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What are you sedating them for? RSI, cardioversion, pain? I've used it with success for concurrent sedation for patients with larger injuries such as long bones, joints, backs. Have not used it with anything else. Obviously watch for respiratory depression and a drop in blood pressure. Using...

Ask your QI/QA what method they prefer. I always used SOAP back when I still used paper reports. I loved chronological but my QA/QI department has since forced SOAP on us. Lame.

I received some sage advice from a retired LEO turned part-time EMT to fund his excess fun spending. This advice I know has been given before but the dude seemed generally very happy and had the track record of emergency service employment to back it up. He told me that you need to not only...

Was she very athletic? Ive heard about increased automatically of a ventricular pacemaker causing accelerated idioventricular rhythms in an athletic heart. I don't see why that strong pacemaker couldn't happen in the AV or lower atria like others have said. Possibly increased vagal tone?

I get what you're saying and I think we can both agree that every situation is going to be different. Hashing out the generalizations I made in my first post defiantly do not stand up to individual cases. If i give someone pain meds I have a stronger belief that the pain is real vs they are...

How is providing someone in pain a dose of fentanyl not a significant improvement over not treating it at all? What if you're wrong? Yes, "small" is a relative term so let me specify as 50 mcg. Which to me is small when compared to my allotted max cumulative dose of 500 mcg. Pain is defiantly...

Think about the secondary assessment as assessing other body systems to help rule out or come up with differential diagnoses. If the patient is complaining of chest pain think of why that pain is there. Cardiac? musculoskeletal? Respiratory? Just with that example you should have assessed 3...

At the end of the day their not my medications. If I think the patient is seeking ill toss them a hot or cold pack and maybe an NSAID just to cover my ***. If their a bit more convincing I will give them a small dose of fentanyl. Fentanyl wont last long and will not provide them the "fix"...

You can take the class in an hour online for $30. I would suggest doing it asap as to not slow down your cert. I doubt it would bar you from applying since it is so easy to get. However if you don't have it done any the other person applying does...

Yes.

In Washington especially Pierce and King counties you will be limited to private 3rd service companies like AMR, Rural Metro, Falk, and Tri-Med, or Olympic Ambulance further west. The pay sucks 11-13 /hr depending on which company you choose. Each company offers their own shifts which is a...

Delete all of your online posts about this incident especially the ones where you admit a "lapse in judgement" and how you "were out drinking." Get a lawyer.

I think littman has a new stethoscope attachment for CO poisoning.

REMSA in Reno, NV which is just a few hours east of SF has a decent system. They are very busy and you are the lead medic on all medical 911s per county contract. Starting pay is around $18. Good benefits including medical, dental, vision, matching 401K. They are also pretty much always...

A private is a private is a private.

I had my EMT-B cert in WA for 6 years before getting my medic cert (in washington) but working in another state for a year. I have since moved back to washington and have been waiting for a month to get my EMT-P even though I still hold an active EMT-B cert. I've called the DOH several times...

Get your Medic and there are a lot more opportunities. However, a EMT-B makes about the same or even more in King County then a private medic outside of King County. If you want to make a decent living working EMS in Washington you have to either go fire or win the lotto and get on with King...

PHTLS 8th edition. page 221

Getting a patient turfed on you? Legal and even preferred business in some systems.

Get your food handlers permit and liquor license and work in a bar. Good pay, flexible hours, attractive co-workers. Perfect way to put yourself through school.