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    Partners who think they are the hospital.

    Sorry meant to say example not term.
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    Partners who think they are the hospital.

    Right, I understood and agree just using "movement" as a general term. No argument just responding to the original question in your post as to why movement could possibly cause an arrhythmia. With pt moving themselves or otherwise.
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    civillian vs military trauma treatments

    I think the idea that a 4-year degree automatically makes someone a professional is optimistic. I agree.
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    Partners who think they are the hospital.

    You don't understand how movement would effect cardiac irritability? Yes the heart will always get its blood first but if the amount of oxygenated blood being delivered to the heart is decreased then having the pt. move will increase myocardial oxygen demand increasing workload on the heart to...
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    Bgl

    Had a pt. that I measured both on to prove a point to a student. Measured blood from the IV and blood from finger and there was an 8 point difference with cap blood being higher at the time. Pts venous reading was 54 and capillary was 62. Pt was diabetic with complaints of same. Did this for...
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    Taking vitals - dumb question?

    Personally I check blood glucose when there is a hx of diabetes, complaint that might affect Blood sugar. and someone presenting with s/s of hypo/hyperglycemia. Everything else I make it a point to check at sometime during the trip as a habit so that way when I need the information I don't have...
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    Partners who think they are the hospital.

    I can see starting tx in the house especially for someone that hypotensive but not waiting for 500cc of fluid to finish. The is a little validity to his arrhythmia statement like maybe a sinus arrest or she could go into a v-tach or have a few PVCs. I would wanna know her hx and I believe you...
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    Measuring blood pressure

    Those initial flickers are the movement of blood past the pressure in the cuff. However, the reason you don't use those as a measure is because when you see the flicker and hear the pulse that is the "true" measure of the pressure in the artery that allows blood flow distal to the cuff. The...
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    civillian vs military trauma treatments

    Is this your opinion that soldiers in the military are not professionals? I would like to know the person that told you that and what military they are in. A degree absolutely does not make you a professional. As you stated the ability to understand and practice among other things make you a...
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    civillian vs military trauma treatments

    Regarding trauma treatments, I didn't know that you'd need two tourniquets for a thigh. Is that always true? Also, any thoughts on the SWAT-T tourniquet? I've been looking into different TQs, and it came up as an inexpensive, effective alternative to the CAT and MAT. I have never had to use...
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    Hypothermia cases

    I think your right. Didn't see that, long day. Thanks
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    Paramedics working in a hospital

    Army Medic 10 yrs. what the other post said excep, talk to your recruiter. Have been a civilian Medic for 5 years and have worked on the ambulance and in the ED. I made about the same doing both. 34-36,000 before OT. Look to see what the scope is for paramedics in the ED For some places it's...
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    Dream exchange program

    In America. I really like working at MEDIC in Charlotte mecklenburg co. Other than that. Israel. And anywhere in south America if I could carry an assault rifle.
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    Hypothermia cases

    I am a paramedic in Charlotte and of you haven't already and are looking for prehospital hypothermia cases most services in NC have therapeutic hypothermia in their protocols. Most after ROSC but some before ROSC. Just call or ask around. Hope that helps.
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    30yo female code on a BLS transport w/ possible seizure activity.

    Also, what test were preformed at the referring facility?
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    30yo female code on a BLS transport w/ possible seizure activity.

    One, awesome original post and sounds like a really good assessment. I don't remember reading why this was a BLS transport and not an ALS? I'm not sure how the transports go where you are from. But would've thought that to be an ALS transport before the arrest.
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    Racemic Epi

    Other than it being more expensive it is an isomer to epinephrine. Or it just has a different chemical arrangement. It still works on alpha and beta cells but slightly beta 2 specific. I have used both and see no obvious difference. Had the same question and after some research that's basically...
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    A fall that the hospital gave me grief about

    I am fairly new to all of these post but like a lot of what I read. A lot of very intelligent and dedicated people in this profession. With that being said here is my two cents. I think that with the given information it was appropriate to restrict spinal movement. There are a lot of things that...
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    A-Fib in WPW

    Never heard it explained that way. It does help thanks.
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    civillian vs military trauma treatments

    I have worked in civilian EMS for 4 years now and was a medic in the army for 10. I have had to use tourniquets on multiple pts. In the military and have never had an incidence of extremity bleeding that I nor a partner of mine were unable to control with "basic" methods. I personally don't...
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