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    Nebulized Saline for Stridor

    No protocol for nebulized l-epi at my ground job. Only to consider nebulized saline for croup. You guys are already aware of which state I live and work in, lol.
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    Nebulized Saline for Stridor

    The protocol for my ground job is nebulized saline for croup. We don't have carry racemic epi or decadron. I actually just used this protocol a couple of weeks ago and it seemed like it worked great. When we got to the hospital, the doctor then told the parents about how nebulized saline doesn't...
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    the 100% directionless thread

    I worked at Wing Stop and Baskin Robbins before I became an EMT.
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    Which Bay Area IFT company should I work for

    I used to work in the Bay Area. In my opinion, there isn't anything that makes one stand out more than the other. I think if you closed your eyes and picked at random, you'd be happy with whatever the EMS Gods chose for you. If you want to pick, that's totally fine too.
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    PCR/Billing question regarding consumables

    I've seen this done. Some places have you list every single thing you use eg 18G, flush, alcohol wipe, lock/extension, tegaderm, and tape. Some of them have them lumped together eg IV start kit. When they are lumped together, it is a lot easier to do. I assume that people are more likely to do...
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    I’m certain I didn’t pass

    So did you pass?
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    CCEMTP Recert question

    Might vary by county then. CCP-C was not good enough for the county I applied to. They wanted CCEMTP with clinical hours. They said flight experience did not count.
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    CCEMTP Recert question

    I think California requires CCEMTP plus clinical hours.
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    the 100% directionless thread

    That is an understatement. :(
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    the 100% directionless thread

    Nice dude! I got a huge pay increase going back to the ambulance, but I also just came back to the ambulance in time for an even bigger pay increase that only current employees got. Had I gotten hired like a week or two later, I wouldn't have had such a nice pay increase. I would've been paid...
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    Can we talk about these ketamine doses

    pain 0.1-0.25 mg/kg post intubation sedation 0.5-1 mg/kg RSI 1-2 mg/kg excited delirium/behavioral 4 mg/kg IM Works as intended. I personally haven't had any major issues with it. I don't prefer it over drugs. I don't see it as any better or worse for things like RSI or pain management. I feel...
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    Controlled Substances

    700 mcg Fentanyl (100 mcg/2 ml x7) 25 mg Midazolam (5 mg/5 ml x5) or 40 mg Midazolam (10 mg/2 ml x4) 1,000 mg Ketamine (500 mg/10 ml x2) 8 mg Ativan (2 mg/ml x4) Our protocol for Fentanyl and Ketamine are both weight based. Fentanyl 0.5-1 mcg/kg max single dose 100 mcg. Ketamine pain 0.1-0.25...
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    Controlled Substances

    @DesertMedic66 Do you mean 5 mg/ml Versed vials? Ativan concentration is usually 2 mg/ml.
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    the 100% directionless thread

    Where was it at? Too bad I am hearing about it now otherwise I would've tried going. Funny you say that. The place I got hired at is the very first paramedic job I applied, interviewed, and got a rejection letter from like 8 years ago. I might be going per diem at the flight job. I am not...
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    the 100% directionless thread

    Today is my last day doing flight. Makes me sad. :(
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    the 100% directionless thread

    Seems like everything is official. I am going back to ground in California. Been talking about it in the chat a little bit, but haven't made a post I don't think. Very sad about the scope and no more flying, but looking forward to the lower temperatures, being closer to home, and California pay...
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    Thoughts on King's American Ambulance in San Francisco?

    Nope, I have no specific info on King.
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    Thoughts on King's American Ambulance in San Francisco?

    Just put it in. I imagine that if you apply to every single job opening in the Bay Area, you are only going to hear back from a couple of them. You are probably not going to be offered a job with all of them. If you work 911 in the Bay Area, you are going to deal with a ton of homeless no matter...
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    the 100% directionless thread

    I did a bunch of burgers and hot dogs for 4th of July. That was fun.
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    the 100% directionless thread

    I like Seattle. I hope to go back soon.
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