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Disected bronchus or perforation is my thoughts as well. Probably more common with a signifcant traumatic MOI but wierder things have happened. Nonetheless, every PPV filled her dermis like it was a big pleura. CXR reveal anything? Have you ever intubated a trauma Pt and not been able to...

Maybe I should rephrase that statement. "Anyone who has worked in a large EMS system for any significant amount of time".... Ok, that's better. And I believe the original poster has already stated that his alcohol offenses are considered infractions and not criminal behavior. Does getting...

Hi Tom, I have a great TCP strip of an unstable post cardiac arrest STEMI Pt, with an underlying high degree HB, that I flew to the cath lab about 4 weeks ago. I will get it scanned and post it to this tread but it will be a few days before I can do so. I will say that the Pt wouldn't of...

I don't recall him stateing he was considering EMS as a career and how do you know he has absolutely no clue about EMS? He must know something about it or he wouldn't be here with his inquiries. Maybe he's looking for a stepping stone or a starting point in life. He's obviously looking to...

Getting your NREMT-B should be enough. If an employer has additional requirements, they may hire you and then give you additional time to gain anything else they may require. As far as your "wild night" as a 20 y/o kid. Will it possibly effect your possibility to gain employment?? Well...

It sounds as though you are doing well for where you are at in your training. I would attribute some of your "end of the day amnesia" to fatigue and mental drain. I would worry too much about this if you are doing well on your exams. You wouldn't be scoreing so high if you weren't retaining...

I fly in a RN/MEDIC system and we typically trade off on Pt care. Our system doesn't have a policy as to "who's in charge" or who will make the Pt care decisions--there is no dictator and we both sign the chart. Some crews have developed their own systems as to what works best for them...

When it comes to testing, you need to make sure you jump through the hoops they are setting out for you. If they say no breath sounds in the primary, then that's what I'd give them--or vise versa. Real world; I ALWAYS listen to breath sounds on every patient--even a sprained ankle...

I don't think it's ever easy to say "I'd do exactly this" but here are some of my thoughts in response to your thread and the other replies. What was causeing the runs of PVC's? Hard to say, it could be many things. Could you of treated it with any meds? In my opinion, no. You stated the...

In my opinion, it's hard to go drastically wrong if you work off of your protocols, support the ABC's, contact medical control when needed, and last but not least--"first do no harm".

I recently attended a critical care seminar where Neurosurgeon Peter LaTarde spoke. This question came up in the use of RSI and Dr. LaTarde said that there are no studies or evidence that the use of Lidocaine decreases ICP. He wouldn't state that it was "helpful" but he did say that there were...