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Our protocol states the goal of Naloxone use is mainly to restore one's respiratory drive, not to completely awaken them. It states ventilating/oxygenation of the patient takes priority over Narcan use. So ultimately, the goal is to get the individual to the hospital alive, breathing, but not...

I know phlebotomy requires a particular "order of draw" for drawing blood via venipuncture. Here is the order from top to bottom according to one source. I believe EMS uses only 5 or 6 for blood draws. Could anyone clarify which ones are utilized for the blood draw kits in EMS, and...

There is a list of things that the EMT-B is trained on currently in addition to transporting and identifying/ treating life threats to ABCs. EMT-B teaches how to assess diabetic emergencies, which are extremely common it seems, and provide appropriate treatment for hypoglycemia . Local...

https://www.ems.gov/pdf/education/National-EMS-Education-Standards-and-Instructional-Guidelines/EMR_Instructional_Guidelines.pdf Interesting read. Definitely the EMR looks to be sufficient for the role of Ambulance Driver/Patient Transport tech to help with transfers.

I'm just discussing. You seem to have a problem with that. The discussion was involving advancing the course training of EMT-B to include that of the A-EMT and do away with it. Others suggest making the EMT-B curriculum is sufficient only for an EMR. I disagree with that. It's a vast waste of...

I think it's a great idea. EMS could actually play a HUGE part in preventative services, education, etc. Especially how much they deal with cardiology, diabetes, enter other chronic conditions. Hopefully any new healthcare reform concepts actually take in feeback from healthcare providers and...

The level exists but is not widely practiced, at least in our area. BLS is BLS. If an ALS call is required, they still have to be dispatch to the scene. In our area, there really isn't a market for the A-EMT. Many think it will be phased out eventually. People looking to advance from basic are...

Very interesting perspective from a cardiologist.. "EMS is on the scene minutes later. Yes, the cavalry has arrived. I tell the EMS personnel that I’m a cardiologist and I think this guy is having a heart attack. “We need a 12 lead ECG now.” The EMS personnel respond: “We can’t do an ECG...

From what I've seen, they could definitely expand the EMT-B program a couple months to include many interventions that would decrease the need for calling ALS assistance such as starting IVs, Cardiac Monitoring, etc. Put those that are getting the EMR in the driver seat of the ambulance and use...

I'm merely discussing my perspective on this discussion board. Everything stated was valid, and someone responded with an educated rebuttal to it, which is what I was looking for.

Thank you good read.

It is my understanding that the protocols dictate the "standard of care", which if are not followed and end up resulting in patient injury, could open up grounds legally to claim "gross negligence" of the provider. So if by chance the patient chokes on a sandwich given to a pt with...

Thanks for the response. I'm under the impression that to step outside of protocols could get the EMS provider into legal trouble.

" Hypoglycemia is suspected if patient has a history of diabetes or takes insulin or oral diabetes medications. If the patient can’t swallow but still has gag reflex, oral glucose may be placed between the cheek and gum in small amounts"...

So to bring the topic back on track of the original thread concerning the factors that influence pay for EMS providers, the influencing factors are mostly supply of workers, demand for services, and reimbursement capabilities through Medicare and Medicaid. Are there any other major factors to...

Thank you yes .4mg IV naloxone via PA state protocol can be administered by ALS. The local PD are carrying the intranasal spray at .1mg/dose which is what the article is referring to in requiring multiple doses.

Very good post. Thanks for posting.

Thank you all for the responses. I received the answers to the questions I was looking for.

The PD is carrying the .1mg intranasal atomizer spray as BLS crews are using. IM are available but expensive. From what I've heard, some ALS crews may or may not have it available.

The Carfentanil scenario came directly from the coroner and actually happened. If you believe it's ridiculous, so be it. It's not a new drug, but is becoming more popular than ever in this area specifically.