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What so wrong in vials? Hello you all... For a long time I wasn't here but now I'm back... About a subj.. We(in Israel) we don't have prepared drugs at all... Nothing..Al in vials.. And it works fine.. About amiodarone - I have to disagree with RydRider... Followind ACLS,amiodaron is...

Well...Let me to give advise from far away near east... I have a combined degree: BSN with EMT-P certificate... From my point of view is IMPOSSIBLE to be a good nurse with some kind of "bridge programs"... Differences of working in EMS setting and CINICAL setting are "unbrigible"... With all...

With all respect(and I mean a LOT OF!:rolleyes:)...I thing that heparin (about 100 units in 20 cc saline) is nessesary,aspecial in single lumen LONG catheters... Not one and not twice I saw a lot of embolies "shot off" from a catheter... This ammout of heparine will not have ANY systemic...

In general - most common is contamination.... Very hard to ensure good aceptic conditons on prehospital... Second - air aspiration - Yes...It can happen even on venous site.. Last one,and not less important - nessesary to wash a port-a cath with heparine before use... PE avoiding procedure..

Wow... Glucose enema... Just Great!! I'm impressed!!:wacko: By the way... In my case,I don't need nurse presence when operating with port-a-cath... I'm a nurse ether...:blush:

I'm not sure,that giving D50 IO is a goog idea... Connective tissue necrosis..e.t.c...

Well... PortA-Cath is quite tricky device and good for you that you didn't start to play with... Glucagon possibly can not be useful due to damage to glucogen storages due to liver cancer... But what about centraline? Or even one-shot injection directly to femoral?

Well..We have no CPAPs in EMS in Israel,but regarding my clinical expirience - 5 is goon for initiation...Then - clinically. My other quession is: WHAT SIZE OF AN OXYGEN BALLONS YOU HAVE??!!! CPAP demands A LOT of oxygen and pressured air...How you succes to arrange that ammounts in a truck??

Well... So let's make a conclusion and some learning features... At first,CNS abnormalities (like coma) are NOT common in high voltage AC electrical injures,so I should pay attention to this,but it somehow lost from my memory. I saw cardiac disturbances that common but wasn't life threating. In...

Allways wellcome!! Good Luck!

In addition to what Rid and RedZone said,I would like to add,that I wouldn't try any synthetic opioid on someone that have an ALLERGIC reacting to morphine... The common morphine allergic reaction,is activation,secondary to mu-receptors ,histamine release...So in case of usage of Demerol,I thing...

Egg and RedZone! Great! It was an electrical injury... In about 2000 volts!!... Now.. Why detox???!!! And try to guess what happened next? Sezures are NOT common complication of electrical injury... So what do you thing? I can give you a clue - in general - it was my missattention...

Ok... Some answers: 1. Sores look like... Sunburns... Very clear shape... Same size in both hands. 2.Man dressed as a construction worker - blue overall,metal protected boots 3.Multiply VPB's - in about every 4-5 sec - UNIFOCAL 4.No other injured around 5.Witnesses said that he looks like...

In my opinion,possible liver dysfunction AND misdiagnosed kidney insufficiency... If I remember well - opiates are metabolized by CYP45 and excreted via renal pathway...

As I understand - pt still cianotic,in addition - pt CAN NOT protect his airway... I'm quite not sure about a gag reflext... I prefer to intubate instead of waiting for aspiration... Is there any response for naloxone? If not - I start to suspect for Sub Arachnoid Hemmorage... BTW... Peripheral...

My dear colleagues! Here is another case for your kind attention Call received - 22:30(Just before you finish your shift) Male,Unknown y/o,in a middle of the street,just fell down... Non responding... You arrive 12 min later: Appearance - male,look like 40-45 y/o,laying in the middle of the...

Ok... At first I would like to agree with Rid... Nursing Home is a great place for hypoglycemia...In advance I would like to check his medication and in any case I would gave him Naloxon 0.4 IV(possible some opiate pain killer toxicity)... Support ABC...If no change in LOC - intubate(even if...

This is not correct...Most of Israeli MICU are NOT staffed with a physician... The standart is "2 of 6" or "2 of 8"...That means,that only on 2 MICUs in a region have a doctor on board,of total 6 working...In a bigger regions is only 2 on every 8... In hebrew it calls "NATAN" (with a doctor) or...

RedZone... Flight-LP is right,I refferd to Mobile ICU - I work in one like this... Our AMI protocols include Heparine(4000 IU) IV,Aspirine 300 mg to chew,SL and IV nitrates,if nessesary,and we can trasport directly to CICU(Cardiac ICU) for "Door to Stent"... Usualy,we make an AMI diagnosis on...

Well...Lucky us.. We have cardio cath centers in ALL hospitals... So in case of AMI we just inform and go directly to CICU. Btw... What is the reason to transfer pt from MICU to ED,without option of cath? What else can they do,that you can't in a truck? If you have no cath centers - have...