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That's what I meant.

I'm not a troll, I'm just not intimately familiar with what drugs are carried on an ambulance. Remember, I am a Cardiovascular Technology student, not an EMT student.

Yes, but if you guys didn't do those interventions while the pt is en-route to the OR, the pt would be going to the mourge, not the hospital. Btw, why don't EMS medical directors have admitting privileges at the hospitals in their jurisdiction, so they can directly admit patients to the...

Nitropress is less selective than NTG for veins. This guy needs stat afterload reduction.

You can *suspect* epidural hematoma if my LOC starts going down and I become confused. Also, if I'm bradycardic and have an increased pulse pressure, that's a sign of increased ICP. If that happens, please administer furosemide and hyperventilate me, for that will decrease the amount of blood in...

Ah. That's highly disturbing. How can I trust paramedics who have such little training if I'm involved in an MVA, and I have a epidural hematoma, rib fractures, tension pneumothorax, mitral regurgitation, and pulmonary and cardiac contusion? Btw, did you read my PM? Are you willing to chime...

His RV is probably pressure-overloaded as well, since it can't pump out the blood coming into it from the RA. Nitropress will dilate the veins, reducing preload, as well as the arteries, reducing afterload. Why don't we do this: Dobutamine 7.5 mcg/kg/min + Nitropress 3 mcg/kg/min + D5W...

Thanks for the comment on my mental skills? What exactly is "the mind of a good paramedic", though? Isn't paramedic school really hard, as hard as my program? Like basically 30% CVT, 30% RRT, and 30% RN? I can't believe you think someone with only a few weeks of CVT training (I'm just beginning...

I've looked for a forum. Obviously, I couldn't find one. It's not practicing without a license if a physician gives you a verbal order to perform a diagnostic test within your scope of practice. Besides, wouldn't you want help from a person who deals with cardiac patients every day to...

The scope of practice for an echocardiographer, given that there is no licensing board (why, I have no idea), is whatever my facilitywants me to do. Some want the ECHO techs to start IVs themselves, other ones will have a nurse come in. More and more ECHO techs are getting certified, and their...

I have spoken with IV certification organizations, and they said I can enter an IV cert. class after I graduate from my CVT program, get employed, and perform 10 sticks under MD/RN supervision. My first IV attempt would most likely be starting an infusion of ECHO contrast or...

But won't fluid loading cause the MR to spit it back into the lungs? Hw fast of an infusion are you thinking; I think it needs to be slow. If only you guys could plug it into your simulated patient mannequin. Then we'd have an interesting learning experience.

Well, some smaller hospitals and physician offices in my area require echocardiographers to be ACLS certified. And the anesthesiologist said INTUBATION not airway management. He said you can learn the PROCEDURE in only 15 minutes; he followed it up saying that it takes months to learn airway...

Then again, I suppose you can learn how to do anything if you pay close attention. It doesn't take long to learn a process...I heard an anesthesiologist say he could teach a 15 year old to intubate in 15 minutes.

Then why is the only prerequisite BLS certification?

Because: 1. I don't know how to set up or maintain IV access, administer IV meds (i know what to use, but I have no idea how to deliver it), or manage an airway... 2. Having the card is important. Who cares how much you know if you can't document it. I'll be getting BLS certified on the...

Nearest cath lab is 45 minutes away. Limit for vasodilators is 90 mmHg. But, since the guy's papillary muscles tore, and he has MR and is going into HF (hence the slight wet rales due to pulmonary congestion, and cool skin due to vasoconstriction), he needs a vasodilator to reduce the...

Well, considering I generally know the indications and effects of many of the drugs used, I can read a rhythm strip, and I understand what do to in case of an MI. Shadowing a cardiologist for three months helps a lot.

I have. I have to be in the program, and I'm currently on the waitlist. BLS is taught in the Patient Care course, and my Mom (former RN) says it'd be good to get certified in ACLS as well. She says doing BLS beforehand would allow me to concentrate more on the patient care aspect, and let me...

Test for whom? Definitely not me. I'm a CVT student...my tests are nothing like this. I made this up, b/c we're learning about myocardial infarctions and how an inferior wall infarct can cause MR or right ventricle infarction, and I wondered how a patient who had both would be medically...