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Treat the patient not the machine: When I am healthy (relative) and feeling good my SPO2 runs between 88-92%; when my asthma is acting up and I am getting ready to crash hard, I run 98-99%: I think it is because I am working harder to breathe. At that level very long I will crash, and drop...

Problem with TV and movies: anyone who dies comes back with 3 compressions and/or 1 shock. They don't they die for the biggest part. I worked 7 viable (seen arrest, CPR started fast) cardiac arrests in January, 1 survived, and he was the one who shouldn't have; the oldest and in the worst...

Even if you don't come back here, or to EMS, please take advantage of the help that is out there, don't sit on it, and don't try to deal with it yourself. Get help, it is free

If the patient took OTC oral Benadryl 30 minutes before Basic EMS arrived and your protocols state that you can give the patient oral OTC Benadryl every 45 minutes, then document what time the patient took theirs, wait 15 minutes and give them another dose. and Document the 2nd dose time

Turn in your National Registry October 1st so if you get audited you have time to deal with it

Think about doing 75% of your runs from State A, and transporting 98% to State B. That is my PT job, we cover both sides of a state line; 40 miles west into the state we are based in, and 56 miles east into the state that we transport mostly to

Glad I work in states that have statewide protocols

RsqCrack: because the doctors don't always take the time to check things, including looking at the medication list and more importantly the drug allergy list: In many areas EMS is better at diagnosing (or at least faster) Sepsis, and CVA's than ED's .

We have talked about it at my PT job; thought and talked a lot about doing it on a patient in and out of Cardiac arrest back in January: 135 mile transport, in and out 7 times. We we decided to do it the next time he coded, (we were 35 miles into the transport: no cell or radio service) he...

Asking a history on every person is where you learn. When you have time between runs, look at the medications that the patient takes: figure out what those medications are for, and you can start figuring out the medical histories of patients without asking them. Pay attention and learn from...

Supposedly the Army does, but since we are a small base, we don't have anyone who can explain it to us

I wok for the Army, (Civilian), and we have to do the "I will work '3 x' any training the Army pays for. I did a 7.5 hour class they paid for and had to sign a form that I would work 22.5 hours afterwards before i took my ABLS cert and quit.

I usually write the patients name down, because I am bad about remembering names

Some times I wish I had gotten a degree; I have no idea what I would have taken; and for the most part it doesn't seem to help other paramedics who have gotten one be a better medic. Sure doesn't help them write better run reports. A couple of friends are going to nursing school, and other...

I wonder if they run into Bears like Kodiak does?

So: Elko County EMS is based out of Elko City, and they do IFT and 911. Elko City FD also transports. Elko city is the west end of Elko County. Elko City has a Small 15-20 bed ED, and 70 or so in patient rooms, and does Cardiac Caths and has decent Physc help. MedX covers Wells Nevada...

Good luck to both of you, and welcome to EMS

EMTALA violations are understood as well as HIPAA violations

It is hard, I have been in EMS for going on 26 years; and last week at my PT job we had 3 deaths in 22 hours. Got ROSC back 4 times on 1 of them, and transported him 135 miles to a hospital and he was alive when we got there. It is hard, I remember most of my dead patients, but I remember a...

Most of us did dumb stuff back in the day, that would get us fired now