Recent content by philslat

Had a call recently that came in as possible flu like symptoms. Pre arrival was nausea and vomiting, increasing lethargy, leg pain, and onset of shaking ? rigors The patient in question was post OP x 6 weeks liver surgery removal of tumors. Other co comorbidities included chf, hep c and lung...

So any pointers, experience or anecdotes for an alternate career pathway for someone looking to step away from frontline ems after 25 + years Training or dispatch not a preferred option Thanks

What are peoples thoughts or experiences on becoming one from an ems background ? What routes are out there for paramedics to study for the position ?

Thanks NPO Just to clarify BIPAP and CPAP are not the same Correct ?

A further question At what point do you resort to cpap in an exacerbation Do you jump straight in with it or do you use it if patient not responding to standard salbutamol and combivent nebulizer treatments ?

Thanks guys

The consensus of opinion is that this is the reason the treatment is contraindicated in exacerbations Is it a case of the benefits out weighing the risk for those systems that use cpap for these patients ?

Can it cause a pneumothorax in these patients ?

We have CPAP in our system solely for APE We cannot use it for exacerbations of copd although we can use it in APE regardless of a history of copd Have been reading some articles and saw a recent podcast advocating its use for exacerbations of copd Is it a safe and effective treatment in...

Thanks guys I will give the fentanyl a go in my next acs patient One more question we also give intranasal fentanyl and I've been very disappointed as have nearly all my colleagues with its lack of effect with adults although it's very good with paediatric pain What are your experiences with...

We've just got fentanyl with the very same dosing limits plus the restriction that we cannot give both iv morphine and iv fentanyl to the same patient it has to be one or the other. We've been told that the fentanyl is stronger but at those doses it may wear off quicker than morphine so we...

are we talking in an adult just 2 dose administrations with the fentanyl ie 100mcg x 2 to a max total of 200mcg

just wondering how do you titrate to effect,particularly in cardiac chest pain , with those fentanyl doses

Out of interest what are the dosing administering protocols with fentanyl compared to morphine We use morphine initial loading dose 4mg iv and 2mg increments titrated to effect (BP permitting) max 16mg

In our cpg's morphine is not contraindicated but is also not recommended for a headache Does anyone know why ? Thanks