Search results

The most shocking piece of the videos, at least to me, is the Union leader saying the people are not well served when calling 911. He was then asked if you are safe when you call 911 and he says "I think you are rolling the dice". Wow! To have a Union leader saying that about his own...

That's about 276mg/dl for those of us who are familiar with that format.

Our protocols for it state pt must have HR > 60, SBP > 100, then you can do 5mg IV over 2 minutes followed by 5mg IV every 5 minutes to a max dose of 15mg. If HR drops below 60 or SBP below 100 you stop administration.

I haven't had our training on it yet, I have it this week. I will let you guys know more about the standing orders and when/how we are intended to use it. All the info I have on it so far is second hand from others who have had the training.

I wish I could give you an answer. Our medical director swears by it. We've been doing a trial run with select individuals (I was not part of that as I don't work the streets often enough), and apparently the results have been outstanding. I don't know if they were doing the trial run for...

We do nitro drips and/or dilaudid.

Anyone use it? We are dropping morphine and going to ketamine and versed for pain along with a variety of other things. We still have dilaudid as an alternative, but morphine is out the door.

I'm going to refrain from saying too much as there's a lot that could come spewing out of me right now. I'm a nurse practitioner. Suffice it to say that I teach at a Big Ten medical school and the "molecular biology" that is taught there is not a comprehensive class by any stretch of the...

If you hook your NS up to a pressure bag it flows very well. Be careful with a conscious patient though as (at least in my experience) the insertion seems to be no more painful than an IV, but the administration of fluid is extremely painful. I always give 1mg/kg of lidocaine (up to 50mg)...

You are right. I guess I didn't explain what I meant well. I was trying to say that if you have a patient who is conscious (as documented by your initial assessment on the PCR) yet you administered the D50W IV, you could, in theory, be reprimanded for that as our protocols don't allow you to...

Our protocols actually read: "If conscious, consider administration of 50 ml of D50W orally or 80 gm of an oral glucose solution." Then it goes on to say "If patient unable to take oral fluids due to altered level of consciousness consider:" We don't carry oral glucose solution, but some of...

I give it PO quite frequently much to my employer's dismay. I'm not sure how familiar all of you are with billing, but you know that treating and releasing a diabetic is quite common place. IV + D50 gets pt a bill around $500. D50 PO gets pt a bill around $200. This is significant for older...

Short answer is yes. Long answer is that it's up to each individual organization. EMTALA does not define who must perform the exam other than to say a "qualified medical person" and it leaves it up to each organization to define that as they see fit. Physicians are the obvious choice, but...

I don't know who made that decision and it's not a well advertised fact. It's not something I agree with (having my Ph.D. in cell biology), but it is what it is.

Anatomy and micro they can do by distance but MUST come for the laboratory part. Physiology, biochem, pathophys, histology, cell bio, etc. can all be done at home if you so choose.

I'm curious...when did this standard take effect? We stopped carrying Nitrous about...5 years ago? Maybe longer now, I can't recall for sure, but it was due to cost. When we had it, it was in a bag similar to the portable O2 bag, just with a smaller tank. There was only one tank and it...

I feel like I'm playing devil's advocate with you today AJ, it's really nothing personal, you just have been the last one to reply to a lot of posts I'm reading. The medical school I teach at does not require students to attend any class sessions besides anatomy lab and microbiology lab...

I'm highly embarrassed to admit that my ALS service carries EPI-pens instead of a multi-use vial of epi because they are that terrified of a lawsuit. We never made the mistake of using 1:1000 when we should have used 1:10000, but we still made the switch. Just for reference: Epi-pens cost...

I'm going to echo what has already been said. Unless the hospital is significantly closer than ALS care, you should stay on scene and provide GOOD CPR and shock if indicated by the AED. Here's an interesting tidbit. Despite all of the research that has been done, all the drugs that are...

I strongly disagree. Ever had a patient who by mechanism of injury fits the serious or critical categories but is refusing to go? These are the patients that even if you talk into going to the hospital will downplay the severity of the accident to the hospital staff, potentially missing...