Crankyemt

Is Lignocaine really still your first line drug of choice??? Do you have cordarone/amiodarone at your disposal or on your protocol

Not often that I can justify Pharmacologically Slowing a rate!!! Get my patients to blow out the plunger on a 20ml syringe... Valslva ...

Some of our services run with a safety system that basically works an speed and braking... it's fair but it's not really calibrated for emergency vehicles. Our state system ran on a system that reported harsh turning and braking to the control room and they have the ability to shut our vehicles down. it worked for a while and I think the controllers got bored with it. most of our bigger ambulances are governed. I believe we should be properly trained in emergency driving... I think out here that that is our biggest problem. SOFT RESPONSE IS THE WAY OF THE FUTURE!!

Sodabic is pretty much indicated in this situation (AHA class II a) acceptable and probably helpful, initial dose of 1ml/kg and then .5ml/kg repeats. and I think that it would probably be first line of choice for us. agreed though, without arterial blood gas it would be a gutsy call to make. otherwise pretty much treat symptomatically. I may have thought of respiratory support for the acidosis

Interesting line of conversation! My thought is if you have access to funds or access to an AED, why would you not carry it??how many of you guys carry Jump kits in your Private Vehicles even when you're not on duty?