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Thanx. Your post wasn't clear. This clears it up. Good luck to you. The organized, frenetic pass in the ED will suit you well. Most floor nurses can't handle it.

You applied but aren't sure after interviews and a job offer? Why don't you finish school, pass NCLEX, and then apply in 3.5 years???

Doc, Since I've been on this forum, I have repeatedly heard what you said about medics sucking at intubation. What is being used? Glide Scope, Miller, Macintosh, or something else?

No digging up an old post. This popped up in my email with the recent posts.

P365 is a great gun. Only problem is it's near impossible to fully load the 12 round mag. The G26 is also great and has a better trigger. You can also swap out easily to a 3.5lb trigger unlike the SIG.

I teach this.

RIP, Colonel Cooper.

No permit needed for purchasing a computer. Hmm?

Sucks to be in Havana, I mean Hawaii.

So, we can't discuss guns even though armed medics hasn't been a discussion for quite a long time?

Way back when, SGAs were unheard of. The Esophageal Obturator Airway ((EOA) was the forerunner of SGAs. Our EMTs could place them. Only problem was there wasn't a peds model. So,yes, EMTs should be allowed to place SGAs. Medics should be intubating. It's still, and will always be, the Gold Standard.

CCCSD is correct in that hair follicle testing can detect drug use months out. Urinalysis is short term, usually 72 hours at best.

One would assume from the scenario given that there will be an imminent respiratory arrest. RR of 3? One would also assume that the PT is already getting BVM, so intubation would be the next step. We have intubated pts in the ED with bradypnea and given Narcan which sometimes worked, sometimes...

Tigger, I appreciate your new person/patient, per se. However, the scenario you provided utilized BVM, RR of 3 and a Pulse Ox of 50%? That should of required intubation and Narcan immediately. I realize you are a new medic, from your posts, but seriously? Narcan effects the MU-2 receptors...

Agree it's not an either/or situation. Just seems as if there has been a disdain for Narcan on this forum, in my opinion. I didn't need the potential scenario you portrayed. I'm not a rookie EMT. I full well understand what the priorities are and Narcan is an adjunct, nothing more. And BTW, if...

Thanx. It seemed like the posts on this topic, to me, eschewed the use of Narcan, and only advocated BVM. Understand now. Of course, correcting hypoxia is paramount (ABCs).

This topic has come up before. When did BVM become the default over Narcan? What caused the shift? (Haven't been in the field for a long time).

E. Linda has a mental problem.

Linda has no injuries BASED upon the scenario. Linda should be advised to consult her PCP for eval for syncope and possible referral for a mental health eval.

Quizlet.com is a great resource. Just saying.