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You're going to have to nail that one down with somebody on the ground there. Modified Detroit can mean different things to different services. If the organization is working with a 'three platoon' system it means One on, One off, One on, One off, One on, Four off. This is more commonly a...

I hate it when the patient fists his presentation! :)

Yep I get why CPAP won't work with a pt who's respiratory drive is absent. I can see where CPAP could be a challenge with this particular pt. (Of course I could see where bagging this particular pt could have been a treat as well). I'm just trying to get more up to speed on CPAP as it was...

For everyone - Why would CPAP not be allowed in overdoses? I thought it was indicated for any non-asthmatic case of inadequate ventilation? After the pt was given Narcan then maybe they aren't an overdose anymore:P Crepitus

Rhan, I do many of the same things as other posters - such as informing as fully as possible, making them aware of potential consequences, etc. I typically stop short of giving them my opinion when the call is 'on the bubble' or anywhere near it. If I believe a person is sick and in...

I paid $200.00 for the pratical exam. There was a $25 fee for each station that you had to retake, paid for with cash on the spot before they let you retake it. (insult to injury so to speak ^_^)

I'm with EMSLaw. Unless we can find somebody who has taken the same test as you are about to take . . . how would anyone know whats going to be on the test. I'm certainly not familiar with all, most or even a lot of the systems out there, but I'm not familiar with any FD that has an...

Don't eat the yellow snow:P Ahh you're in GA, never mind, I got nothing.B) Okay, maybe . . . Be safe, be thoughtful. If your gut isn't sure about what your brain is saying then double check. But don't be the guy that quadruple checks everything. At some point you have to move...

(quoted for the idea, not necessarily as a response to usafmedic who authored the quote) usafmedic and smash have a great exchange going and I'm glad there are folks with their depth in the scientific side of the EMS pool. I'm nowhere near them, though I try every day to educate myself in...

As I recall there was interest in using AVP for trauma (during the 90's maybe), typically it was secondary to the catecholamine vasopressors. There was a Vanderbilt study this summer though that essentially said the use of Vasopressin should be reconsidered in trauma patients as the end...

I don't hear from my right ear. I listen with my left. I struggled with breath sounds when I came up through the basic training. I had an instructor who emphasized that I could start with absent/present then wet/dry. Obviously lung sounds are more complex than that, but get started with...

QFT! and of course IBTL:P

When the results are in the ATT & Payment Receipt page will change. For a pass there will one line that says something like this: Paramedic Assessment Application Summary: Application Confirmation ID: 2XXXXXXXXX Application Created: 9/2/2009 2:23:00 PM (CST) Exam Date: 9/24/2009...

Great reply Smash. And I'm sold on capnography as a tool. Additionally, I see it's particular value in a RSI. I am looking forward to learning this technology more thoroughly. I learned (and performed RSI) prior to the introduction of field capnography. The thought was if a person needed...

"Capnography is the monitoring of the concentration or partial pressure of carbon dioxide (CO2) in the respiratory gases." Above is wiki definition from google. Is that definition any good? IF so would it not also include capnometry? I think I understand how the terms are being used...

Well I would agree with Summit about the tempers and scuffed feelings. It is going to continue to occur. But I don't consider that education. In all my years of formal education I found tempers and scuffed feelings to be an infrequent occurence and even less frequently did they require the...

Having newly returned to the field, capnography is foreign to me so I have a few questions. I don't think it's enough of a highjack to start a new thread so here goes: Doesn't placement of a colormetric device and the use of an electronic device, that generates a waveform, really serve...

I took the test a week or two ago. It had been 20 years or so since I went through the class so I was pretty nervous about it, worked the exam up pretty high in my mind. But I found the test to be fairly easy. In addition to making sure I knew my current ACLS, I skimmed both the Mosby and...

Movement used to be the big one. Haven't run one in quite a while so maybe with the new machines you can let the pt thrash around - dunno.

Sizz, With the 5 month paramedic program, as with any of the programs, it is going to come down to the quality of the students. But with an exaggerated effect. If you are 'green' and pound through one of the accelerated programs you are going to come out green, whereas a 2 year Assoc of...