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  1. reaper

    NREMT Registry Number

    No problem
  2. reaper

    NREMT Registry Number

    Go to website and log in.
  3. reaper

    DOA/CPR

    Yes, for you, continue CPR. Once ALS arrives, then they can make that decision. For me, it is dependent on rhythm and given circumstances. Like down time and history.
  4. reaper

    When IFT=lower level of care/abandonment

    Learning and education come to mind.
  5. reaper

    NREMT question

    It should be waiting on the school to verify completion of course.
  6. reaper

    Single Gas CO Meter

    The rainbow set on the LP15 actually works very well for CO levels. It will set off on smokers, but normally they stay below 15. Anything above 20 and it makes me start looking at things. Had a call where a lady had cut her finger while cooking. Transported her for stitches. While en route, the...
  7. reaper

    Foaming At The Mouth

    I make sure all new medics are comfortable with NTI. Just like RSI, they are a tool in the box. RSI is not always a good choice or even able to be done. You need to have that back up available to you. Any medical director that hates NTI does not have a good grasp of airway management. You need...
  8. reaper

    Foaming At The Mouth

    Use them all the time. Most smaller services won't carry them, due to cost.
  9. reaper

    this is the other thing I do

    I relax by making these. Plus keeps me from working OT!
  10. reaper

    Hearing Protection

    Older units that had the sirens on the roof were a problem. Most modern units have the sirens up front. So, with the Windows closed, the sound should not be a problem.
  11. reaper

    EMS (in TN especially) is a joke

    I am buying all this. Early 20 something person, but has worked for so many services, in multiple states? Since we do not know the entire story, we can not even start to comment on anything. Yes, some services are terrible and some just have a few bad apples. Does not mean the entire state of...
  12. reaper

    Fear mongering

    But, find another area that has the money Boca has! They have always thrown money at public services. Most areas will not do that. Miami-Dade was one of the first in the country and does a great job at it. But, the staff still want to be on the engine, for the most part.
  13. reaper

    Aspirin protocol with vomiting patient

    I always love the we are rural and you obviously have never worked rural areas. We have no tax base or money. These are all excuses, not to make changes. I have worked rural areas in many States. Every one of them were ALS systems. It can and is done daily. I too think this thread is a dead...
  14. reaper

    Aspirin protocol with vomiting patient

    You do that. See, some of us work and respond via cell phones. Spell check tends to change things that might slip by. But, thank you for your knowledge of the English language.
  15. reaper

    Aspirin protocol with vomiting patient

    You would have time better spent by improving your own system. Your pts deserve more then minimal care. Plus, you need to learn not to put all your faith in "peer reviewed study's" . You will learn over time that one study means nothing. You can make a studies outcome say anything you want...
  16. reaper

    How do you deal with THAT co worker

    A good training program will always have a way for the probies to evaluate the ftos. Stop worrying so much about him complaining about you. That is just part of the job. Become better and prove you are willing to learn all you can. That is what the rest of the people in the service will see.
  17. reaper

    Please Tell Me What You Would've Done?

    I was thinking sepsis. It all falls inline with severe sepsis. The ETCo2 being around 24, can indicate a lactate being elevated. The low BP and hypothermic core temp are late signs. Fluids, dopamine, cultures,lactate and abx!
  18. reaper

    Aspirin protocol with vomiting patient

    Cannot even remember the last of that I have not been able to give ASA. Think your looking into things to far. If you are seeing a lot of these pts. Then it may be time to get your medic, so you can treat them!
  19. reaper

    Which services have tactical paramedics?

    Greenville county in SC has tactical medics. They deploy on all swat calls. They fully train with the swat team and are armed on all swat calls.
  20. reaper

    ROSC intubation scenario

    Why hold off on securing an airway, that you know will be done as soon as you roll into ED? If she has a true GCS of 3, then she cannot protect her airway. Secure it. If you do not have RSI then drop a NTI.
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