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I have never had an opportunity to use CPAP on someone with facial hair. I know people who use CPAP at home who have moustaches and goatee's. It would certainly be difficult to get a seal around the masks. If you've tried this, how did you get a good seal? I have read that you can mat the hair...

I ran a call that turned out to be a female patient sitting in the road in front of 2 police cars upon our arrival. They had wrapped her an emergency blanket. She was alert to verbal stimuli and was able to give me her first name and that is about it. It was in a rough area of town, approx. 50...

I have been studying various articles for 2 days now on this subject. I have not run across this issue in the field yet. It appears that ERAD with a positive R wave in V1 is very reliable. Also a axis of -91 to -180 as well. I have read a bit on Brugada criteria as well but need to do some more...

Well I passed my practicals today and I AM DONE!!! Now on to becoming a better medic not a regurgitater of skills sheets......

I have my paramedic psychomotor testing tomorrow morning. I am unclear if IV's etc. can be done by my partner or do I have to perform them all in the oral boards?

Now that paramedic school is done where would you recommend that I go to become a paramedic, not the paramedic that passed a written test and regurgitated skill sheets back to someone, but one that has the appropriate knowledge, the skills to decipher signs and symptoms, vitals, etc. to have a...

My daughter who turned 16 last month was voted into a local rescue squad tonight... She is currently scheduled to start EMT class in February.. I am one proud dad and look forward to helping her learn. My big concern- Keeping her away from those that think a rescue squad is a social club and...

I had a call that went like this Dispatch- altered mental status arrival- elderly (76) female patient sitting in a chair alert to verbal stimuli D-stick- 72 Pulse Ox- 86 spo2 (immediately placed on NRB at 15lpm which increase spo2 to 93) pulse 224 I thought I would have to cardiovert so...

Thank God it's over. I am sick of worrying about it. My test cut off at 80 questions and I passed first try. Now for the practicals in July.

Are the Paramedic practice exams that are on FISDAP a close representation of what the National Registry test is like? I am currently an EMT-I/99 and maybe that's why the questions seem a bit easy? I've reviewed a lot of the stuff twice. Do you think doing well on them means I will probably do...

I really need some advice locating a place that explains the functions of these negative feedback loops. I have been at this for 5 hours today and feel like I have gotten nowhere. Any advice?

I was a team-member on a code last night. The patient was in his low 30's, overweight but by no means the largest I've ever seen. The original call was for an unresponsive breathing patient but was changed to non-breathing about 3 minutes from the scene. The patient's wife said that he was...

I am writing a paper for my paramedic class. It has to be based on a public safety campaign, obtaining funding, implementation, etc. I am doing mine on bicycle safety but I can't find any peer-reviewed articles on writing grants and obtaining funding and I have no idea how to write a grant...

I was involved in a resuscitation attempt where the upper 70's year old man arrested in front of one of his children. CPR was started with instructions from dispatch. We worked the arrest for 50 minutes or so, the patient remained in fine v-fib the entire time. He was shocked 6 times, given 7 mg...

I was one of those stating that I could do all of the skills of a paramedic as an EMT-I/99. WRONG!! Every time I go to paramedic class I realize that have a lot to learn. It is like the epiphany that I had in my B to I class. I realized that I knew very little as an EMT-B. TAKE A PARAMEDIC CLASS...

Has anyone here ever witnessed high-flow 02 knocking out a person's hypoxic drive?

If you were on scene of a chest pain patient and this patient is simply plastered from alcohol abuse, how would you treat the chest pain? What are the effects with nitro? I had this the other day and have looked through books every since trying to find a good answer. I found out that it was...

I need your assistance. I am writing a paper on Tiered EMS systems and I need to use 5 peer-reviewed articles to write it. I am at a loss because I have no idea where to even begin. I am not looking to cheat by any means but could use some input on where I should look for these articles. How...

Well, enough of the looking for the online EMT-I/99 to EMT-P class. I found a spot that opened up in a class just 15 miles from my house that starts on August 27 at Piedmont Community College that will work for my schedule. I got the word today that I am in. I can also do my clinicals at UVA or...

If you were called to assist another squad with a working code and they had inserted a King airway before your arrival, what questions would you ask yourself to determine if you would remove the King and intubate the patient? I had this scenario not long ago and I left the King in because the...