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    Patient with distracting injuries

    You are toned to meet a vehicle carrying a passenger involved in a vehicle fire in a POV now driving towards the hospital. Meet POV, man jumps out covered in approx 40% burns, majority 2nd degree and 3rd to hands, arms, shoulders, legs, arms and legs appear to be circumferential. All burned...
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    Qa/QI

    I have started as QA/QI officer in one of my services. I have no real training spacific to QA/QI. Does anyone have ref. material or suggestions? I am asking about things beyong following the "protocol" book, and hitting QA/QI state markers.
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    Zofran

    http://www.fda.gov/Drugs/DrugSafety/ucm271913.htm Zofran warning. Medicine is strange.
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    Any New Hampshire Providers?

    Just looking to discuss the new protocols for no surgical/needle airways and the new transfer protocols that just went into effect sept. 1st
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    Flash Pulmonary Edema

    Arrive to find overweight male with pink frothy sputum, EMTs on scene are trying to lie him down on a backboard. I immidiately stopped this. Patients Vitals were a systolic of less than 80, RR and everything else is also in the dumps. So CPAP is out, Nitro is out. The only two pressors available...
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    No RSI- Teeth clenched from Head Injury-WWYD

    The Short of it. Motor vehicle crash, pt unresponsive, teeth clenched. In ambulance unable to pass any oral airways, NPA placed. Assisted ventilations, patient respirations are 6 a minute without assistance. Opt not to attempt nasal intubation due to likely complications and increased ICP...
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