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They were not normal breaths though. It was clearly distress as each breath was coming from his intercostal muscals and required a lot of work. He clearly couldn't keep that up for long before tiring out. Does that make a difference? @FiremanMike How do the two drugs you mentioned differ from...

T Ok, so that could in part explain the breathing. I have seen other od pts go from fine to sudden respiratory arrest. His was more like a massive drop that then stabilized, although, even with O2 I still don't understand how he maintained 92% at only 8 breaths per minute. My protocol has...

So glad I live in a desert! I really DO NOT do cold. Insulated Contigo water bottle. No spills and lots of hydration. Not sure what it's called but the thing that goes in the cigaret lighter and connects blue tooth to the radio of the ambulance so we can listed to music I really would like...

Yes, If his rr is normal, he is not showing signs of respitory distress and his color is normal 92% is fine. No reason to treat what is not broken.

So how does it help with Opiate addiction?

Ok, I have another one. I was teaching a group of American teens who are here for the year and we got to trauma. I mentioned the thorasic cavity a student got offended!! I explained that cavity was refering to hollow spaces. The student jumped up and said "I'm not hollow inside! Maybe you are...

I just treated my first Methadone overdose and want to know more about it (it's very uncommon here and in 20 years this was my first such case). We were called by a bystander who saw a man he judged to be about 90 who seemed very confussed and was struggling to get into his house. We arrived to...

As an instructor I have been asked some odd thing including "can you use the defibrillator on me so I know how it feels?" And "Wouldn't it be better if we did cpr with our foot?"

Thought I would update. I received the XShears in December and since then have had ample opportunities to use them. They are amazing. They cut through everything including motorcycle gear (he had some kind of mobile airbags on his clothes that deployed but they went straight through all the...

HAHAHA!!

I understand. So we can always see if the call to us came from fire or police or if either was called by our dispatch based on the info from the caller. In fact I can see all other personel on a call (meaning who is in the BLS or ALS ambulance or the names of any first responders who might be...

@M3dicalR3dn3ck PD comes to a call for bleeding even without report of assult?

I agree with E Tank. Did she tell dispatch that it was an assult?

Had a really hard night shift. A woman having a stillborn and a 40 year old man with cancer having a PE after surgery and crying to his mother that he was dyeing (he was right). It's when we are hurting that our care is so important to others. So glad I didn't have a student with me.

How is it the firefighters can fit themselves in the tiniest holes? While I am sure that smaller firefighters exist, most of ours ar the biggest people in the country. Had a call a few weeks ago that a kid got stuck in a tomb and the fire dept had to come to help extract him. The chief of the...

Are there any differences between a lava burn and other burn? Is that something you ever treat in Hawaii or does it not really happen?

Not on the radio but we had a death certification (he had been dead for many hours before we came) and the trainee asked if we should take his bp to be sure.

That makes sense. I'm just thinking about things that we would call for, namely drowning (the dead sea is far from any hospital), trauma/enviornmental and MVA. While drowning and trauma are often (although not always) only 1 pt, a serious car accident can have several pts. I am going to have to...

Got it. Thank you. My only expreiance with a helecopter was taking a pt from the landing place to the hospital about 20 years ago. They landed and brought the pt to us. Now we have landing places right on the hospital grounds so that is no longer an issue. We will call in a helecopter for...

I obviously know nothing about helecopters so please excuse me if these sound like stupid questions but a) if the helecopter is off what difference does uphill or down hill make? b)I though you needed a flat place to land so why would there be an uphill/downhill? Also, if you turn it off to...