This is exactly why I love this forum! New information all the time. Now I know I can throw that "well they have a palpable pulse at this location, so their BP must be this" thought process out the window.
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If you're choosing to shock A-fib and not V-tach clearly the test is doing its job. Like many others, I suggest you re-read your books and get ready for your next attempt.
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May be a silly question, but if we give 300mg of amiodarone and they convert why would we then hang a 150mg drip? They're no longer in the arrhythmia which amiodarone is indicated for?
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Woman who gets violent nausea/vomiting and abdominal pain when she eats hot dogs.....went on a binger last night. 48 dogs went down the hatch, 48 came back up.
Picked her up on a street corner.
You have the strangest posting habits.....in a matter of weeks you've gone from telling us how emergency vehicles save no time during response or transport, to bragging about driving like a butt head down the Tennessee interstate.....and now you're off to live in the Alaskan wilderness?
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What is the best way to treat a hypotensive CHF patient?
Our normal course of action here for a normotensive patient would be nitro (SL,IV or patch) and CPAP (both which could reduce pressure even further).
If they are hypotensive we can start a Dopamine drip and talk about CPAP with a doctor...
More training on communication, how to talk to people, managing chronic health issues. We spend so much time training for the high acuity 5% of our calls.....and no one seems to train people how to talk to grandma who slipped out of bed.
I agree there aren't many better alternatives, but how many deltas end up being a true delta?
It would be better to allow the medics assigned the call to use their judgement, or better yet, have an als paramedic or physician reviewing calls in the dispatch center instead of having call takers...