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I was thinking that even if the bronchus wasn't closing it still may improve oxygenation if more air is able to get in via bronchial dialation. I also have asthma and I don't start wheezing until I feel like the worst. When my asthma starts to exacerbate I just get chest tightness. My...

Oh ok. I thought maybe oxygen or a inhaler but wasn't too sure. But I was really thinking about NC 3lpm to start. Just didn't because.... Well I am not sure. While I was with the patient they acted like they had a O2 of 100% they didn't feel like a 93%. But I do see that I should have started...

Could you elaborate so I can improve?

What? I said in the post that oxygen saturation was 93%. And not really. Our company sends surveys with rare replies. My partner a EMT basic does the call and the doesn't care anymore about them so really I am the only one who brings back old cases for testing my quality.

I was just curious because he wasn't having symptoms related and he did have a slightly elevated heart rate so didn't know if I should at the risk of a heart rate increase. But do you think I should have? For future reference?

Yes I actually have a question. Would you have given a inhaler since the 02 was board line? Patient reported his O2 is normal 99-97% also if you have any feedback I would love to hear it

This Case is based off a really recent case that is broad and a few details different like not exact vitals. Dispatched to a male late 60s CC of chest pain. Vitals: HR low 100s BP 165/95 O2 93% RR 18 BGL 110 Temp 98.6f SAMPLE: Chest pain, no allergies, Diltiazem & albeterol, history of...

Oh.....I am sorry. I do like learning and advancing my education thru practice so I will just follow strict protocol. I do want to be clear I am open minded and want to hear any tips for future practice Sincerely I am open to change. Feel free to leave any other tips in future scenerios :)

Your right. I shouldn't just give meds to prevent. And by "didn't die" meant they didn't have any problems. I am going to keep it in mind for future AFib patients. Thanks for your input.

Honestly only protocol is if BP is considered a hypertensive urgency we give nitro. No actual protocol that says anything about a reg hypertension. Aspirin is also not by protocol but I have been giving it for AFIB because I have had patients that said they felt a little better and never had a...

Ok I am going to keep in mind for my future patients with AFib to not give aspirin or nitro. I have been doing it for preventing MI's and nitro for high blood pressure. I guess you guys are right may not actually be needed so thank you guys! :)

Sounds good. On the cases that inspired this IVs were started and the ones with these BPs were given nitro. We also give aspirin alot for AFIB just to help with a prevention.

Male mid 50s CC of palpitations Pmx of AFib (uncontrolled and untreated) Vitals are as followed HR 120 BP 170/100 O2 96% on RA RR 19 BGL 115 Temp 98.7f ECG suggest AFib with RVR Sample: palps, no allergies, no meds, AFib, last oral intake was a cup of coffee, events leading was walking...

The dumbest but cutest and innocent question I have had was a like elementary school boy refused to talk to his parents and he wanted to go to the hospital. So we come on down and he asked he with the most serious face am I pregnant? I couldn't help but smiley and tried so hard not to laugh. I...

Ok. Yeah it is a apple watch but when he got diagnosed it was a holter monitor. Also very good explaining! Very impressive.

My favorite scope: https://www.steeles.com/products/5803-3m-littmann-classic-iii-stethoscope-black-edition

PVC? It's not? What is it?

I do personally just because I like to be efficient. Sometimes I feel as it's not needed like when a child is hyperventilating it seems easier but I do palp the area just for confirmation

You are dispatched to a 60 y/o male CC shortness of breath and chest pain BSI scene safe, 1 patient confirmed SAMPLE: CP & SOB, no allergies, takes meds for hypertension and diabetes. + Additional history shows had cancer 4 years ago but still had radiation every month, last oral intake was...

Also EMT-Bs you can try to give me a estimate heart rate or exact. And tell me how you did it.