Recent content by kiwimedic

  1. K

    [April Fools] Should (insert your name) be banned?

    HAHAHAH Classic! Took me a minute to figure out what this was. Anybody want to treat my forum related tachydysrhythmia?? :P
  2. K

    which type of ambulance do you like

    I perfer the Type Is where you can still get into the front and yell at the driver at the same time. Our trucks only have one seat in the back (no bench) and its for the Paramedic at the head so you can either sit on the second stretcher which isin't restrained so not good. Therefore, you can...
  3. K

    Came across a pedestrian vs vehicle scene while driving and stopped & have questions

    Our protocols say we are deemed to be on duty even if we are off duty and that we can use our scope of practice but only if we use our clinical guidelines. So I carry our clinicals pocket guide, CPR barrier and a pair of gloves in my back pocket. We are covered by law here which basically...
  4. K

    New CPR Guidelines

    I think (which can be dangerous) that the changes are basically what came out in the 2005 AHA guidelines. Since I've been round CPR has gone from 5:1 to 15:2 to 30:2. The CPR shield I have in my back pocket still shows 15:2 on the packet. Of course, we could go back to the "old" methods...
  5. K

    Why is pulseless SVT considered PEA?

    Here, we treat SVT as a tachydysrhythmia (because that's what it is :P) unless it's puseless in which case we treat it as a cardiac arrest. From what I understand SVT decreases cardiac output, not stops it all together. I was talking to a fellow medic friend who said that if you deliver an...
  6. K

    King LT tube controversy

    Interesting. We don't use the Combitube but the LMA is within our EMT-B scope of practice. I might have to do some research and take it to management, maybe we can replace the LMA with the King LT.
  7. K

    Drugs through ET tube

    Well now that is interesting, I read the Circulation publication when the 2005 AHA guidelines came out but I didn't remember specificaly seeing that. If I had a choice between being given epi or any other vasoconstrictor or not I'd take it! We recently eliminated atropine from asystole/PEA...
  8. K

    Combitube removed from EMTB NSTC???

    Primary Care: EMT-Basic Ambulance Officer: EMT-Basic or EMT-Basic with enhanced skills Paramedic: EMT-Intermediate Advanced Paramedc: EMT-Paramedic Remember that because Ambulance Officers (National Certificate) can do nitro, glucose etc they are (in some jurisdictions) considered EMT...
  9. K

    Combitube removed from EMTB NSTC???

    Us Kiwi's dont use dual lumen's but both OPA and LMA are EMT-B skills, ETT and surgicals are EMT-P.
  10. K

    2 Paramedics Face Inquiry Over Surgery In Emergency

    Our clinical flip book says:
  11. K

    What's your favorite type of call?

    I'd say a VT/VF cardiac arrest. -CPR -Check pulse -Shock -Drugs -CPR and round and round it goes .... :rolleyes:
  12. K

    Self Defense for EMS

    Oh yes please!! If the Police get a vest and lots of toys then we EMS providers whould get something, we deal with nutters and people who are high too! I'd be happy with a stab resistant vest and either OC spray or a ASP baton. I would perfer OC spray because it a) works better and b)...
  13. K

    Drugs through ET tube

    Us Kiwi's either use IV or 3x dose with 10ml NaCI down the ETT but, from Jan 08 it is changing to be either IV or IO via the EZ-IO.
  14. K

    "Echo" Units

    In New Zealand we have B/I/ALS ambulances and fly cars. Some of the country has all ILS and ALS ambulances while the rest has a mix of BLS, ILS and ALS with fly cars. Because a station might only have one ALS ambulance we also have fly cars. They work well except that a fly car is often to...
  15. K

    New Zealand ambulance anyone?

    Hi We have four publicly funded providers and five different levels of qualification depending on who you work for it will vary as to who staffs a rig. The qualifications are standardized by the Government but not a license to practice or special status like in the US. 1. Primary Care...
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