island emt

"You are dispatched to a residence for an adult male that was witnessed to collapse spontaneously from standing position w/o prior complaint, injury, or obvious mechanism." I'm going down the path of CVA with some opioid abuse as a chaser. Sky high BP, sudden onset collapse, posturing, LOC. Bradycardia, all point towards CVA.

The scope of practice for Advanced EMT's does not have benydryl in it. They do have IM or SubQ epi for anaphylaxis with orders. The national scope of practice model was produced by our good friends at NHTSA as a plan to make all providers in the U.S. work to the same standard. However it is in my opinion working to the lowest common denominator instead of forcing states behind the curve to increase their education standards and allow the providers to excel in prehospital care. here is some light reading for you. http://www.ems.gov/education/EMSScope.pdf

I'm going to go with nasal airway & BVM,to manage the airway, not ready to paralyze him just yet. Severe hypoxia due to depressed resp effort. How much Narcan did we use so far? Put the pads on and be ready to code him.

Pulse rate and strength? peripheral pulses? Resp rate & volume? ETCO & waveform? Pupils? What kind of pain is he taking the oxy for? dosage? If resp volume & rate is insufficient then lets support as needed withO2 and possibly BVM as said above, 12 lead which shows? IV , larger bore as we may be going down the arrest pathway. BG= Pull the narcan out of the box if we determine it's not cardiac related per the 12 lead.

Caduces" The difference between you and most of the other teens that come here is that you really have the desire & passion to learn and improve your knowledge base. You're also willing to put forth the effort to interact as an adult. Moat of the professionals are more than willing to share the decades of experience with someone who wants to learn. Are you home schooled by chance? there will be times when we push you to do more research rather than answer a question for you.. Thats how to learn. Don't stop being curious, as long as you live. I am always glad to see there is hope for the next generation.

Lets get him loaded and into the back of our office. Get a line and epi on board then head towards the hospital & intercept. 12 lead and good airway control are necessary here. Not very familiar with Morquio Syndrome IV, but if I remember from past reading it has similar issue as Marfans when it comes to cardiac and CNS issues. This is not someone I want to be sitting with for 15 minutes for the ALS intercept to arrive. What if the ALS truck has a mechanical problem or accident. Then you waited for naught. always get headed towards definitive care.The Paramedic isn't going to have a whole lot in their bag of tricks to add to ILS protocols other than Benydryl &intubation if it comes to that , Something you can manage with a king airway if needed.

The book of heros from genesis.

A degree program for Paramedicine from an accredited college. Look for CAAS certification. This will give you a well rounded education in Paramedic science. You will get A+P, Pharmacology, Cardiology, and Paramedic practices, along with your other electives.

I probably came off as being against the narcan being made available. Not so. There just needs to be a serious effort involved in the training & use of them, and knowing what to do when the known effects happen. Things like you zap them and figure it's all better now, don't need to call EMS, or what to expect if the pt suddenly starts to vomit violently. I grew up in EMS during the heroin wars of the 70's & 80's where junkies were a third of our call volume in an inner city environment. Closest I ever came to getting shot was getting caught in the middle of a disagreement between rival drug gangs in a tenement in the hood of Holyoke Mass while we were going to treat a stabbing victim. Am I a wee bit unsympathetic for their plight? YES

it took us years to get the public to recognize we weren't just the ambulance drivers. By the basic nature of what we do, we can't publicize our actions as the fire service tends to do. Some ems services try to make it on the tv news a little too often and end up with their collective "arses in a crack " [ humah intended] with pt privacy issues. Many folks don't even realize that EMS exists , until they need our services, other than being annoyed as we go by with our lights & siren blaring disturbing their peace & quiet Respect from our patients and their family members can occur in many different forms, whether it is a smile or handshake or a hug from a person who's spouse you just "saved", or a note dropped in the mailbox. Thank you cards have a great effect on your bosses knowing that you are providing excellent care for the customers. Letters to the editor from satisfied customers are always good as they tend to let the general public know how good the service is that you provide. But in the end we work in a field where most of the time recognition is non existent and just toil away doing our jobs to the best of our abilities day in & day out . If we want daily recognition , then we should be baseball players or some other highly overpaid person playing a game.

my thought on drug abusers is : give them all they can smoke , snort ,shoot up or stick up their arse and they will all be dead within a few months. No more drug addicts. Same theory goes for fat people. Give them a spot at the counter of Mc ratmeats or at the local chinlee all you can eat buffet, and let them eat themselves senseless. We have a fellow that has been basically imprisoned in an ICU double room at the hospital because he had gotten up to well over 1100 pound of stinking festering blubber laying on a pile of 4 mattresses on the floor in weeks worth of his own waste. Now he hadn't been out of that room for months until the fire dept with assistance of a towing company removed him. They have managed to slice almost 400 lbs off him on a STRICTLY controlled diet over 6 months and not allowing anyone in the door with food. This is a slob who was consuming 25,000 calories a day as a warm up snack to getting down to serious eating. Do I have any sympathy for people like that??? NOPE used it all up many years ago. going back to the autoinjector issue : the new users of the medical device will receive a 20 minute class on how to use them. They will not have a background knowledge of the pharmokinetics , or the possible problems involved with aspiration or sudden reversal of the OD pt. They won't have the knowledge or ability to respond to manage those dangerous side effects they can cause with narcan administration.

