Search results

  1. Akulahawk

    the 100% directionless thread

    My wife is currently binge-watching "Young Sheldon" (no, I'm not into either BBT or YS) but one of the episodes ended with a couple characters doing bowel prep together. Suddenly I was struck with a vicious thought. Make that stuff actually tasty (and ensure it's non-toxic) and make sure it...
  2. Akulahawk

    How about that

    Apparently we all are... I've rarely heard of such a patient brought emergently to the ED outside of a system-level order requiring ALL ambulance movements (dispatch, transports, post move-ups) being done emergently.
  3. Akulahawk

    Sedation Deaths

    I have seen ketamine fail, Ativan fail, Geodon fail in these patients. These patients are not always high on some medication, but for whatever reason they present in delirium. Sometimes with these patients, the best course of action is RSI. Excited delirium patients are at risk for death simply...
  4. Akulahawk

    How about that

    Code 1 is "routine" Code 2 is urgent but no lights/sirens. Obey all traffic laws. Code 3 is lights/sirens, drive with due regard for safety of others and don't throw the people in the back around... Code 1 is basically that you're doing round-trips to/from medical appointments, dialysis, etc...
  5. Akulahawk

    How about that

    Slightly altered (maybe), following commands, and treating with the sweet tea and improvement in BG level? I wouldn't take that one Code 3 to the hospital. Your medic and driver should have made a safer decision unless protocol by their EMS agency requires Code 3 travel for patients who are/were...
  6. Akulahawk

    How about that

    Was the patient alert/oriented or was the patient acutely altered? Was the BG level verified by a separate fingerstick reading? If the patient is acutely altered and can't take PO dextrose (or perhaps that very sweet tea), I can see/rationalize load & go with a code 3 transport if the crew is...
  7. Akulahawk

    Appendicitis.... Cardiac issue

    I doubt the 2 year old was taking Viagra for erectile dysfunction. Take a look at what Viagra/Sildenafil can also be used to treat. Should give you some insight as to what underlying problem the kid has.
  8. Akulahawk

    Medications

    My statement above was not limited to EMTs being allowed to ONLY assist patients with their meds. If there are meds that BLS may administer under their own protocols, that's also OK. However, you should be aware of how often YOUR protocols allow for meds to be repeated. If you are not sure...
  9. Akulahawk

    Medications

    Most places that I'm familiar with allow an EMT to assist a patient with their own medication but the PATIENT is the one that must be administering it to themselves. I would suspect that if a medication is considered to be BLS by EMS, and a patient needs another dose of that BLS medication...
  10. Akulahawk

    Out of area transport

    It's not at all vague. If your ambulance company isn't an authorized Ventura County EMS provider, they may not provide ANY services entirely within Ventura County unless there's a mutual aid need. You may pick up or drop off but one leg of that transport must be a place where your company IS...
  11. Akulahawk

    New Lifepak 35

    About the Zoll vent... I understand why you wanted to get it. I use it at one of my current jobs. There's a few things about it that can be a little clunky to do but once you figure it out, they're pretty decent little vents.
  12. Akulahawk

    Dual Sequential Defibriliation

    Most of the stuff I've seen about dual sequential defibrillation has been regarding serial defibrillations, immediately one then the other. This is different than dual simultaneous defibrillation. From what I've read, both approaches work. The idea is to depolarize as much of the myocardium as...
  13. Akulahawk

    Assessment

    What I bolded is the crux of the problem. You don't understand. We can surmise this by the questions you've been asking. Along with what others have posted, here's yet another reason why you do your own assessments and gather what information you can: Doctors and Nurses at the HOSPITAL might...
  14. Akulahawk

    Is there a certain standard to what kind of CPR certification you need to take the nremt? like do i need one from a specific recognized company?

    Like the others, I would suggest that the NREMT just wants a CPR course that is geared toward a professional responder/healthcare provider. The AHA and ARC both have such a course, as do others. HCP courses from nearly any provider will generally follow the AHA or ARC HCP course standards so as...
  15. Akulahawk

    It Happened: Continuing Education Audit

    I've been randomly audited by the State for my California Paramedic license. No big deal. It was basically a "we're checking to be sure you're compliant... so submit all your CE certs this year." So I did and got renewed on time. When I renew my license, I have all my certs ready to upload just...
  16. Akulahawk

    Spinal Immobilization on Trampoline

    Are you referring to the provider or the patient doing a sit & scoot? Also, the equipment you have on hand may also dictate the method by which the patient is extricated.
  17. Akulahawk

    Anyone ever heard of United Ambulance in the Bay Area?

    Well, according to Google, it appears that site, if not the entire company, is closed. It was apparently at 3530 Breakwater Ct in Hayward. There is another listing for "United Ambulance Services" in San Rafael, which is in Marin County. I don't know, and can't tell from Google, if that business...
  18. Akulahawk

    When a person is ejected through a windshield....

    OP: Because of the repetitive nature of you asking the same basic thing, and you have been given answers multiple times, I am closing this thread.
  19. Akulahawk

    the 100% directionless thread

    After a long night at work, I think I should consider implementing a "code Dragon" for the express purpose of alerting all staff when a significant number of us are tired and draggin... Then again, maybe that might not be a good idea as management might get a little upset at us…
  20. Akulahawk

    Assessment

    This is where you have to start thinking about your patient, their complaint, and what's relevant to their situation. If you're going to mark something as "not assessed" you should have something in your narrative that explains why you didn't assess that. If you're marking "no abnormalities"...
Top