I am teaching a Emergency Medical Responder group next week a refresher. This group of people work in a pulp mill and most have been doing this for 10+ years so I am told I need to keep it interesting and fun. In the past they have done EMS related games so I am looking for ideas on fun ways to...
Vent Medic, You are correct with the meds we deliver including D50W as well as I guess IV drip rates which are easy but I am thinking about the other stuff they have on the exam. Metric conversions and such and I suck at math.
I have been out of school for about 7 years now and I am currently hired on with a new service. I am required to write a bunch of exams and have been preparing for them.
I was wondering if anyone had any BLS exams I could practice with and also med math exams....
Thanks for your help
Entonox = Nitrous Oxide
here's a little something from my monographs. We can admin entonox for pain prn... pretty basic stuff; our first responders can get an endorsement for it even. Handy!
NITROUS OXIDE (ENTONOX)
Classification - An inorganic compound made of ammonium nitrate...
one of the services I worked for had 4 units and the oldest one was referred to as "Dennis" I cant remember why but I think it had to do with the owners dad being named Dennis and he was really old and always in the hospital(unit always breaking down)
same as any other call you would go on
Scene safety
LOC
D
A
B
C
RBS
Skin
O2
Now its decision point...from your findings is this a load and go or stay and play. Depending on what I found in the primary assesement .
Since it is altered LOC this would be a protocol call before I can...
"We're at the hospital -- that'll be $8.30, please"
Uhhh, ok, I think your biggest problem is that you appear to have no idea what EMS does. You shouldn't assume that you will make a difference because noone else is trying; the reason response times are poor in your area could be numerous...
That goes without saying tho, I mean, we would first investigate the complaint before giving any kind of drug tmt. My chest pain protocol is called "Chest Pain (Cardiac in Nature) Protocol" and we only give Nitro if the pt has a previous Px for Nitro and they met the criteria for the protocol...
I dont know but around here you can't just get away with shoving things in peoples orifices, one day it will catch up to you and you may find yourself on the other side of things.
Rolling the patient 3/4 prone and applying oral glucose to the dependant cheek is an excellent alternative when...
we dont do NPA's out here and we dont give d50. Glucagon is only given if IV access is unobtainable. Thiamine always goes in conjunctions with d10 for our protocols.
yes definitly remove pt from the hot environment, transport 3/4 prone, opa(if taken)O2, oral glucose on dependant cheek, iv n/s piggyback 100mls d10w and 50 mg thiamine push, if no improvement 100ml d10 again and cont assessment, check bgt if below 4.0mmol/L another d10w. continuing assessment...
the scene is safe, it is a maintenence shed as in she keeps wood carving hobbies in it or something no chemicals involved.
And as for the BGT yes that is blood glucose test. I am not sure as to what it would be on your scale just say it is VERY low.
38 y/o F
Found lying in the middle of a maintenance shed UnCx by her brother
Unresponsive to painful stimuli
Scene is safe, no evidence of trauma
A-patent
B-deep and slow
C-rapid and weak
You are overcome by heat when walking into the shed (+38 celcius outside)
Pt is about 300+ lbs...
If taught in school and able to demonstrate competence in pharmacology/pharmacodynamics/pharmacokinetics and physiology of the drugs we are able to give there is no reason why we should not be able to give these and other drugs that will be comming into our scope of practice in the near future...