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I found a YT video that shows the ADSB data. It has the appearance of spatial disorientation. The flight was at night, in IMC. I took Private Pilot Ground School quite a few years ago and got a light/mild introduction to spatial disorientation... The real thing is much more powerful than what I...

Actually, it is. Your drug choices, dosages, routes are decided ahead of time by your medical director. You aren't the one that came up with the standing order on your own. If you're hearing "let me check with the doc" about something, it's because you're asking about something not anticipated...

I can't stress this enough! There really is a LOT of collaboration between Medicine and Nursing. While the docs do direct the medical aspects of patient care, they have little to no say over the nursing aspects of patient care. I've been in the ED for coming up on 8 years now. I pay very close...

Aspirin is usually given PO. Given that it has decently good antiplatelet effects, giving it IV wouldn't be a good idea during resus.

Any way you slice it, I don't like the look of lead II on the "en-route" strip. The hospital 12-lead doesn't look too bad to me, but because of the chest pain complaint, a trop was probably drawn then, was probably "high" and that was probably what triggered the transfer. OP: do you recall if...

For Epi, this.

After spending 3 shifts at the Charge Nurse desk... that's often about how I feel...

The "medicine" part is pretty much the same... no matter what level of medicine you're at. What changes is your understanding of it... I had a prior bachelors in Sports Med, got into Paramedic. After SM, medic was EASY. Nursing School was a slightly different beast. :eek: As described, it was...

OP: I suggest you re-read the linked thread. While we do help each other in (sometimes) a lively manner about things related to EMS and (rarely) nursing (as that pertains to EMS), we do not provide medical or psychiatric advice. This is not the appropriate forum for that. Please find an...

I am locking this thread as this is a duplicate. See the thread here: https://emtlife.com/threads/paramedic-certificate-to-degree.49814/

Well, I'm seeing this with the "benefit" of having read the conclusion... but what I would have done was what was ultimately done. I would have treated the chest pain using nitro first, then morphine as needed. I didn't see anything that clearly screamed "STEMI" and the patient has already been...

IMHO, as long as the Paramedic is familiar with the meds, the equipment, and knows how/why/when to titrate a given medication, it should be absolutely OK for a Paramedic to transport a patient needing meds that requires titration. Critical Care nurses that are willing to do transport aren't...

The DA still has to prove that it was known that the "act" was known to by the defendants to have a "strong probability" to cause death or great bodily injury. If the defendants have only been taught that the "act" had a possibility of death/GBI then that becomes a mitigating factor and points...

I would say that the DA likely would have a reasonably difficult establishing a case for 1st Degree Murder as the DA would probably have a difficult time proving intent to actually kill. I would suspect that at trial, they'll probably push for something like 1st Degree Murder and lesser included...

I have no problems with this. However, I must say that doing internship hours should be a requirement of attaining a Paramedic cert. The reason I say this is actually pretty simple. An internship allows for an easily supervised learning experience for the person that's never done EMS before. For...

Merry Christmas (belated) to one and all! May the upcoming year be amazing in as many ways as possible!

Glad to be home after Jury Duty. Won't have to do that for at least another 18 months. All I had to do this go-round was show up at the Courthouse, wait to be called to a courtroom, watch a movie while waiting for said courtroom need. No need for additional jurors today, so I got to go home.

Just build a giant coffin. With a motor and a skeg. You can fish with it, hunt ducks with it, and when you're dead, you can be buried in it...

For certain locations/missions, they can be ideal. Most urban areas? No. Rural? Absolutely. The one thing I worry about with them is weight. Helipads/heliports do often have weight restrictions... hopefully the upcoming tiltrotors aren't too heavy.

RLQ pain / positive McBurney’s point definitely speaks to an appy. Asking about meds got the ASA as a daily med. That is not usual so… good on the crew to keep their suspicion elevated. The rapidity of losing pulses usually means something popped. Proximity to the hospital and fast recognition...