akroeze

I'm guessing it's a medic who works for a FD but only does medical. As opposed to a medic who also does fire calls etc.

Semantics I suppose and perhaps a false assumption on my part. When people say "BLS only is all you need" they generally mean CPR and defib. When they say ALS they mean ETT, IV, drugs, etc. Sorry if I'm not using correct terminology but when I say BLS I include defib as a BLS procedure. As far as going from fine to coarse, I thought that was a key point in upfront CPR vs. immediate defib? That 1-2 minutes of CPR tends to make fib more course due to increased myocardial oxygen levels.

Thank you And you read too quick! I updated my post to address Dust

Counter arguement would be that an SAED/AED would have likely shocked him as well. If not, then a few minutes of CPR may have made it coarse enough to shock, which if I am to understand correctly (could be wrong) has a higher chance of success anyway. I totally agree that post resuscitation VTach needs ALS. The statement was something to the effect that ALS is needed to get ROSC. I was taking the contrary to that. Most studies only speak of getting ROSC from ALS maneuvers. I'm not talking about post-ROSC. My arguement would be, prove that he wasn't going to keep his output on his own without the drugs. There was a BLS save when I was in school with defib alone. When the guy was being wheeled into the ER he was CAOx3. No ALS, so that proves that it is possible. Don't get me wrong, I'm not saying I agree or disagree with ALS helping in arrest. I just feel rather contrary today

I'll play devil's advocate here. From what he posted, BLS IS what saved this guy's life. The early CPR and early defib. After defib at 360 x 1 he got an idioventricular rhythm. Before ANY ALS interventions could be performed the patient had ROSC. So how did ALS help in bringing him back?

And I think semantics falls under the category of languages

Wow, this thread has the worst case of testosterone poisoning I've seen in a long time!

You guys don't use the blunt syringes on those?

But do you try to get them changed?

Well said

What more would the hospital do for this person than a fully ACLS Paramedic unit?

Undetermined. Mother claims baby was choking and he stopped breathing for about 3 seconds so she gave him one back blow and he threw up and started breathing again. Somehow I doubt it... :roll: They went and got an off-duty medic around the corner from them instead of calling us. HE then called us. So in the end, I think you would win that bet

You know what's even freakier? Literally when I clicked the submit button, the pager went off :shock: :shock: :shock: Baby choking.... I think that's the fastest I've ever gotten dressed in my life...

Ok, so I work at a service where I'm on a shift for 10hrs and then on 14hrs of pager call-back. I noticed that every single time where I get paged when I'm sleeping, I wake up roughtly 20seconds BEFORE the pager goes off. Does anyone else get this? I'm a bit weirded out by it really... almost like my body KNOWS the pager is going to go off so makes sure I'm awake :shock:

There ya go, the post above proves without a doubt that oxygen on its own can save multiple lives.

Come on guys, you have to admit that it would be pretty fun

Oh wow, we're going to have to try that here! Although, I don't think all these pot holes will feel very good...

With my service if the partner hasn't made it within the 8 hour mark, you key up the mic at like 10 seconds before the 8 minutes and ask dispatch if they have heard from them. That way it is on record that you were there within the time limit.

Damn it, have I travelled through time again??

That's a good point, I DID have to go through the tedious process of changing into my uniform... that was a lot to do for that pocket change. Woulr maybe be more worth it if I didn't have to even get up

The following is a note I attached to an OT form we have explaining why we should get the money, since it sounds suspicious that I got a "walkin" that then conveniently cancelled We get 4hrs at 1.5time for this. Partner's name removed for privacy.

The service I work for mostly has either 10 or 12hr stations. The other 14 or 12 hours the crew is on pager time. They get $2.50/hr for carrying the pager and have to be on air in 8 minutes of a page. I'm actually on pager time right now. If you get a call, you get a MINIMUM of 4hrs at time and a half

In my opinion slogans are just a way for the wannabes and the shouldn'tbes to stroke their own egos. Having said that, there are a few that HAVE made me chuckle... not that I would actually wear them. The best I have seen was: Paramedics: Because Fire Fighters Need Heros Too

I've started to use the Crestline at my new job. It's not at my home base but at some of the bases they have Crestline. The specific truck they have has the upgraded super bright blind you flashers.... they're insane!

Worst OD I had? 24 or 25 y/o female, on arrival pt supine on floor between bathroom and kitchen incontinent of urine. On assessment, pt pulseless with agonal respirations, finger tips still warm therefore she probably arrested as we were coming up the stairs. Hook up the LP12, perform 3 no-shock protocol (Asystole on the monitor). CPR could not be performed during extrication from apartment as we had to use a stairchair. The halls were too narrow. It was an upstairs apartment with exterior icy stairs. Estimate atleast 2.5-3 mins of no CPR during extrication. Transport x 3mins ER gets PEA on second round of ACLS Called roughly one hour after our arrival The freakiest part? She was still agonal respirations... a full hour of arrest and still had agonal resps! That was one of those holy shit moments, certainly made the doc check again to make sure they weren't missing the pulse! To me, this said that we did effective CPR, kept O2 going to that part of her brain.