Search results

Define prophylactic. If the patient needed medication or fluid for symptom relied and you didn't do it because it's "not your job to treat pain or nausea" than you deserve every bit of crap you catch. My honest guess here is the patient had some other signs and symptoms with that "earache"...

How in the flaming hades are you figuring that? If anything I'd be more suspicious for a hypernatremia from volume contraction. I'm betting more along the lines of substance withdrawl/ingestion.

Usually did 1-2 a month working rural 911 and air and one every other month or so doing CCT.

You sir, have not been bitten in the @ss badly enough to do a thorough assessment on every patient :D. Remember the words "thunderclap headache"

So you're ranting that other people are ranting? :wacko: It's not the "new wave" of emergency services, it's been like this for at least 13 years and probably longer. Most people are lazy. If you let it get to you it will drive you nuts.

But did you call him out on unacceptable behavior? Avoidance of conflict means you a) have no social skills b) don't have the backbone to say what's right. As someone with a fair bit of social anxiety I get it. It's stressful as :censored::censored::censored::censored: to say something to him...

Funny I used a condensed version of it almost daily.... 70% is crap as far as sensitivity goes. It means that you're missing 30% of stroke. I also have never seen the specificity for the Cincinnati but I can't imagine it's all that great.

I can't think think of an amio infusion I've transported that's been in plastic in six years of CCT.

Amio does bad things to plastic. True maintenance infusions (360 over 8 hours followed by 540 over 16) are hung in glass. 150mgs over 10 minutes is probably fine, but I don't know that I'd push it much more than that.

Not to sound like a shill for ASHI....but they're not really AHA guidelines. They're ILCOR ECC guidelines....AHA has just been the major brand pushing them in the US for years.

We use ASHI for our in house certs. MASSIVELY easier to deal with than AHA. However there's still a strong bias against them in many markets.

To put forth a REALLY unpopular opinion, the majority of paramedics are vastly under-qualified to do the majority of those things anyway.

The ED chewing you out is not a valid reason to do or not do anything.

My question is why can't you provide a paramedic on every call to take care of the "BS comfort stuff" as some people like to call it a d a handful of intercept medics trained to a higher level for those "life-saving" calls. Not all medics have to be high speed low drag... Of course that might...

Or those systems recognized that appropriate assessment and treatment should be starting in the field rather than a taxi ride to the ED How many patients who are suffering would choose the doubled bill for some relief? I guess we'll never know as long as some systems cling to the outdated...

Sure it does. Every 911 system in my immediate area puts a paramedic on scene 100% of the time. I would venture to say the majority of systems in Texas (and it's a big effing state) do as well. So telling me "there's not enough to go around" is bull crap.

What gives you the right to determine whether it deserves pharmacological intervention or not? Your a medic student. Next time you're doing clinicals pay attention to how many people get pain meds in the ED and leave with a script. You MIGHT learn something.

We also used to use columns of water to measure CVP and generate PEEP by dropping the exhalation tube of a vent in a bucket of water...doesn't mean we haven't found better, more accurate ways to do it by now.

You can thank the AHA for this conversation...

Despite whatever misconceptions you have about your job, apparently the service you work for DOES think it's your job. So take the guy to the hospital, quit whining and realize all of those who have come before you have played the same game. Comes with the territory.