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Thank you for the replies Thanks guys for the feedback, To answer some commonly asked questions and to clear up a few things is yes a 12 lead ECG was done initially inside the retirement home upon applying the cardiac monitor- sinus tach. The pt had pretty bad dementia and I could not...

Hey all, I want to run something past you all and get your feedback. I'll give you the short version summed up: A few weeks back I was working with my part-time company which is an ALS county service, and was paged to an assisted living facility for a "chest pain" call. Upon arrival we...

Great replies everyone thank you, All this feedback has been great as I've pondered this over and over just to challenge myself and what not. Basically assuming the "driver" is actually driving and we're en route to a facility when the code takes place and or we leave the scene working it as...

How would you approach a "cardiac" arrest with a BLS partner and a driver? How would you keep up with quality CPR while attempting any ALS? One man CPR 30:2 on the BLS provider while you attempt a line and or attach the patches for a rhythm check/shock or quality 2 man CPR until you...

Hey guys, Simple question, how do you or what do you feel is your best method of managing the time during an "in field" arrest. My biggest concern is the time gaps for your epi and so forth on rotation between CPR and the shocks in between working the rest of the code. Yea the CPR cycles...

Hey quick question. I've tried to search but I'm not finding the correct answers or specifically what I'm looking for regarding this : A maximum of 12 hours can be applied from each of the following courses: ABLS; ACLS; AMLS; BTLS; ITLS; NALS; PALS; PEPP; PHTLS; EPC - I've got 12 from my...

As for the IJ or subclavian no I would not be comfortable as for the more accessible umbilical cord from newly delivered 6 pound or less newborn or preterm neonate who's severely depressed and needs aggressive resuscitation I would consider it my last option. I'm not guessing I'm going to find a...

Has anyone preformed or is very familiar with pre-hospital umbilical cannulation? It's in my scope of practice and while I was attending medic school I'm pretty sure I was taught to access the vein directly in an absolute emergency if needed in per say a preterm baby where the IO might not be...

Dan I don't believe you read my reply correctly... I'm pointing out where / how I miss read it while job searching a local opening and how they had it listed. I under it's PEPP now.

Thanks Linuss, I was looking at applying with a local county hospital and one of there requirements were having PALS and or PEEP. That explains why I was having trouble finding info on it ...bad typo to have I'd think. From what I've seen in the replies it's something I'd like to see out and...

Is anyone able to tell me what the PEEP endorsement / certification is or stands for? I've googled it a few times but I'm having no luck finding what it actually means and offers other than it seems to be an option other than having PALS so I'm assuming it's pediatric related.

Thanks Fox, I'm back into the rookie socks for awhile starting my first P job in a few weeks.

80 questions / passed (Paramedic exam).

Passed the written exam I'm official. The real learning can begin now... Good luck to everyone!

Passed the National Practicals with 1 retake (Oral A station) July 1st I'm taking the written!

Thanks you and good luck fast65!

Down from 5 weeks to 3 weeks until the national practical testing and then another 2 weeks after that until I'm taking the national written... now's when I wish time would fly!

Semester final today and overall program final at the end of this week to wrap up completing the national paramedic program. The unfortunate part is we have over a 5 week gap before our practical testing is in our area....it's going to drag.

I was thinking along the same lines Linuss, a good confirmation tool in-case you cannot hear it or miss the initial rush of air. Have you been able to experience this on a patient yet? Would you leave the syringe attached and secure throughout transport or after confirming you have good...

Thanks Veneficus, I'm guessing (as I've never preformed this procedure on an actual patient) that once you hit the pleural cavity with the large bore you will hear a pretty good rush of air? I suppose it would be simpler to just create a flutter valve or use a kit with one already to go...