BrandonDrew87

PMD is short for paramedic. Oh and Dwayne, I don't suppose you have had a green paramedic or student that has a god complex? Going out there and save everybody... I have, and sometimes they need a little brashness to help them become a better provider. So excuse the hell out of me for not being a lilly ass and not nurturing these "good kids".

They can teach you anything in a classroom but the most crucial lessons are often learned in streets. I help teach PMD class sometimes and those green guys can rattle off all of the cranial nerves... Big shit, when they get on the truck with me its a different story.

@kiwimedic Wow thats a lot of training, My PMD course was 18 months and my EMT was only 9... LOL. But you said you guys use the amiodarone for AF with RVR (rapid ventricular rate) It is in our protocols to do the same but only for PT's with WPW syndrome. I have had great success with the diltiazem for controlling the rate. Used the amio once with poor results. What is the dose you are using for rate control?

Wow, thanks for the replys guys. I am going to try to get a copy of our protocols and post them somehow. @paramedicmike, Most of the items listed are not carried buy any surrounding agencies. Everybody, We do carry all of these meds but most are rarely used. Ive been a PMD for 3 years and have never given several. Alot of the officers here are also PMD instructors, and my LT's dad is the medical diretor. But as far as training we have a four day hands on training in the summer and we use EMSjane throughout the rest of the year. We have a pretty good group of people and the Med Director knows. He just wants the best for his friends and family I would imagine. (My countys population is only 50,000)

Hey guys, I know at my department we have the most advanced protocols within the area. Here is a list of some of the non common stuff we carry. Please let me know if this normal in other areas or just for us... Levophed Lisinopril Plavix tenecteplase Thiamine Romazicon Terbutaline Labetalol Versed Hydromorphone Sublimaze Nitro gtt Vecuronium Rocuronium Succinicholyine Amidate Lopressor Cardizem Naloxane Decadron Again some of these drugs might be common in your area. But Id just like an idea of whats on other peoples trucks around the world...

@ParamedicMike TX refers to transfer, or transport. Sorry for the confusion. To clarify, I like spending more time on scene to see if my treatments are gonna to be beneficial for the pt, If not I still have a second set of hands (my emt) to take vitals, assist with procedures, and or draw up meds. It may not be a healthy habit but last year I had a PT in border line unstable Vtach. Got a line and amiodarone on the pump. Got enroute to the hospital. While enroute I was putting the pads on the PT (just in case) I looked down and my line had infiltrated... Luckily I was able to pop in an EJ. Since then Ive been weary about having everything right before bouncing down the road.

Yo, I work in a very rural part of northwest Florida and my TX times are from 30-3hr depending on facility. I like you often find my self on scene for 20 plus minutes... The other day i was on scene for 45... My coworkers often heckle me, but by god, we have really aggressive protocols and lots of neat drugs and I wanna see what they do! I recommend taking your time on scene for two reasons. 1. You cant get another call while your on one. 2. The worse that can happen is they code, then its really easy. lol.