. I haven't visited chat for some time now, so things may have improved :roll:. It doesn't last long though, as most can't answer the questions.

Fiznat, here is a link about CPAP and asthma. http://meeting.chestjournal.org/cgi/conten...ct/128/4/165S-c I read the scenario again. Our patient was somewhat responsive, had a systolic BP greater than 100 and no hx of pneumothorax ( unless I missed it ). Intubation is a good idea. We don't have RSI in our protocols, so if the patient wouldn't tolerate a ET tube, I would consult Medical direction about using CPAP. I am curious and watch this thread for different ideas. I"m still a student so I find this interesting. :study:

I've been reading this thread and I keep wondering if CPAP might be an option. The patient does have an airway albeit not a good one, he did improve with a NPA and BVM, but his O2 sats wouldn't improve to where we would like it to be. CPAP would help clear his lungs and is indicated for asthma. We have done this and it worked wonders. If it is not in your protocols, talk to your Medical Director.

The grammar in the first three posts made me cringe. We use type III Wheeled Coach. We also have one type III Braun which is a oldie but a goody. Personally, I prefer working in the older Braun. A much better ride than the Wheeled Coach.

Aren't pt's that require more than strictly BLS transports and some form of advanced care really ALS transports though? I do not pretend to know how things work in Canada as I moved to the US prior to my involvement with EMS. In our little corner of the world we have BLS and ALS transports as I'm sure you do also. Any patient that requires more than basic transportation ( no pun intended )ie: hospital discharge, trip to MD's office etc. would be on a ambulance with at minimum 2 Paramedics, more likely than not, a RN and a Medic.

Believe it or not, some of us that post in the forums understand what you do too. :wink: Why is this such a big deal? If you are really involved in EMS and not just here for shites and giggles, surely you would have something constructive to add to the forums. But I digress.

Ah, but this is NJ. BLS ambo responds first, then the ALS. :roll: Actually, I clicked on this link because I thought it was a poll. Yes, I agree with drinking in the summer ( within moderation of course) :wink:

^

Doczillas idea sounds like something I would wear. Currently we wear a Royal blue polo with a red Star of Life and the squad name embroidered in the left chest and black 5:11 pants. Navy blue T-shirts are issued strictly for wearing at night under flight suit which is Royal blue with reflective material in all the usual places. I like the scrub top idea. It would be considerably cooler in the muggy eastern NC days. As long as it was of good quality, able to handle multiple washings without loosing its shape, I'd be all for it.

I never cease to be amazed. I can't for the life of me understand how she didn't know she was pregnant. How many days in a month? :roll: I hope when she recovers she is prosecuted to the full extent of the law. As a matter of fact, she should have a court ordered hysterectomy whilst she is in the hospital. She doesn't deserve any children. Just because she can be a mother doesn't make her a mom. As for Miss Teen SC, her original question is another prime example of why there needs to be Geography taught in school.

Greatly appreciated Dwayne. Thanks for the help.

I'm not sure yet. I'm hoping there will be a skills testing site in Greenville by the time I have completed classes. According to the NREMT website, there isn't one listed that I could take as we won't be done by the deadline to apply. There is a CBT testing site about 2 miles from me in Greenville so that isn't a problem.

Thanks Yummy! :wink:

Thanks for the info. I assumed it to be along those lines. We have to do oral stations for our Medical Director also before we can function in the county. Repetition is the best teacher I guess 8).

In approximately 3 months i will have completed my Paramedic program and will be challenging the NR. The majority of the stations I am not overly concerned with as I feel confident in my abilities. However, the oral stations ( keep it clean! ) are of a bit of concern. What sort of questions or scenarios do they present or is it a hodge podge, or Cracker Jack box if you will, of anything? Thanks in advance for any insight.

Have you considered just double gloving? It is much easier just to take a pair off then to try and put a pair on with wet hands.

I'll have to disagree with that.

I thought it was a EMT-B skill to obtain a 12 lead, or 3 lead in this case, but they cannot interpret it as they haven't the proper education as yet?

I agree. Did you notice that the AHA suggests that an airway would be nice, but just keep doing compressions, not in the same words, but the implication was there. Also, the second line drug of preference ( according to the AHA ) is amiodarone instead of Lidocaine.

I realise spenac , you are describing a very rural service. Somewhere in that 3000 sq. miles there has to be some industry. If you approached them and explained in detail, your predicament, perhaps they could apply some pressure to the county gov't. After all, they are in business and should understand that to function properly, some influx of cash is required. It would indeed be to their benefit to have professional, full time ALS service and I'm sure they haven't got a clue as to how you run now. As Hells Bells stated, the newspaper is an excellent idea.

Unfortunately spenac, I am beginning to believe your line of thinking more and more .

And deny people entry into the Code 3 Club? In all seriousness, I have an issue with " Big Brother " watching my every move. Cameras in the bunk rooms are a serious invasion of privacy. I would hope most EMS providers would be able to maintain some form of professionalism and keep the work place that way, but I digress. Ridryder brings up a good idea. If management is so concerned about the activities of their employees then simply split them up, put them on different shifts, assign them to different stations etc. It is not rocket science, just good management.

Our shifts are 24 on, 24 off, 24 on, 24 off, 24 on, 4days off 8). It's like a mini vacation every week. The added bonus ( if you can call it that ) is OT is already built into our scheduled hours. We work 48 one week, 72 the other with OT after 80 hrs for the 2 week period. Since we are working 120 hrs in a 2 week pay period, 40 of it is at time + 1/2.

Please take the time to read this tread completely. I'd hate to waste bandwidth reiterating.