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drip rates and drug calcs The idea of the laminated cards is awfully handy.... Here's a tip also (once you're out on the road): Make some large easy to read charts of common mixes / dosages and stick 'em to the wall in the back of the rig. Also I've seen services use colored tape on the...

Wanna intubate? Go to Paramedic school. Otherwise use the (numerous) tools already out there, such as Kings, Combitubes, simple adjuncts with good BVM technique et al. It's hard enough (and getting harder) to convince Anes. to let medics intubate with the stats we're seeing, let alone...

yep worked in new orleans for a time - definately some strangeness there. I have a mental picture of an aged RAMBO in a wheelchair with his O2 flamethrower...

No FD or private CC services around here - one was tried in Kansas City area some time ago, but flopped for reasons I'm not aware of (maybe due to some of the reasons we've discussed perhaps?) The hosp. based units are usually made up of what I call 'the usual' crews -...

4+6=12?!?! 3 leads (limb leads) I, II, III 6 Vector leads - V1-V6 3 Augmented voltage (aV) leads - aVR(right), aVL(left), and aVF(foot). 3+3+6=12 views the green RL (right leg) lead is there for the aug leads, these leads are a summation of the other leads, and essentially form a set...

...the phrase "all broad sweeping generalizations are wrong" is itself a broad, sweeping generalization... that's why the smiley face is next to it - didn't mean to offend. I don't know where anyone's getting a CCEMTP patch in 8 hours, but the programs are very closely monitored by UMBC (the...

Lassie come home... ...still laughing at rid's When the over-excited ones are frantically trying to tell you what's happened, just pat them on the head and say, "What's that, boy? Timmy fell down the well?"

tacky I agree there should not be smoking in the bus - very "mother, jugs and speed"ish, don't ya think?

Ramb'O2 HOLY SMOKES! :P (sorry, that was too easy) We've got to hear the rest of this story...hope no one was hurt tho

Was just sitting around chatting with some old salty EMS veterans about all the changes we've seen in treatment over the years. Some of the things we did a few years agod would get us in mucho hot water today (or at least looked at awful funny)... Some examples I could think of: - Wide...

Well I definately agree with your point on PASGs. And thanks for clarifying (long-term outcome vs. pain control). I think the difference here is with PASGs these patients almost always ended up in surgery, where research and studies have a lot more consistency and reliability; where a...

For the record, I DO work side-by-side with RNs for a CAMTS certified Helicopter Service, and I am not implying that all paramedics are equally proficient at their jobs - nor are RNs, MDs, short order cooks or dog catchers, for that matter. My question is: why aren't the "many" paramedics...

As far as the "hypotensive hemorrhagic trauma patient with coexisting signs and symptoms of TBI with regards to MAP and suspected ICP" question - what s/s are you referring to? Specifically, are they showing s/s of herniation, or just LOC changes? For now I'll assume the worst :) The...

wow rid just gave me a paramedic school flashback. yuck. I don't think I would waste time or money on a math class, unless you find it hard to figure out the 15% tip on your quesadillas. The best advice is, do it how they tell you in class, and don't listen to the 1,400 paramedics who...

It's always a good idea to really brush up on your cardiac A&P before taking any 12 lead class - having the physiology fresh in your mind will help you understand the different types of MI and their associated 'quirks'. Also, not sure where you're from, but here in MO Bob Page teaches an...

A couple ground services RSI in central MO, but I'm not too sure about the rest of the state, and as with any invasive procedure, should be monitored closely by medical directors. The medics I work with are able to set up vents, change drips / rates, know what and why they're pushing and...

12 lead ECGs can only accurately interpret axis (the predominant direction of the flow of electricity through the heart) with the LIMB leads on the limbs - deltoids and thighs are fine for this - axis determinations are vital in diagnosing hemiblocks / fascicular blocks of the bundle...

hey there - don't feel bad, just practice.... I've been doing this for 12 years, and 3 years of that was spent on helicopters only...probably 90% of the time peripheral IVs were started prior to our contact with the patient, and the ones I did get to start (outside of clinicals) were big ol'...

MI = ischemic tissue ischemic tissue = irritable tissue irritable tissue = arhythmias ...and while ntg may only help perfuse an ischemic area of the heart 'temporarily' (in AMI), it is absolutely necessary to maintain function of the affected cells until they can be surgically corrected. I...

for some reason your post didn't show until after i replied...thanks for the update btw - do you know if they had to replace the blades? $$$ouch$$$