Recent content by vc85

No IVs here unfortunately as this will be going in the BLS protocol (similar to Marylands but expanded for both fever and pain) Our transports are short so PO pain relief is probably not going to be used often. We do have a lot of elderly septic/SIRS though so I can imagine the fever part of...

Our protocols will soon include a choice of Ibuprofen or APAP for fever reduction and pain management Assuming the agency will carry both which is your choice and why. I know there are hepato-tox issues with APAP. Would that rule it out

Isn't that the idea that one ambulance service who was advertising on this site had. The one that was supposedly paying basics 70k+ and allowing them to choose what calls to respond to?

It was at least as of my last CPR update. Usually I go continuous though especially if crew members are fumbling around with the BVM

So in the NYS Collabrative Protocols two types of CPR are authorized for cases without an advanced airway The first is the standard 30:2 and the second is continuous compressions with asynchronous ventilation. I double and triple checked and this can be done even without intubation Given the...

In my state there are 4 levels of police encounters Level 1: Request for information -"Hi can I talk to you for a minute". Objectively credible reason. Can be criminal or community service related Level 2: Common law right of inquiry - founded suspicion that criminal activity is afoot (has...

In general: Just because a DA decides to drop charges doesn't mean the underlying arrest was necessarily unlawful Just because a jury or judge finds the defendant not guilty doesn't even mean the underlying arrest was unlawful. Remember arrests are based on probable cause. Convictions are...

I think peds hospitals taking older ages has more to do with adults who have conditions who would have died in childhood in years past. Apparently there are still comparatively few adult doctors who know how to manage things like CF and certain congenital conditions. I do know some pads...

I was looking over the BLS algorithm and it says that for peds from 0 through puberty you are supposed to add compressions if the pulse rate falls below 60 and they are symptomatic of bradycardia Is this fairly new still? The last time I updated in CPR/BLS they were still saying compress for...

Can you get a follow up from the hospital or ME? It could be anything especially with all of the supplements and things out there now

Wouldn't you still need to wait on LE for scene safety? So would that really save that much time or are your LE not willing to put psych holds when they are clearly needed

A lot of EMS agencies where I am do community outreach but they are volunteer so they kind of have to, in order to keep recruitment up

Another issue is that a good portion of EMS is volunteer. Volunteer work is normally performed by people in higher socioeconomic classes as they have the disposable time and income. You really can't have the time to volunteer if you are working multiple jobs trying to make ends meet