p3medic

handcuffs, and if able will transition to a soft restraint.....works well.....

I can't believe they are going from a dual medic system to a p/b one.....thats retarded.

I guess I am confused as to how the diagnoses of diabetes was made here.. :roll:

Why shouldn't the patient have been packaged and ready to load upon ALS arrival?

I'm not so sure he was being lazy, you had the equipment to properly imobilize the patient and waited for him to show up before doing it. The patient has been involved in a serious accident and has several apparent injuries. The best thing you can do for this patient is transport, and if the patient was packaged prior to ALS arrival they could facilitate transport immediately. Instead they would have to spend more time doing a job that should have been done already. Just my 0.02

If we declare a patient dead, we notify the medical examiners office, give a brief report of our findings and fax them a copy of the report. We also will fax a copy to the district police station. Once I've written my report and contacted the ME, police will remain on scene until either the ME or funeral home takes custody of the body. I did drive a burned 5 yo f to the morgue once several years ago, but that was a unique situation. If your declared dead, you don't get a ride with me.

I lurk around the chat, and find it enjoyable when the talk turns to medicine....that, and prettending to be a girl gets me lots of attention....

I don't have a max for versed. It woudn't be my first choice of benzo, but its certainly acceptable, and given the fact that your friend was still seizing, she could probably use a little more.....

She needs a bigger toilet.

How many firefighters do you know that are issued body armor? How many cops do you know that are issued SCBA and bunker gear? I'm a paramedic, and I'm issued both. I would have to assume that I am issued this gear because there is an expectation that I provide aid whenever and where ever its needed. So, I would agree with EMS being a third public safety service.

Part of me thinks the kid might have been better off if she was successful with her "courtesy flush". I have had a few kids born in toilets, and in every case the "mother" had no idea they were pregnant, go figure?

I'd probably be a stripper. More respect, better pay, tips, free beer and a different "date" every night...

Its a joke. I treat pain aggressively. The drugs are cheap, easy to restock, don't need a bunch of signatures so there is no PITA factor to getting more....

I can treat pain, but prefer not to.....

ETA of the BLS?

I'd say that the majority of people I work with wear a belt. I used to but have gotten away from it. Most carry a holster for shears, penlight, etc, also a cuff case, radio and pager, and a flashlight of some sort. Most of my crap goes in my cargo pockets, scope, gloves, phone. My radio and a light is the only thing on my belt. I carry an o2 wrench because they always disappear, i keep it on the key ring with the drug keys in my pocket. I've been guilty of running light on some calls, but if i'm going in the projects or high in another bldg, everything goes...I've been treating the seizure patient only to have someone drop in vf....be prepared.

Be happy they aren't using nitro paste......

my wife likes my long hours, when i get home, she's all worn out from a day with the kids, so she says, although i keep finding mens underwear in my drawer that don't belong to me, go figure?

Perhaps you can lobby to improve the education and training of those ems proffesionals who's job it is to take care of you, rather than bash on them for their limited scope and experience.....

She smells a little funny, is a nurse, and has some "men" issues.....did I mention she smells a little funny? I love my ITKU.....

You know, Dwayne is spot on. For some reason, medics tend to be very sensitive about having someone critique there medicine. Doctors do rounds, and residents get put on the spot time and time again, its the way you learn. There is no one "right"way to treat a patient, and there is plenty of room for debate. Anyone who has been doing this job for more than 10 minutes has made mistakes, and in hind sight may have done things differently. We have very little time in some instances to make very big decision, with very limited information and no access to labs, imageing, etc...Good for you for putting yourself out there, most wouldn't have the "balls" to do the same.

r axis deviation and prolonged qrs, as far as her being a goner, I wouldn't write her off yet, I've seen some pretty sick TCA OD's do remarkebly well.

[quote="fiznat If the rhythm was truly compensatory, the adenosine would do nothing. If it was ectopic, there is a chance the drug could have helped. I am not putting the patient at risk, but simply attempting a treatment that may or may not work. Will I do it next time? Probably not.

depression kills......time to shit or get off the pot

Giving adenosine to a sinus tach is probably not what I would have done. What are you looking to achieve? If you think its an ectopic rythm, then sure, try and break it, but if your idea is to slow it down to improve filling time, adenosine is not the drug to do that. Adenosine has a half life of around 10 seconds (someone will correct me with the actual half life) so even if you slow this down, your only slowing it for about 10 seconds and then the sinus tach will resume. Sustained rate control is not the role of adenosine, and in this particular patient, volume resus seems to be the best course of action, imho.