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In my EMS system we only have NS and an epi drip to treat hypotension (and nitro tablets and CPAP for pulmonary edema). How would you recommend managing the patient in the given scenario using just those tools? Granted, we're in a city with a PCI-capable hospital never more than 15 minutes away.

Went back and checked and it's actually 300mg of amiodarone in 20-30 ml of D5w.

According to my pharm textbook, an amiodarone push dose is supposed to be diluted in 50ml of NS. But I've never heard of anyone doing this in real life, and certainly not prehospital.

If I may, since this is my protocol as well: we explain to them that since they OD'd and are only awake because of the Narcan, our doc would have our asses if we don't take them to the hospital. Once there, they can leave AMA if they want. I never get sent to an OD without a 4-man engine/tower...

Again, this doesn't necessarily align with my opinion. I just quoted it straight out of my protocol in my first post in this thread. The rationale was explained, even if many here do not agree with it.

Of course I record their LOC and mentation before and after the Narcan. But as the protocol states, someone who is only responsive due to Narcan is considered to be lacking capacity. So any liability would fall to our medical director. Florida gives first responders a good amount of protection...

I would probably be fired for taking that refusal, especially without consulting med control. Our protocols specifically state that "patients presenting with AMS, who respond to narcan, are not candidates for informed refusal. Due to the relatively short half-life of Narcan, these patients are...

Did you respond for a seizure, or does she just have a Hx of seizures?

I don't want to go into too much detail about the hiring process (they're kind of secretive about it, so I don't want to throw it all out there without permission), but I will say that it is psychologically gruelling. And there is a polygraph or two. I basically felt like I was applying for the...

Yes, all 12 hour shifts. We currently have trucks starting at 0700, 0800, 0900, 1100, and 1500. It's intended to a peak truck system, but we still usually aren't all that busy (I average 4-5 transports in 12 hours, with short transport times). The benefits are awesome by EMS standards (they list...

Bump https://emtlife.com/threads/orlando-fire-is-hiring-for-ems-only.47872/#post-678482

https://www.governmentjobs.com/careers/orlando/jobs/2093245/civilian-emt-paramedic?pagetype=jobOpportunitiesJobs Come work with me, people. I'll answer any questions that I can.

Yes, and so should you. Some of them will try to deny they took anything, but if you firmly (but still respectfully) call them on their ********, they will all fess up after a few minutes. It helps to remind them that you aren't the cops, being high isn't illegal in the US (possession is), and...

Huh? Is your partner the patient? Or are you asking about some sort of long-term care gig?

I only carry fentanyl for pain. If I gave it to everyone who tells me they have significant pain, I'd be out of fentanyl by noon most days. So I mainly reserve it for patients with obviously painful traumatic injuries or those who are screaming/writing in pain and cannot be properly assessed...

Wait, what?

Get hired by a company that uses the Stryker Powerload system. It has been wonderful for my back :)

We're specifically contraindicated from using CPAP on chest trauma patients.

This seems a bit ridiculous...

Get a home drug kit and test your own urine for THC. If it doesn't pop, you should be fine.