Recent content by PFD2171

Kiddo I agree you always need a plan before any procedure, activity, etc.. Having the child held by parents is usually the best but does not always work sometimes distractions is helpful. You also need to realize that not all children will like you and bring in someone to help who may have a...

Kiddo Took a very interesting pediatric airway course once that applies to some of the differentials that were tossed about prior to the solution. Treatment number one should be to calm the child, a crying child w/o inflammation can decrease their airway size to 1/6th of normal, add any...

Risk Do you do this job to be a "hero" or to do the job?

Lido I would echo the article referenced above and add that in a recent Airway Course all the doc's teaching had the same comments that there is not proof it works but also no proof it does not work and said the same with providing the defasiculating dose of Vec.

Dnh It would depend on state laws but as I understand it the DNH/DNR is applicable as long as the patient is a resident of that facility including transfers from and to that facility. It takes family to override that order.

Atropine Please don't forget that ACLS and PALS are not written for pre hospital providers only.

Advice As a long time EMT instructor and someone who has seen many variations I would give this advise. Two nights a week and a weekend day sounds pretty average so as not to overwhelm anyone and give you time to study and digest the information. As far as accreditation for a facility unless it...

Io Although pain is a concern a better judgment is the presentation of the patient and the necessity of the fluid, medication. I am sure most would be quick to place the IO once the patient arrested but it better to place it and avoid the arrest if possible.

Dementia A few funny memories: 1- Elderly dementia patient being returned to a care facility who kept pulling the sheet up over her head to "hide from you, because you are kidnapping me and this way you can't find me". 2- Asking the patient all his complaints and of course he has every one I...

All the research I have done into Pharm texts, anesthesia and airway experts lists Versed as a drug that should not be used as an induction agent do to the fact that the dosing needed is so high and has so many negative side effects. Most suggest its use in the 2-5 mg range in the addition to...

Looking for any agency out there who currently uses Versed as the induction agent for RSI. I recently began working for one who dose which seems odd in addition our ordered dosage is much less that it should be from what I have read for use in RSI.