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So as far as rate and rhythm control, I understand the rate control, being vagal/adenosine/cardioversion... When you refer to rhythm control, are you referring to a calcium channel blocker like Cardizem or some other drug (Dig)? How exactly does one control A Fib rhythmically in the prehospital...

Thank you guys so much for this information! This is great to read thru. Definitely gave us a lot more to discuss. Thanks so much! Feel free to elaborate on atrial fibrillation on this topic. It is a very interesting to read this info!

If it is a known new-onset A Fib (lets say for argument's sake, less than 1 hour), with unstable presentation (for example, hypotension and s/s of shock), and rate of less than 150 (140, for example), can you cardiovert it? Bottom line, is 150 a golden rate for cardioversion? or can you...

My friend and I were discussing Atrial Fibrillation, and had a few questions that we could not find any answers to online or in other texts. If we could get some help on these subjects, it would be much obliged. Thanks! According to ACLS protocols, if the patient is in A Fib and unstable...

Intros Hey all, My name is Matt, and I am 24 years old. I am an EMT-B working for AMR in the bay area of San Francisco. I am currently in paramedic school, and I am about a month out from starting up on my clinical time. I love what I do. My goal is to become a firefighter. I surf...

I am thinking GI, maybe pelvic inflammatory disease or a UTI?? Was she sexually active? Pain on urination? Did she feel hot to the touch?

In a sitting position, one wouldn't quickly regain consciousness as most do when they hit the ground after a vasovagal syncopal. Syncope is nature's way of putting your body into a position for easy reperfusion of the brain. And I guess if one is sitting down, the reperfusion would take a bit...

Hey folks, So i have always had this idea of going down to a country in South America, say, Costa Rica, to start my career. I figure it would be a good opportunity to learn Spanish (which would be very helpful, as I live in California), enjoy the place I work in (I surf a lot, and CR is...

That is a great call. Gotta have your down time. And preparation now is the key to getting plenty of that decompression time in the future. Enjoy it man. It is so much fun!

maybe there is a better way to phrase it, so they get the point and they don't feel like you are accusing them. for example instead of saying "why didn't you take your medicine?", ask "what stopped you from taking your medicine?" not too sure if it would work, but sometimes if you...

One thing that really helped me was buying and repeatedly listening to Jamie Davis the Podmedic's "EMT-I and EMT-P ALS Med Review". It is a CD that you can buy from iTunes, and it has almost every med that a paramedic can push (depending on where you practice, of course). I bought that about a...

Congrats man I have to add my two cents here. When I graduated college, I took a job that I absolutely dreaded, selling financial products as a personal financial advisor. I dropped everything to get my EMT-B. I worked for a year as an EMT and am currently am attending Paramedic school and...