TechMedic05

Nausea/ vomiting at all? Or did I not read that above.

Wow. Where do I sign up?

...Anyone else familiar with the "Dead Puppies Aren't Much Fun" song?

523 - Impressive or not, Punisher supports his thoughts with valid information. Credibility is greater with consonant valid information than with a consonant instead of a vowel after someone's name. And in my limited experiences with Respiratory Therapists, I've found they have a good amount of information, and are rather 'on the ball.' Yes, there are always exceptions, but the same is true for firefighters.

I'm not from Canada, but Dust, is that a Texas EMT patch on your left sleeve? Maybe I'm hallucinating. Too much radon here in The Granite State.

Congratulations! Go get licensed and save some lives :wink:

I could come up with 94 variations of screen names to make that date a bit quicker :wink: I'll play nice. I mean it's Friday night, what else would I do with my time? June 15th, about 2100, EST.

But with the CC on the front... Is that 'Critical Care' or Chair Car? Either way, sorry - I'll walk to the hospital :wink:

Our primary ambulance is equipped with an Opticom. Out of the 4 or 5 hospitals we frequently deliver patients to, only one has a stop light we need to get through. There is one street light in our service area, and it is not equipped with an Opticom receiver. As far as vehicle destruction goes, I don't care about the mess...i'd just like to get to play with a Minigun :twisted: Unfortunately I'm good at reading maps, so I get to drive infrequently. I suppose a minigun would be a great reason to not drive.

Even for, like, dedicated ALS 911 trucks? My understanding of a PB waiver was to do Interfacility transfers at the Paramedic level, with only one Paramedic...Not 911. I knew Region 3 was a bit strict along things, but I didn't know other regions were that 'relaxed', I guess - per MA. standards.

No, not quite... :bom: The scheduler still calls me almost every week looking for hours

Well, anecdotally, AMR also did a good job of not leaving resources for 911 contracts. It's not like that ever happens. AMR - Always Maintaining Recession - Gotta keep cutting hours to keep those Unit Hour Utilization numbers up!

NH has a 'C-Spine Rule-Out' protocol now: Clicky here for links.

You can also insert any array of 'Rednecks', too. One of my favorite jokes. I love it!

...Just because you don't get to deviate means everyone else in the world should need to work to your protocols? Granted, may be a higher or lower level depending on circumstances.

In an extremely hypovolemic patient, to treat the rate: Whouldn't we treat with fluid boluses? I don't know if I'm interchanging words, but treating a rhythym doesn't have to be with true 'medications' - And use things like oxygen and fluid. Maybe I missed what you were trying to say, as well.

With tachydysrythmias, it's an issue of ventricular filling time. Without it, cardiac output decreases. Now, you only mention >150. Is this narrow or wide? And how much above 150? I'd assume that treatment would revolve more around any available HPI than just correcting rate, especially with calcium channel blockers, etc. If the patient has a recent history of tearing abdominal pain just before they went unresponsive, the tachycardia [granted, >150 isn't too common unless it's an electrical issue] could very well be related to a AAA. Airway, compressions, fluid, epi, etc. Narrow or wide, provided you suspect a cardiac related HPI, I'd go towards electrical treatment- Cardioversion, or defibrillation - that whole pulseless issue. HPI is a good place to hang your hat on. But in a pulseless patient, I'd imagine electrical therapy would be more beneficial. We were taught if the patient is stable [adequate perfusion, no adventitious lung sounds, and normal mentation to go ahead and treat chemically. If they aren't, go with electricity] Just my $0.02

Actually, Vermont has 2 Intermediate levels, the "I-90" and "I-03". Apparently the I-03 has a slightly expanded protocol option [i.e. NTG with med control, Albuterol with med Control, Glucagon with med control, Intubation]. The only information I could find on certification was that the intermediate was an additional 83 hours [63 didactic, 20 clinical] So, take that for what it's worth. Honestly, I've worked in Vermont for about 3 months now, and I can't figure out the Intermediate system still. Vermont also has the "Emergency Care Attendant", as well. Vermont's version of the First Reponder.

I was taught, especially in burn patients, to be aggressive with airway management, especially with facial and airway injuries. There was no mention of using a smaller sized ETT, however.

Yup! Alexander Carr Park in Derry, NH While 'posting' near Parkland Medical Center. We used 8 foot straps and lashed them through the handles of the long boards to help steer. It works better on ice than snow, however. That was a good day. Took a while to get the hay from the bottom of the hills off of our uniforms, though... The person below me has has more lights on their personal vehicle than their ambulance has.

/Agreed!

Wow, that looks wet. Gogo using a company vehicle to go through deep deep waters!

Quint, you're the one that came out swinging. Education is good. Yes. Generalizations are bad. Yes. Okay there. What else? Can we play as adults here? Don't need to be threatening or aggressive to get your point across. Excessive punctuation isn't helpful, either. We're not here to bash. We come here to communicate, and just because someone may not share the exact same beliefs as you does not mean that they are on a high horse, or are a 'Paragod'. That's not bashing, that's an opinion. We're here to communicate, not to send invites or size shoes.

Yes, it is your choice. I would hope that you'd choose to do whatever a higher licensed provider would request. A few obvious exceptions, of course, such as harming a patient. And, no, I'm not riding a horse. And please, don't shoot me.

I'm not sure if this is because of the area I work in, but I wonder why: People call 911 because they can't breath, or chest pain [insert any serious chief complaint, really], and then, when asked which hospital to go to, they exclaim that they don't want to go! And I wonder why they normally don't tell us that we'll need to beg and plead to get to go to the hospital to treat their pneumonia or CHF until after they're already on the stretcher and in the ambulance. I dunno.