Recent content by Zippo1969

  1. Z

    IV Medication Drip Rates

    drip rates and drug calcs The idea of the laminated cards is awfully handy.... Here's a tip also (once you're out on the road): Make some large easy to read charts of common mixes / dosages and stick 'em to the wall in the back of the rig. Also I've seen services use colored tape on the...
  2. Z

    Is an ET Tube Really ALS?

    Wanna intubate? Go to Paramedic school. Otherwise use the (numerous) tools already out there, such as Kings, Combitubes, simple adjuncts with good BVM technique et al. It's hard enough (and getting harder) to convince Anes. to let medics intubate with the stats we're seeing, let alone...
  3. Z

    Regulations banning smoking in BLS Ambulances

    yep worked in new orleans for a time - definately some strangeness there. I have a mental picture of an aged RAMBO in a wheelchair with his O2 flamethrower...
  4. Z

    Rsi?

    No FD or private CC services around here - one was tried in Kansas City area some time ago, but flopped for reasons I'm not aware of (maybe due to some of the reasons we've discussed perhaps?) The hosp. based units are usually made up of what I call 'the usual' crews -...
  5. Z

    12-Lead ECG

    4+6=12?!?! 3 leads (limb leads) I, II, III 6 Vector leads - V1-V6 3 Augmented voltage (aV) leads - aVR(right), aVL(left), and aVF(foot). 3+3+6=12 views the green RL (right leg) lead is there for the aug leads, these leads are a summation of the other leads, and essentially form a set...
  6. Z

    Rsi?

    ...the phrase "all broad sweeping generalizations are wrong" is itself a broad, sweeping generalization... that's why the smiley face is next to it - didn't mean to offend. I don't know where anyone's getting a CCEMTP patch in 8 hours, but the programs are very closely monitored by UMBC (the...
  7. Z

    Stupid bystander tricks! Best use for a bystander! Got any?

    Lassie come home... ...still laughing at rid's When the over-excited ones are frantically trying to tell you what's happened, just pat them on the head and say, "What's that, boy? Timmy fell down the well?"
  8. Z

    Regulations banning smoking in BLS Ambulances

    tacky I agree there should not be smoking in the bus - very "mother, jugs and speed"ish, don't ya think?
  9. Z

    Regulations banning smoking in BLS Ambulances

    Ramb'O2 HOLY SMOKES! :P (sorry, that was too easy) We've got to hear the rest of this story...hope no one was hurt tho
  10. Z

    Here Today, Gone Tomorrow

    Was just sitting around chatting with some old salty EMS veterans about all the changes we've seen in treatment over the years. Some of the things we did a few years agod would get us in mucho hot water today (or at least looked at awful funny)... Some examples I could think of: - Wide...
  11. Z

    Nitro before IV

    Well I definately agree with your point on PASGs. And thanks for clarifying (long-term outcome vs. pain control). I think the difference here is with PASGs these patients almost always ended up in surgery, where research and studies have a lot more consistency and reliability; where a...
  12. Z

    Rsi?

    For the record, I DO work side-by-side with RNs for a CAMTS certified Helicopter Service, and I am not implying that all paramedics are equally proficient at their jobs - nor are RNs, MDs, short order cooks or dog catchers, for that matter. My question is: why aren't the "many" paramedics...
  13. Z

    Hemodilution in trauma

    As far as the "hypotensive hemorrhagic trauma patient with coexisting signs and symptoms of TBI with regards to MAP and suspected ICP" question - what s/s are you referring to? Specifically, are they showing s/s of herniation, or just LOC changes? For now I'll assume the worst :) The...
  14. Z

    Math for ALS

    wow rid just gave me a paramedic school flashback. yuck. I don't think I would waste time or money on a math class, unless you find it hard to figure out the 15% tip on your quesadillas. The best advice is, do it how they tell you in class, and don't listen to the 1,400 paramedics who...
  15. Z

    12-Lead ECG

    It's always a good idea to really brush up on your cardiac A&P before taking any 12 lead class - having the physiology fresh in your mind will help you understand the different types of MI and their associated 'quirks'. Also, not sure where you're from, but here in MO Bob Page teaches an...
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