AnthonyM83

I've never slept with someone my own race....crap does that mean I hate myself? And did you imply Wendy is probably a liar merely because it was on The Office? Great logic.

NYS, Are contacting them asking for everyone to be ccemtp trained within 10 years just out of the blue? Or is there some kind of movement going on locally that this is in reference to. If its out of the blue with a demand even with explanations, I can definitely see them not responding. That's why I was asking what the current protocols are now. Even extremely progressive systems don't have RSI nor is it a national registry item ( I'm told ), so wondering why that protocol versus so many others that there might he a push for is the one you're going for to consider NY progressive

Or your medics could just practice on dummies more often and increase their skill proficiency. Studies have shown that correlates to increased success rates on real people. I'm sure your area trains for fires often, yet doesn't get them much. Why not train like that....

Do they have sedation-assisted intubation? Do they have a good intubation rate? It'd be a pretty huge leap to go from nothing all the way to RSI. RSI is pretty rare for ground medics. While in textbooks, I've been told it's not technically even national curriculum/scope. A lot of big cities are looking at yanking intubation altogether...much less moving to give full RSI protocols...

Like I said Crotchity, not frequent, but not uncommon. I get that call every few months, personally. That's not counting my coworkers who might get the call instead of me on a given day, plus all the calls that go out on my days off, and that's only in my first-in area of a few mile radius around one hospital basically...there's dozens dozens more in the county. So not frequent, but not uncommon

I'd probably take the class ITSELF first before deciding on whether to teach it...?

While not an idea situation, you realize they could potentially be only one or two grade levels apart...At least she and the guy are still together, instead of the guy just packing and leaving to college and leaving her with a kid on her own. U/S? Is this a common term? Uterine separation?

I'll ask him next time I see him. Just trying to arm myself with some info before that

I don't want to say this occurs regularly around here...but it's definitely not rare. Often, we just follow our transport to closest hospital policy, by wheeling them out of the waiting room, through the ambulance parking lot, up the ambulance ramp, back in the ER, have the nurse direct us out to the waiting room, then drop the patient back into the same chair, and just make sure the nurse signs off for us. Though, other times it does work and they get a bed immediately.

It's probably a good idea to do both....you're basically paying for a library researcher to gather all the info in a nice package for you to read. While I love reading journal articles, I also want to know what the "general consensus" or the "experts at the top" think. Another option wait awhile and then buy a used copy from Amazon... Hey Dust...looks like we returned from our hiatus at about the same time....

Glucagon IM is used in our system extremely often. We are also very close to hospitals. But they prefer us to reduce the amount of time patient is hypoglycemic. Also, out of dozens of times I've seen it used, I can think of very very few where it didn't work to a noticeable degree (haven't had the insulin pump gone screw incidents, though).

Alright, all that's been said sounds good to me. Another EMS provider (who is usually knowledgeable) was saying that blood was not a chemical irritant to abdominal muscles and did not lead to the peritonitis. I'm trying to figure out where he was going with that...Didn't have time to clarify with him...

I've come upon two opposing views on this....so I'll ask The City: How does abdominal bleeding lead to rigidity? Through what process, exactly?

Ha..yup, that's how I started out in this field too....a "just for fun" class I took...

Depends on your source. It's classically not included in the COPD category if one has chronically have asthma. It very well can be, though, and I have found some sources listing it as COPD.

I feel that Paramedic Practice Today: Above and Beyond was a better text. It integrated explanations in one part of the book well with those given in others. While comparing books, I read the same equivalent sections (such as asthma) in 3 or 4 texts and tried to decide which would make a student feel more knowledgeable about asthma AND feel more confidence in going out and treating it. I felt Paramedic Practice Today (the red book) better gave a good understanding. For example, some books would be vague on treatment of asthma. All the supportive treatment stuff, then mention bronchodilators and perhaps steroids. I believe the PPT book explained first line treatments (with examples) and in which cases one would move to secondary treatments (or perhaps mix meds initially). It went beyond just a conceptual understanding of pathophysiology....it also gave instructions on what to do about it!

Here you would go right back to good old fasioned call-for-PD. Versed via intranasal might be useful in these cases.

My wording may be off, as it's been awhile since I read through the information, but ASA is the only drug that has been shown to increase out-of-hospital survival rates in AMI patients. I asked the doctor that question more to prompt conversation about the topic in a round about way. But I think I heard it at EMTCity first a bit ago...

Copy. Makes sense, thanks.

Doc, I haven't gotten to visualize nerves and vessels in vivo but how likely is it that the Sharp bone edges can cause damage as its reduced. It just seems like there's a lot displaced in a fracture and lot that the bone edges can rub against. Additionally another reason to reduce it is to decrease space for possible lacerated vessels to bleed into.

As I thought a lot of people got carried away with their own agendas instead of giving the help you asked for. Sometimes things affect us in a weird way. If you were fine at the ER on an on going basis honestly you'll probably be fine. It's good that you went to others for advice though. Sometimes in the classroom you have more time to think about the pictures since there isn't a task at hand to concentrate on. Your mind then just keeps thinking about the awfulness of it. In addition the pics you saw weren't things you'll see day in and day out. They were probably the difficult cases the coroner pulled out because they caused problems for EMS in the past. BTW, EMTs can still determine someone dead like a medic. It's the same criteria for the most part except ones having to do with calling an arrest or requiring EKG rhythms...the minority of death determinations that I've seen. But don't worry you'll be just fine. I can psych myself out too if I think about certain scenarios yet be just fine on scene.

Depends on local protocols. Both theories are accepted

I think one shouldn't go straight to assuming everything was done inappropriately until we're told so. this seems almost like hanging a fellow EMT out to dry when we read a news article on an incident without knowing details...