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    Goals

    Just to start something new and see what good training info pops up. What are yalls current goals? Just finished a cut. Gonna hang out at this weight for a while while I finish out the running and swimming programs I'm doing. Trying to get my split times for both down. Then I'll put some...
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    A flutter rate control

    Had what I highly suspect was a 2:1 flutter recently and wanted to get into the weeds on rate control and other bits since it's been a good long while since I've had a flutter patient. Wanna get yalls experiences and opinions with the various routes and things to look for. Adenosine...
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    Sick person by LEO

    Called by an Sherriff for a sick person at a store. 31 y/o M supine on the ground. A&Ox4, very pale and diaphoretic. Pt was shopping and reported a syncopal episode with a sudden onset of abdominal pain, nausea, and vomiting. Pt reports sharp, periumbilical pain and has difficulty remaining...
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    AMS

    Dispatched for a 93 y/o F who had fallen and was found by her son on the floor. He had been gone for 2 hours. Find her assisted to an upright sitting position. Pt is altered (GCS of 12ish, she isn't cooperating) and usually A&O, no obvious injuries noted. No unilateral weakness, she is...
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    GSW hypotension/brady

    So I ran a shooting today that went relatively smoothly, but he started having problems in the ED and it got me wondering about working with what I've got here and what approaches I have. Should have asked the doc while I was there, but I was trying to get other things done. So 29 y/o M with a...
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    Severe hemorrhage

    I know there have been some older threads, but yall mentioned in the past upcoming changes in your management of these calls and I am curious to see how things have changed since. @VFlutter @RocketMedic We have had two (that I know of or was assisting with) femoral GSW's that led to an arrest...
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    Shortness of breath

    So got thrown for a loop with equipment today. Give me your top guesses without 12 lead since it didn't work til later in the call and I will add it later as it happened for me. 63 y/o m complaining of shortness of breath. Sitting upright, not pale or diaphoretic, good lung sounds in all fields...
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    Unresponsive person

    Dispatched for 69 y/o F in a nursing home. Only helpful notes say poss stroke, unconscious and that she is breathing. Arrive on scene to find pt supine in bed. Eyes partially open, but pt not responsive to any stimuli during initial assessment. Airway patent, breathing a bit shallow rate...
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    Person down/unknown problem

    Called for person down, notes say 66 y/o female on the 6th floor of her apartment. Pt supine on floor with spontaneous respirations, fire has an NPA and NRB at 10 going for what they say was low SpO2 and attempting to get full vitals. Currently only have a bgl which was 215. Dried, bloody...
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    Versed/fentanyl sedation

    I will preface this with yes, I know this is not the most ideal combination out of the overall options, but new system, new way of doing things and this is one of many things I have to brush up on. Now, that being said, for the time being unless I can swing this proposal I was told to put...
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    Labor anelgesia

    So I actually asked this question to a medic in passing that was an adjunct for our class back when I was still in medic school and the response I got was akin to asking if I could poke the baby in the eye. However, I came across this article discussing exactly what I had asked about and it...
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    Modified Valsalva

    Found this, seemed interesting with promising results from the study. Anyone do this personally? http://rebelem.com/the-revert-trial-a-modified-valsalva-maneuver-to-convert-svt/
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    NREMT testers. READ THIS BEFORE POSTING.

    Lots of questions asking the same thing lately. If it answers your question, you save everyone time. If not? Look for it. Don't find it still? Ask away. So. Study tips for the NREMT. 1. Your textbook. Use it. Read the damn thing, that's what it is for. 2. Test preps. I don't know a single thing...
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    Found this ekg set up

    Got bored late last night and was looking around some archives to pass the time. Discovered that Lewis leads are a thing. Dropping this here for your reading/listening pleasure. http://emcrit.org/wee/lewis-lead/
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    Upright CPR?

    edit: double post, stupid ATL airport wifi.
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    Upright CPR?

    Who'd have thunk it? Interesting little article courtesy of our fine Korean friends. http://www.jems.com/articles/print/volume-42/issue-1/features/the-perfusing-cadaver-model-and-head-up-cpr.html?utm_content=buffer7be0f&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer
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    Dual sequential defibrillation

    Skimming the protocols and got to thinking when I came across this part of it. My codes this year were all asystole/pea (peds or just definitely staying dead) so I never really gave it much thought. Who here has actually done this? If the idea is to lower the threshold to convert the rhythm...
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    Post intubation sedation

    So came across a podcast (emcrit) that I will listen to after I get home from dinner with the family, but wanted to get wisdom/advice/suggestions/general bullshittery from you fine folks on this topic. The last two people tubed in my presence were just plain dead, so all I was pushing was epi...
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    Articles worth reading

    I've got 10 hours left on this shift, looking for some good reads to pass the time. Any helpful articles about meds, vents, MI's, or whatever you found informative tucked away worth sharing?
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    What are you listening to?

    In the mood for something new, so lets see what's out there. Started off with some Aaron Lewis and am currently on a Disturbed/Avenged Sevenfold streak. Yall show me something new!
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