akroeze

What happened to innocent until proven guilty?

It something we can talk about. I live about 2hrs from TO so I could make a night of it!

Am I missing something here? I'm seeing 3rd AVB with ventricular escape.

You will do well, you have the right attitude!

See! They CAN be cops too. We DO need FF/Medic/Cop combinations! They were first responders for the police

I ask this in all honesty, how is this troll still not banned?

No, but it was pretty dishonest and low of you to try to get information from us without giving us the whole story only to then tell us this is to help you with a law suit.

Not defending the FD in the least but if this Doc didn't come to them first with his concerns then he didn't really handle it appropriately.

Very true

They all do this, this isn't so much an oops as it is an industry standard

A few more !!! and your point would have been more clear.

None, get into a medic program ASAP

How is that my old service had two paid staff 24/7/365 manning the station at a station that did only 40 calls a year, yet you guys aren't busy enough at more than one call per day to justify paid? And these medics got paid almost $30/hr to do it.

Just making sure everyone noticed that the paper speed is 50mm/sec

Did it They really need a "Yes to all" box for each page as many times that's what I'd use!

According to my medical directives I can shock anyone >= 30 days

Ok we get it. You like to take every opportunity you can to make fun of people who make EMS their career instead of Fire. The schtick is getting old.

I too just picked up my uniform the other day from my new service: 5 Uniform shirts 3 Uniform pants 3 Smocks (worn under shirt) 1 Ball Cap 1 Toque 1 Sweater vest thing 4 Sets of Epaulets 1 Radio belt clip 1 Radio mic holder 1 Cell phone belt pouch 1 Rain coat 1 Extrication jacket 1 Extrication pants 1 Extrication helmet with face shield 1 Pair Extrication gloves 1 Pair of winter gloves 1 Duty belt (inner/outer) 1 Pair of boots/year 1 Gear bag 1 Tyvek suit 1 Safety glasses 1 N95 Mask with replaceable filters And on top of that I get a dress uniform custom fitted at a future date.

My google-fu is weak master, please forgive me for I could not answer your questions. You would think that would be something they would talk about on all these sites.

I'll admit that if I had this patient I would have gone in saying 3rd Degree.... Would have been embarrassed later. As far as your question, I'm not sure but I'm going to try my google-fu since I should know.

Well if not 3rd AVB then I don't know what to call it. If you map it out there are extra P waves. Is this 2nd AVB 2:1 conduction with abberancy? There are definitely Ps buried in the Ts

I want to change to say that I would say the axis is more like -60 degrees after I looked over it again

Correct me if I'm wrong as this is something I just taught myself yesterday but.... I'm seeing a left axis shift and estimating it to be about -45 degrees. Am I way off? I would call this 3rd degree AVB with a ventricular tachycardia escape and the p waves look to be running at a sinus tach Get a line and be ready to treat but as long as these are perfusing beats no specific treatment to be done in the field. Just be ready for the worst.

Hi Doc this is Alex Kroeze, ACP, OASIS #15411. I'm calling for a field pronouncement here Doc. I'm in the back yard of a residence with a mid-30s female patient who was found floating face down in the pool, unknown how long she was there. On arrival of the PCP crew the patient was VSA. They performed upfront CPR and then upon analyze discovered Asystole. We arrived as ACP backup just as they were doing their 3rd analyze and patient was still asystole. After one round of epi patient had fine v-fib which was shocked into a bradycardic PEA. Atropine and a 250cc bolus were given and patient was found to be back into v-fib. She has had 2 more epi and 2 lidocaine since then and remains in fine v-fib unresponsive to shocks. Patient is intubated with good air entry however ETCO2 is reading in the middle range on the disposable detector. At this point I'd like to cease resuscitation Doc unless you feel that a trial of bicarb is warranted. Hi Doc this is Alex Kroeze, ACP, OASIS #15411 I'm 20 minutes from the closest ER. I'm calling for orders for a lidocaine bolus for ventricular bigeminy/trigeminy. Patient is a 75 y/o male with a history of COPD, Angina and Hypertension and is on salbutamol puffers, flovent puffers, nitro patch and metoprolol. Patient this evening while sitting watching TV had a sudden onset of inability to catch his breath as he describes it that doesn't feel like his usual respiratory difficulty. Patient took his own puffers with no relief and when it didn't go away within a few hours he called us. On arrival patient was ambulatory to meet us at the truck. On assessment he is in moderate respiratory distress and pale in colour. BP 102/68, P 68 and weak, R 20, SPO2 98% on NRB. He is in a sinus rhythm with periods of ventricular bigeminy that alternates with ventricular trigeminy. 12 Lead is non-diagnostic. Patient has no allergies. I'd like to give this patient a 1.5mg/kg bolus followed up by 0.75mg/kg q5min prn x2

Bylaw enforcement officers. http://en.wikipedia.org/wiki/Bylaw