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    EMT Named one of the 10 Most Stressful, but Rewarding, Professions

    Starting pay in central Florida is $8-10 an hour for EMT and $12-16 for paramedic, non-fire based. Fire based is even higher. Some start as high as $50K a year for medics. I know medics making 6 figures.
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    Shortness of breath

    OK: Here is how the call was handled: CPAP at 8cm. This increased her SaO2 to 96% and reduced EtCO2 to 60mm. Dopamine at 30gtt/min, which brought BP up to 96/62 DDX: Congestive heart failure, causing cardiogenic shock. The legs were cellulitis.
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    Shortness of breath

    OK: SOB has been times 4 days. Pt sleeps in a chair. Others in home state that they called because they don't like her color. Patient is resistant to going to the hospital, because she doesn't want to ruin the holiday. No cough. Afebrile. No history. Diminished sounds were in all fields. RR...
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    Shortness of breath

    You are dispatched to shortness of breath. You find your patient on the toilet.The bathroom is only accessible by passing through a hallway that was about 36 inches wide, and had stacks of junk and knick-knacks along both walls, reducing the shipping channel down to about 20 inches. This still...
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    That extra 60 seconds.

    I was making a point. I TEACH ACLS as an EP instructor, and have for quite a few years. I understand and use doppler. I also stand by my statements. Go play with your toys, I will continue to save actual patients. I repeat my original question: What would a doppler have done to help this...
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    That extra 60 seconds.

    EMD, Electrical Mechanical Dissassociation is coordinated electrical activity with an absence of myocardial contractions. That is exactly what the name means, the electrical system is active, but is disassociated from the myocardium. If you were to open the chest, you would see that the heart is...
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    That extra 60 seconds.

    People assume that because that is correct. PEA is defined as: A form of cardiac arrest in which the continuation of organized electrical activity in the heart is not accompanied by a palpable pulse or effective circulation. PEA is composed of a group of rhythms that include: EMD...
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    That extra 60 seconds.

    That would be why it is now called PEA and not EMD. PEA means PULSELESS. If it is not pulse producing, explain to me why I care? Where in any ACLS situation does it say use a doppler? Why do you think that is? If you are not perfusing the brain with oxygen, it does not matter if you have some...
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    That extra 60 seconds.

    One way I look at it is like this: If the Pt is pulseless, consider that it takes a systolic BP of 40 to produce a palpable carotid pulse. With that fact in mind, a patient that has no palpable carotid pulse cannot be perfusing the brain with the required oxygen. Doppler is a waste of time...
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    Patient sign off....then she was dead 6 hours later

    I am not saying this was what you did, but we all know that there are medics out there that guide patients to refusing care. "You don't really want to go to the hospital for this, do you?" Medics get in trouble from accepting refusals all the time, but I have never heard of a medic getting in...
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    A new one on me

    This is my first post here. I wanted to share this call. Just last week, I was called to a Doctor's office (911) to transport a man to the hospital who had his upper bridge in his colon. The patient went to the Dr, and told them he swallowed his false teeth. I am not buying that one, as I...
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