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I've used both extensively, both powered and manual. No real preference, I care far more about if they're taken care of from both a maintenance standpoint and crews not bashing them around. I will say the Stryker's power controls are far more intuitive though.

Surely they're not still teaching epi SQ...

I didn't work IFT until 8 years into being a medic.

mycrofft I take it you didn't get the response of "we're all cowboys who know what's right" you were looking for?

I'm consistently stunned a vocational nurse with no transport experience considers themselves qualified to comment regarding out-of-hospital emergency care and transport. I don't feel the need to comment about long-term medication management of diabetics (although lets face it, the majority of...

Atropine is in the protocol

The main problem with adult epi pens is not dose, but rather needle size. The adults tend to be long enough to reach bone in pediatric patients. As far as dose. An overdose of epi might (very small chance) kill a pedi. True anaphylaxis that's left untreated WILL kill your patient.

Atropine for organophospates is pretty standard but most units don't carry enough to do so. The same with calcium for CCB overdose and glucagon for beta blocker overdose. We have a protocol for calcium after a black widow spider bite that's long standing (and probably going away soon).

Manipulating the scope seemed pretty intuitive, but actually passing the tube was definitely different. Almost more of a "flip up". We don't have the rigid stylets, I'm thinking that will probably be on the soon to purchase list.

I like ours. I used it on a live patient for the first time the other day and will have to say the technique is drastically different though.

1mg is an order of magnitude greater than 1mg? If they pushed 10 miliLITERS sure. But there's zero difference between 1mg of 1:1000 vs 1mg of 1:10000 other than how much fluid it's dissolved in.

What was the outcome on it? 1mg of epi is bad...but it makes no real differnce is it's 1:1000 or 1:10,000

200mgs of Dopamine IV push.

So am I supposed to hide what I do? Or tell everyone I know "go to the doctor, I can't tell you anything because I MIGHT GET SSSUUUUEEEEDDDDD!!!" Be realistic. No EMS provider should be out there selling themselves as alternative to primary care provider, but saying I can never give someone...

You're saying as a pre-hospital provider who's not on duty and is asked by an acquaintance if they should take a readily available OTC med you'd incur some sort of liability be it criminal or civil? Right... :rolleyes: Tone the hyperbole down and you'd be a lot more effective.

Where is the need? The number of tension pneumo's is low in civilian populations anyway, and I'd be willing to bet it's minuscule in the non-intubated/ventilated civilian population. Seriously I've seen one in 13 years of just about every type of EMS you can think of. They're not even that...

What the heck are you trying to prove/say here? This thread seems to be just incoherent rambling.

I'd check the canooder valve first, failing that it's definitely the flux capacitor.

I'm management at my company, so I have to worry about what pays the bills....but when I'm on the truck I don't consider it my problem. Do the transfer, then let someone else sort it out.

Cop out. CT has only been in common use since the mid to late 1980s. They could tell bleeds from "run of the mill headache" prior to that. You DO have assessment skills. Very true So what's your deciding factor between ALS and BLS? What makes it a "run of the mill" headache?