Search results

Have them and do them regularly. We have the EZ-IO for adult and pediatrics. And if an IO is used, it without question should be being performed by a paramedic. Shane NREMT-P

I don't think that tactical EMS training is a worthwhile venture. Maybe if you live in a large area that has a lot of tactical involvement, it could be justified. In most cases though, this isn't the case. As far as changes to patient care in a tactical environment, one of the largest focuses...

I'm not in the best shape, but I'm in decent shape. I don't smoke or drink. And I try to get to the gym anywhere between three and five times a week. I also walk my dog pretty much daily (we miss a day here and there). I used to be in great shape, working on getting back there. Shane NREMT-P

Putrification? Shane

I'm not a smoker myself, but I disagree that we don't see the effects of smoking. I don't know what level of provider you are, but I can tell when I intubate someone if they are a smoker or not. And we do have COPD patient's and COPD patient's which in my opinion is worse. That's a long, slow...

Noone is bashing him about the blood pressure by palp. But as an ALS provider if is all you have for me is a pressure by palp and don't have a good reason for it...you've totally discredited yourself as a provider and everything you say will most likely have less credibility with me. Blood...

Definitely practice. A pressure by palp is not acceptable to me in most cases. If I ask for a blood pressure, it means I want a blood pressure. Not a short cut. As far as using the NIBP, my partners are not allowed to use it to obtain a blood pressure. I don't use it myself most of the...

My error for not being more clear. A single paramedic in a fly car is an ALS unit. For an ambulance to be ALS, it has to be a single paramedic with an Intermediate or basic. Shane NREMT-P

I think they can and do work. I work in an intercept service with good results. Your policies regarding having to wait for an ALS unit to arrive prior to initiating ALS care is counter productive however. The primary goal of an intercept service should be utilization of resources. You don't...

I'm sorry to hear of your loss. My thoughts are with you and your family. Shane NREMT-P

Add me to the licensed paramedic list. My state license says nothing other than "Paramedic." Shane NREMT-P

Different laws govern different regions. My medical control only covers me as a paramedic while on duty. If I were to perform a paramedic intervention outside of the job, I'm operating without medical control. As far as duty to act, again that's location specific. When I'm not on duty in the...

Atropine is a parasympathetic blocking agent that increases conduction across the atrioventricular (AV) node. Giving atropine to a patient in a PEA with a rate greater than 60 is going to have little effect, other than to potentially increase the electrical rate. If you have a tachycardic PEA...

The student wasn't referring to you. Your profile didn't state that you were one. Your car on the road doesn't bother me. It does present a safety hazard on the roadway though. Personal vehicles do not have the proper lighting to clearly mark a scene. A simply strobe light doesn't count...

A couple of things, the first is you're listed as a "student." I wouldn't recommend stopping and rendering anything more than first aid until you have a certification. And certainly don't ever introduce yourself as an EMT-B or any other kind of certified responder unless are are...

A facility should be able to provide information to a transporting crew, otherwise they are being negligent in their transfer of care. If this is an ongoing problem, you need to talk to your supervisors and have them handle the situation with the facility. You said you're a transport company...

In your original post, you said you were looking for these scenario's to put into a presentation. If that's the case, you'll more than likely want to spell "scenario" correctly. It seems like a peeve, and nit picky when people keep on other's about spelling but this is a public forum...

Great post AK! I'm not sure there is really much more to add. Fortunately, this situation worked out for you even though it was a gamble. I also have to agree with others that it doesn't sound like an asthma attack. The presentation and the picture you painted for us simply doesn't fit...

Just a thought as to why it took so long to attempt to intubate her. Could it be that with a suspected head injury and such a long time with the patient, it took time for the injury to progress to the point of warranting intubation? I know I did a call last week where someone was assaulted...

I agree with Rid about finding a new attorney. They should be doing their own investigation. A defense attorney would tear apart a family member's biased critique in no time. Not to mention that as an EMT, you are limited in your ability to be credible in a case like this. There's no offense...