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  1. sdadam

    Effectiveness of 3rd Adenosine

    I suspect that the amount of adenosine required to effect a PT's rhythm has a correlation to the degree of damage in the heart. Adenosine is endogenously released in response to ischemia in the heart and has what appear to be impressive cardio-protective effects. It's seen some promising use in...
  2. sdadam

    Were you ever told you couldn't make it as an EMT?

    Hey OP, I haven't posted in a long time but I had been thinking about this issue lately so I thought I would share. I have been teaching Paramedics for a while now. I started posting on this forum in EMT school, and it's super interesting for me to look back at the questions I asked and...
  3. sdadam

    Anterior Lateral vs Anterior Posterior Pacer Pads

    I'm pasting a response I wrote long ago to a post on Dextrocardia as the discussion of pad placement is obviously applicable in these patients. TL;DR would be we should all be using anterior / posterior placement unless there is a physical reason or it would significantly delay electrical...
  4. sdadam

    ETCO2 of 9

    Ummmm... A low ETCO2 reading is expected for a metabolic acidosis patient. The active ingredient in break fluid is ethylene glycol, when ingested it is metabolized by alcohol dehydrogenase in to (mainly) glycolic acid and oxalic acid. This increase in acid production results in a...
  5. sdadam

    conditions that result in blood in airway not related to trauma"

    The reason you aren't getting the answers you are looking for is that your question is hopelessly ambiguous. Your "Airway" extends from the opening of your nose and mouth down to your terminal bronchioles and alveoli. In all of that there are many different divisions, physiologically and...
  6. sdadam

    30:2 - Gold standard or just a suggestion?

    So far as I can tell your question is why are the medics you work with doing this. That is a question that I can't answer. But the fact that you said: ...worries me. See, the number one way to tell if someone knows what they are doing or talking about, and I mean really KNOWS, is to ask them...
  7. sdadam

    naproxen and narcan

    No way, no how. He may have been mistaking Naproxen for Norco? Maybe?
  8. sdadam

    Balboa Ambulance - San Diego

    Care Ambulance is hiring in San Diego as well. They are the largest BLS provider in the county, you should go by and fill out an app. 9770 Candida Street San Diego, CA 92126 There is a written test, and they are doing interviews this week.
  9. sdadam

    CARE Ambulance San Diego

    CARE Ambulance in San Diego is a GREAT place to work as an EMT. Their Training and education programs are top notch and they will go out of their way to see you successful in your career. They provide solid foundational training to ensure that you are a good EMT and then start to advance...
  10. sdadam

    Anaphylaxis!

    Glucagon is not work "by way of beta 2 agonis(m)" Almost but not quite. Glucagon does increase the second messenger cAMP through stimulatory g-protein action on adenylate cyclase. However it is not by way of beta 2 agonism as stated. It is through activation of specific glucagon...
  11. sdadam

    Okay I got one for ya...can't feel pulse in one extremity after running?

    Seriously user error, and conformation bias for the second assessor. You had a radial pulse, I promise.
  12. sdadam

    The Importance of Being Spinally Immobilized

    On topic see this lecture abut spinal immobilization, it's lecture #19 in the list; http://itunes.apple.com/us/podcast/emergency-medicine-lecture/id268702506 Really great information that I wish more people knew.
  13. sdadam

    ETCO2 Capnography

    To be honest you just asked a question akin to "Guys what is an ECG good for other than telling heart rate?" Capnography is an incredible tool which gives you information on everything from respiratory rate and volume to systemic metabolic activity and cardiac output. In order to fully...
  14. sdadam

    Paramedic programs in San Diego

    Don't listen to that guy fish, he sounds shady.
  15. sdadam

    Previous license suspension

    I'm interested to know what incorrect information the DMV gave you that made you answer incorrectly. You said that your licens was suspended, and the question asked "has your licens been revoked or suspended", so that's a yes. How would a no be a correct answer?
  16. sdadam

    18 YO sinus bradicardia anigma

    Sick Sinus Syndrome
  17. sdadam

    Cardiac Arrest with Dextrocardia

    http://www.emtlife.com/showthread.php?t=14564&highlight=dextrocardia
  18. sdadam

    BLS vs ALS in San Diego and Riverside counties

    All BLS Companies run CCTs, the ones without their own nurses contract out to one of the two CCT-RN Companies in the county (MedFirst and CCT-RNs). For a BLS Company CCTs ARE nothing special. No offense. I'm not trying to talk down, it's just how things are. I was an EMT for 5 years in...
  19. sdadam

    Study habits after becoming a field medic

    Ha! I literally have that book open on my dresser right now! GREAT book.
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