Recent content by medicnick

  1. M

    Disaster Management

    Actually it is intended to be very uncomplicated. Once the training materials are produced it will make more sense. We discussed all known triage methods before deciding on the course that we did. Thanks Nick
  2. M

    Disaster Management

    I'm one of the writers involved with the SALT Triage project. You can google it for more information. We published the consensus whitepaper last year and will be working on next steps in the upcoming months. We have the practical application of triage tools in mind... do the best you can with...
  3. M

    Stethoscope????

    Ok since you brought it up. Would it be a thread hijack to ask about the contents and makeup of bat belts?
  4. M

    Diazapam/Valium question

    I used to work amongst a population of heavy drinkers, liver failures, and seizures. All three might have been related. Anyways, valium and versed would rarely touch the siezures - no matter how much you gave. Dilantin, cerebyx, or other non-hepatic medications will work fine. Red Bull...
  5. M

    Nj reciprocity

    You are from Monroe? God's waiting room? You might know me. ;-) Nick
  6. M

    Stethoscope????

    Timzimp I live just down the road from you in Placentia. Don't laugh that is what its called. Anyways, I was disappointed when I bought my nice Littman and it didn't make those sounds magically more audible. I think investing in a good stethoscope is a good idea, there are features that make...
  7. M

    PAC or PVC?

    That can also be true. If you are curious sometime, google "ekg core lab". I have worked with the Duke Clinical Research Institute as an EKG core lab. Usually labs like this apply standard criteria to EKGs to have a high interreader reliability. People can still disagree on the diagnosis but...
  8. M

    PAC or PVC?

    Hi Ridryder, It actually is not that uncommon. Those of us that work with implanted devices in cardiac patients daily do see this often. We/I may even see this more often than straight PACs. One thing that is interesting is that the information available on a surface EKG whether a 3 lead or...
  9. M

    Nj reciprocity

    Hello, I went through the NJ reciprocity process based on a state license from another state and NREMTP. The process took 18 months... ok well, they lost my paperwork when they moved the state office and that added a few months. You first need to apply with one of the MICU services. They...
  10. M

    PAC or PVC?

    Actually it is not uncommon to find extended R-R intervals following PACs. There are many examples of it available. This is one of those great EMS myths! A wide QRS associated with a premature contraction is most likely going to be a PVC but it is also possible for it to be an aberrantly...
  11. M

    Dextrocardia

    Hi guys, I have had a dextrocardia patient and have a learning case about the topic. We have discussed it before on the EKG Club several times but it is an interesting topic because it is something different. Not sure if you all got your questions answered or not? Cheers, Nick
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