https://www.boundtree.com/stethoscope-bp-kits-subcategorynode-106-0.aspx do a google search & you can find discount coupon code to help save some $$

Looks like a severe case of NJ whacker to me. Bet he has 47 flashing lights on his 1992 dodge neon also. Wait ::: I know who that is::: He's the webmaster from that other website about life

After last nights drama : I thought we could use a little levity Several days after President Obama was re-elected, he went over to see Bill and Hillary Clinton for dinner at their spacious home. After drinking several glasses of iced tea, he asked his host if he could use his personal bathroom. When he entered Bill Clinton 's private toilet, he was astonished to see That Clinton had a gold urinal! Wow! The next day, Obama told his wife, Michelle, about the urinal in Clinton's private lavatory. "Just think," he said, "maybe I should get a gold urinal, too. But on the other hand I think that it may be just a bit too self-indulgent...even for a guy like me!" Later in the week, when Michelle had lunch with Hillary, she told Hillary how impressed her husband had been at his discovering that Bill had a gold urinal in his private bathroom. Later that day, when Bill got home, Hillary smiled and said to Bill: "I found out who pissed in your saxophone." And one more for our Canuckistanian friends: MARIJUANA FILLED FIREWOOD IN NEWFOUNDLAND Hello, is this the Police Office? Yes. What can I do for you?' I'm calling to report 'bout my neighbor Jack Murphy...He's hidin' marijuana inside his firewood! Don't quite know how he gets it inside them logs, but he's hidin' it there' Thank you very much for the call, sir.' The next day, twelve RCMP officers descend on Jack's house. They search the shed where the firewood is kept. Using axes, they bust open every piece of wood, but found no marijuana. They sneer at Jack and left. Shortly, the phone rings at Jack's house. 'Hey, Jack! This here's Floyd....Did the Police come?' 'Yeah!' 'Did they chop your firewood?' 'Yep!' 'Happy Birthday, buddy!' Newfies know how to get'er done

AMEN Tami: Now I'll go stand in the corner for being hard on a wanker was an EMT-I 99 now NREMTA retired after too many decades of the above Ed

Go to Boundtree medical supply online. They have a wide variety of reasonably priced sprague stethoscopes with BP cuff for under $45.00. You can spend a lot more , but for your $$$ worth don't go crazy

happens every time we have a full moon without fail.

Since it would appear that your reading skills & comprehension are also lacking along with your social skills, I did not call YOU AN ASS. I told you to take your skinny little arse [ as in a part of your anatomy] back to that other website where you will find someone more than willing to blow smoke up your arse about how much a hero you can be. That site is known around the world wide web as the home of the whacker. If you were really interested in knowledge you would not find much there other than how to pimp your ride. It's really sad that children today think they can shock us with foul language . If you pulled that in front of your mother she'd bitch slap you and wash your mouth out with soap. Next time you decide to get your panties in a bunch as least know what you are whining about.

Well youngun: I was a dual hatter for many years and the fire service is MUCH harder than what you received here tonight. If you think we busted your chops then you have NO idea of what to expect in the fire service. Walk into a firehouse with the disrespect and attitude you have shown here and your application won't even be read. They will eat you alive and spit the carcass to the curb. I have sat on hiring boards many time in the fire service, We can smell attitude a mile away and those apps generally get the three minute interview before tossing in the round file. Respect needs to be earned and before that you need to conform to the needs of the service and the mission.

Rest in Peace Jill: Sorry to hear of the loss of a friend Ruff.

Ok sweet cheeks Here is what you want to hear Go take the two week wonder course because it's free. Doesn't matter if you pass because your not paying for it. Then you can become a hero FF/emt and pat yourself all over for saving lives. There : does that make you happy?? This is a place where mere professionals hang out so you will want to go somewhere that they ALL think they are hero's and not afraid to tell each other so.

Welcome to the City

Please take your skinny little arse back to high school and that other website full of wankers wackers and spankers where they will tell you the BS you think you want to hear. They will even tell you it's ok to have more flashing lights on your car than an ambulance. YOU came here asking for advice and were given said advice from folks with many decades in this profession. Some of us were working in EMS before your parents were out of grade school . The fact that you chose not to listen to the advice you asked for is not our problem.

Your point would be ??? It's Ok to rant , but thats what we do in case you haven't figured it out yet.