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why would you give dopamine to this pt? Seems like a better treatment would be to increase the rate and pace. If you're not going to pace, seems like atropine would be a better drug. My understanding of dopamine is that it has minimal chromotropic effects, and has more inotropic and...

I'm not trying to bash you, but that criteria would be having a lot of my patients getting intubated when they don't need it. Are you going to RSI every drunk patient you get because they have an altered LOC and are vomiting from the EtOH? I can't imagine preforming RSI on a patient who is...

Hi all, I'm a new ALS provider and in my program steroids were given very little if any attention, as they are not given in the area I took the class in. I've searched these forums, pubmed and google, and frankly I can't find any reliable information regarding the differences between commonly...

wait...what? The dosage of atropine for symptomatic bradycardia in an alive adult patient 0.5 mg. That's what I was taught and is the dosage I give to my patients. One milligram is for an asystolic/slow PEA cardiac arrest. Can you have that much leeway when giving cardiac drugs (I'm a new ALS...

My #1 buddy Gizmo. :)

The call information just sounds sketchy at best. Like others have been saying, you treat the patient and not the monitor, but I find it hard to believe that a patient who has no palpable pulse or blood pressure, and who is suffering from a STEMI that later killed him is going to be completely...

wait...what? Last time I checked adenosine is indicated for reentrant pathway SVT's, not for a profound bradycardia, and when a patient loses a pulse and BP in the presence of electrical activity on the monitor they are in PEA. Chest compressions are indicated. I call...

Maybe I'm a cynic, but since when was an EMT doing chest compressions on a routine cardiac arrest newsworthy?

Full time student all my life...I'm in my fourth year of a chemistry and biochemistry major right now. That was kind of bland, but this one is pretty interesting: my last partner currently holds a PhD in English and was a former college professor having just made tenure. He had some sort of...

I would highly recommend the course. I took it over the summer and it was worth every penny. They start with the basics of airway management, like how to properly ventilate a patient with a face seal (I was surprised to find out I didn't know how to do this efficiently), and then more advanced...

Strip says "Extreme Tachycardia with wide complex, no further rhythm analysis attempted". Big help there... :rolleyes: Also, pt was an 82 year old male. I'll try to get some more information about the call the next time I go home for duty.

Hi all, Long time reader, first time poster. I had a lot of downtime during my last shift and started looking through the monitor's patient archives and found this strip: Strip 12 lead I don't have any patient information so don't ask. What do you think?