Recent content by Sublime

Question. If your company calls you in for a fixed wing transport and you complete the transport in the evening, but are unable to fly back due to the pilot timing out and have to stay in a hotel, are you payed for the entire time? Maybe I am wrong, but it seems like if I am being forced to take...

Haha, thanks. Already have a life insurance policy and all those types of things taken care of. I guess what I am wanting to know is things like, how do I know when it is safe to fly? They have a 3 to go 1 to say no policy, but I have no aviation background, and I don't know when it would be...

Hello all, been a long while since I posted on these forums. I'm looking for some advice. my goal ever since starting my career has been to become a flight nurse. I finally achieved that goal recently and will start orientation in a couple weeks for a local non-profit HEMS service. I've found...

Can you not click on them to open the pictures in a gallery for a much larger view?

Also, while what you're describing is correct, it is a pretty standard appearance for a ventricular pacer with a RV pacing wire and does not point toward v-tach.

A demand pacemaker will begin pacing when it is not sensing a sufficient electrical stimulus. I don't see any evidence on these strips that this is occurring because of a demand problem. But it could be failure of the pacemaker to sense. Not sure Not unheard of for a Zoll to not pick up pacer...

These EKGs belong to a 74 year old female being transferred from a small hospital to a large facility for orthopedic services due to a L2 compression fracture that happened a few days prior. She came to the ER days later due to worsening back pain. Her only complaints are feeling "dizzy" which...

I want to thank everyone for their posts so far. I really do appreciate your input and opinions. However Halothane you have really persuaded me and changed my perspective on this topic. Posts like your last one are why I continue to use these forums. I really do feel enlightened on the topic...

What do you guys believe is the optimal post intubation sedation package for pre-hospital providers? Obviously the perfect package is going to vary depending on the condition of the patient. But do you believe we should be using Fentanyl drips such as many ICU's are doing? Is using just a benzo...

I think Ketamine alone is sufficient for PAI induction purposes, don't have a problem with this portion of the protocol. I see what you're saying. I don't disagree either but when you're only allowed to use fentanyl for pain management purposes and want to ensure your patient is...

I know this has been discussed here, previously, but I wanted to bring it up in hopes that someone can help me convince my medical director to change his mind. Our current protocol for PAI (we don't rsi) is Ketamine 0.5-1.5 mg/kg for induction. Post intubation sedation is versed 2.5 mg every...

I believe this rule has nothing to do with patient care and everything to do with freeing up ambulances to get back on the system.

My protocols allow me to nebulize 0.3mg of epi 1:10000

I just received an update from a member of the flight crew who dropped her off. I received the following information: She did have an MI, also has an infection which they are attempting to treat, they found out she had a UTI the previous week, and apparently her heart is damaged to an extent...

Are we looking at the same ECG? How do you not see gross ST-Depression in the inferior leads with mild depression in lateral and anterior leads as well? Do you not see the elevation in AVR?