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  1. 8

    Hypothermia VS spine immobalization...

    Aren't places like that required by law to have certain medical gear? The ice rink near where I grew up had a spine board but it might have just been a decision by the business not a requirement
  2. 8

    Pulling the plug on EMS

    Never heard of discomfort being a contra indication for a potentially life threatening injury... That must have been replaced with the "pain is the patients problem if you need to keep him alive" class. http://www.wildernessdoc.com/assets/pdfs/NAEMSP-Spinal%20Clearance%20Protocols-Jan08.pdf...
  3. 8

    Hypothermia VS spine immobalization...

    You don't need an actual c collar to get c spine control. Newspaper, roles up paper, pair of shoes, hell 2 rolls of TP and some tape can make an effective c collar.
  4. 8

    Pulling the plug on EMS

    You said LAY person, and EMT is not a lay person. Let me know when atropine auto injectors start getting handed out like epi pens. You're the one arguing against FDA approved drugs, show us an actual scientific study.
  5. 8

    Thinking about an army career 68w

    Ever hear the term "the best medicine is preventive medicine"? IF you become a medic with the line, the best preventive medicine is preventing your guys from getting shot at/etc... And the best way to do that is to shoot whatever insurgent first. If you go to a hospital: well whatever, you're...
  6. 8

    Efmb

    I'm not sure your logic works. You're saying he had one pencil whipped because he didn't want it? Or are you saying it means less because some troops who are a little shy of honorable recieve them when they clearly shouldn't? I've seen someone get a bronze star for doing a power point...
  7. 8

    Bullet Proof Vest!

    Kevlar works by spreading out force, and when a plate is hit the force is applied to the entire plate. I've yet to see anyone hit in a plate that wasn't penetrated that had any injury worse than some bruising. The worst I've heard of from soft Kevlar is a fractured rib, which is still better...
  8. 8

    Bullet Proof Vest!

    Pt w/ vfib gets shocked into normal rhythm by the responding EMT... All the dr is doing after that is diagnosing, controlling, and preventing... The actual life saving was done by the EMT. Just my 2 cents
  9. 8

    Bullet Proof Vest!

    Blunt force trauma from a bullet is a bit spread out and even more so with a plate. Yes you can still get hurt but your less likely to get actually injured
  10. 8

    Bullet Proof Vest!

    Without EMS doctors wouldn't be able to get to a lot of patients before they died... So who saves the life? The guy that managed the injury to the point to where it wasn't life threatening anymore or the one who did the treatment after the patients life was no longer at risk? Not that I'm...
  11. 8

    Partner help

    You are absolutely right: it is YOUR responsibility and therefore your behind that's on the line if things go wrong. If you know he is wrong then drive on, otherwise keep in mind that "I thought I was right but I wasn't" isn't as bad as "he told me I wasn't right but I continued to be wrong...
  12. 8

    Why does EMS Not Understand There is a Business Side to Medical Care?

    I think for an EMT is more important to know the field side f your craft opposed to the business side. It's not really pertinent at their level. You don't need to know it to do your job do you? I get the argument of "the more you know the better", it's definitely true overall, but it doesn't...
  13. 8

    Bullet Proof Vest!

    Just because no one else touched on this: there is no such thing as a bullet proof vest. There are varying degrees of body armor that protect against an increasing types of rounds (a level IV vest can stop anything a level III can for example). If you don't know what type of armor you I've it's...
  14. 8

    Pulling the plug on EMS

    You're not limited to one dose. If it wears off push in another. A large percentage of medicine is just treating the symptoms until the body can heal itself, that's what Opiod antagonists do: they manage the possibly fatal side effects until the body removes the source.
  15. 8

    Pulling the plug on EMS

    Resp distress isn't the only side effects of Opiod poisoning. What are those treatments going to do for bradychardia or hypotension? Fluids are a medication btw. Out of the military how many lay persons carry atropine or know the S/S of nerve agents? Intubation causes less damage than king...
  16. 8

    Pulling the plug on EMS

    There's a difference between taking morphine and putting yourself on high flow o2 because you have a cold and taking a medication that is life saving. Take narcan: name a treatment that doesn't involve medication that can treat an Opiod overdose? Same for atropine: name a treatment for a nerve...
  17. 8

    Efmb

    Awesome thanks
  18. 8

    Trick to hear BP Better in the Moving Rig???

    No argument here, luckily BP is just a guideline not an absolute
  19. 8

    Trick to hear BP Better in the Moving Rig???

    ^^^ just to bring up what someone else already said. And yes palp is more accurate, but it doesn't give you diastolic. Hell do both, nothing says you can't use palp for establishing the systolic (which most medications, especially at the BLS level are based off of) and needle-bounce for getting...
  20. 8

    Trick to hear BP Better in the Moving Rig???

    I can't name a single medication that needs a BP range so close that being off by 5-10 would be a definative contraindication. Can you? Again: common sense applies, If that guestimated puts you in the clear then go for it. If it's close than don't. Either way, it's not all that more innacurate...
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