akroeze

Our service uses all Crestline and Demers trucks. Some Type II (Usually spares, and they are being phased out ASAP) and the rest are Type III with a few Type I 4x4 at the remote bases. The newest batch of vehicles ('05 and up) are gasoline powered. My understanding is that all new trucks will be this Crestline gas powered truck. With the exception being those 4x4 Type I as they are from Demers and I don't think Crestline makes an equivalent. Those will be diesel. Our fleet is something like 40 vehicles or so.

I'm sorry, what? :? Seriously..... who... what... why.... oh forget it!

The first two strips on the second image are Lead II No real problems, occasionally when exercising (say after 40 push-ups) I get dizzy... but that could just be the exercise. I also have a somewhat higher BP (mid-130s/high-80s) at rest and after said push-ups I wouldn't be surprised to see 150s/100s. O2 sats run anywhere from 94-100%. Resting heart rate varies from 78-92 depending on the time of day. A bit overweight, I'm about 200lbs at 5'10/11 On Losec 20mg BID I'm 23 As far as a XII Lead, our monitors don't have that ability. I guess what I'm wondering is should I be making an appointment with an MD specifically to discuss this? Or would I wait and just schedule myself in for a physical whenever they can get me in (> 1 month) and ask him to do a baseline XII

So I was fiddling with our MRx, getting used to the different features and stuff. I hooked myself up and ran some strips. This is the first monitor I've used that had more than Lead II so I have no reference. This is what I found. Note the leads, I only saved Lead III from the first time and then I did a repeat and printed all three leads: http://home.cogeco.ca/~rkroeze/ecg1.jpg http://home.cogeco.ca/~rkroeze/ecg2.jpg I apologise for the size of the images/files but the base computer has very limited software Someone explain the notching in Lead III on the R wave for me? It's especially confusing for me as the amplitude of each peak changes (and even which one is taller changes). I have shown it to partners and they say BBB... is this true? Should I be seeing a doctor? lol Thanks

Well considering the hospital in my area is only 1 "trauma" bed, 2 beds with monitors and 3 less acute beds it's a case of wheeling in and saying "which room?" Where I trained, they generally told you when you called in your report. "Bed 6 on arrival" that kind of thing. That worked really well.

Did you manage spinal precautions as effectively without the KED as with it? If yes, then you didn't need it. However, if precautions would have been improved with the KED, use it. Like everything we do... do it if it benefits the patient. If it doesn't, why bother?

I was wondering about it What's so special about the 1000? They have been hyping it so much and I don't really know what is so different about it...

I just wanted to chime in that I am very impressed with the MRx and its relative lack of artifact on transports compared to the LP12.

My advice: DON'T DO THIS Surely you can see the many ways that this is so very wrong...

How often does a second call come in when you guys are already tied up?

I realise there are more issues than this but let's simplify this. My protocol for nitro involves BP >100 systolic. If I am reading the white mark as a number then their BP is 99 and I can't give it. If I'm not, I round it to 100 and I give it. I know that's overly simplified...

And rounding up or down is?

It's telling you exactly what you said. A 20gtt set gives you 1mL every 20gtts. As far as I'm aware (someone correct me if I'm wrong) it's a world-wide standard that peds sets are 60gtt/mL Volume of fluid that can be given through it would be a big difference.

Speaking as a nurse, your conspiracy theory is correct. I know I'm taking a huge risk by admitting this, and I already have a plane chartered to take me to my secret hiding place the moment I post it. Hopefully they can't find me there....

You know what else we have been doing for years and has "always" been in the text books? Back boards. Now we're starting to think that maybe they aren't so great afterall. Just because something has always been there, doesn't mean it is right. They always used to think the world was flat.... Also just as a note, it's considered good practice to provide a link to your source when you quote studies

There are many things wrong with this kind of statement.

The only issue with working under protocol is that they have to be requiring assisted ventilations. Other than that, I understand

Can I ask a follow-up question? Say I'm on scene treating a severe SOB with wheezing via ventolin. I see that the ventolin has little to no effect but realise the patient is on ventolin. Woudl I looked at as if I was crazy if I were to patch to the doc and ask for direction (possible epi?) on this case? I'm asking more in an Ontario perspective.

Wow... ummm.... that's quite the broad question you have there.

Am I the only one who thinks it's odd this person specifically sought out an EMS web board and joined it just to post that they are leaving EMS? :shock:

$105 But being a virgin by virtue of waiting for marriage cuts out half of that

Guys I have a medical question. After reading this post my eyes are bleeding, is this bad?

Have you contacted a telecommunications dealership?

The only thing I have to contribute is that as of January 1st of this year the province of Ontario has removed elevation of feet from the BLS patient care standards.

Uhmm.... ah.... disposable LMAs?