the 100% directionless thread

[VentMonkey]

My last Toyota (I've owned several) was a 2012 Tacoma with a 6-speed. It was a great truck but I needed something bigger, so I sold it after I bought my 2002 Excursion. Now I'm thinking about ordering a new F-350 or Ram 3500. Never ordered a new vehicle before.

They really are, I have the same concerns with my growing family, I just don't think I am ready to part ways with mine yet, hence my constant pestering on my behalf to get my wife to get an SUV.

I still havw my ccemtp for co

@TransportJockey what does the CO CCEMTP entail? Is it merely an expanded scope? What are the training requirements for that states CCP endorsement?

 

[TransportJockey]

They really are, I have the same concerns with my growing family, I just don't think I am ready to part ways with mine yet, hence my constant pestering on my behalf to get my wife to get an SUV.


@TransportJockey what does the CO CCEMTP entail? Is it merely an expanded scope? What are the training requirements for that states CCP endorsement?

Tbe only requirements are having ccpc or fpc at time of application. Im not sure what all benefits or special skills it has, as i think is service dependent

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[Tigger]

It finally snowed. I'm working an extra shift on a county ambulance on the plains. The fire folks took pity on us and gave us bunker gear and I don't want to give it bacj.

 

[EpiEMS]

It finally snowed. I'm working an extra shift on a county ambulance on the plains. The fire folks took pity on us and gave us bunker gear and I don't want to give it bacj.

I like our extrication coats for warmth...but, boy, are they ugly!

 

[cruiseforever]

It finally snowed. I'm working an extra shift on a county ambulance on the plains. The fire folks took pity on us and gave us bunker gear and I don't want to give it bacj.

We too are getting our first snow. It just happens to be a blizzard.

 

[TransportJockey]

I hate you guys. This 75 degree weather and hanging out on the beach is getting really old

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[chaz90]

Bah. I gave one of my patients 400 mcg IV Fentanyl yesterday and never achieved reasonable relief of his pain from an open tibial fracture. We had it splinted pretty well, but the poor guy was so opioid tolerant he just laughed at all the IV Fentanyl I carry. The worst part is the transport took about 50 minutes and my Ketamine just sat unused in the drug box since I couldn't get orders to administer any.

 

[cruiseforever]

I hate you guys. This 75 degree weather and hanging out on the beach is getting really old

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There are services hiring up here. Come and enjoy having a real change in the weather with the four seasons.

 

[cruiseforever]

Bah. I gave one of my patients 400 mcg IV Fentanyl yesterday and never achieved reasonable relief of his pain from an open tibial fracture. We had it splinted pretty well, but the poor guy was so opioid tolerant he just laughed at all the IV Fentanyl I carry. The worst part is the transport took about 50 minutes and my Ketamine just sat unused in the drug box since I couldn't get orders to administer any.

That is sad. Would they let you try a bit of Versed?

 

[TransportJockey]

There are services hiring up here. Come and enjoy having a real change in the weather with the four seasons.

Lol i do miss mountains and four seasons.. but that's a little far north for my taste. Denver or ada county are more my style... or back to abq lol. If i leave here anyway

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[DesertMedic66]

74 year old female who had a syncopal eipsode. Get on scene and her only complaint is right ankle pain. Run a 12-lead... only 1 mile away from the hospital so nothing I am able to do.

 

[EpiEMS]

Yet another reason to subscribe to Prehospital Emergency Care: "[V]entilating an adult patient is possible with a smaller, pediatric-sized BVM. The tidal volumes recorded with the pediatric BVM were more consistent with lung-protective ventilation volumes."

 

[Chris07]

74 year old female who had a syncopal eipsode. Get on scene and her only complaint is right ankle pain. Run a 12-lead... only 1 mile away from the hospital so nothing I am able to do. View attachment 3203

So for those of those basics like myself who thirst for knowledge......interpretation? My Thought is a STEMI with a massive elevation, but I'm guessing. Also almost looks like a paced rhythm but I see no pacer spikes.

 

[DesertMedic66]

So for those of those basics like myself who thirst for knowledge......interpretation? My Thought is a STEMI with a massive elevation, but I'm guessing. Also almost looks like a paced rhythm but I see no pacer spikes.

Stable Ventricular Tachycardia with pulses.

 

[Chris07]

VTach? Really? That crossed my mind, but I dismissed it since I though the HR would be higher in a VTach. Also, when I think of VTach I think of it to be narrower and not as wide. Good to know thanks.

 

[DesertMedic66]

VTach? Really? That crossed my mind, but I dismissed it since I though the HR would be higher in a VTach. Also, when I think of VTach I think of it to be narrower and not as wide. Good to know thanks.

V-tach can range greatly in the rate. Patient has gone into V-tach twice before. As the hospital was about to hang the drip the patient went into a junctional Brady in the 30 range.

 

[Handsome Robb]

Stable Ventricular Tachycardia with pulses.

I'd argue accelerated idioventricular rhythm with a rate of 114.


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[TransportJockey]

I'd argue accelerated idioventricular rhythm with a rate of 114.


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Smartass

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[DesertMedic66]

Smartass

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Well he's not wrong..

 

[VentMonkey]

74 year old female who had a syncopal eipsode. Get on scene and her only complaint is right ankle pain. Run a 12-lead... only 1 mile away from the hospital so nothing I am able to do. View attachment 3203

With this rate, I'd simply go with a WCT, though there is positive concordance, so yes ventricular in nature I would guess as well.

I get the on scene complaint being R. Ankle pain, but if the initial c/c was syncope can I ask why the 12 lead wasn't performed sooner?

That being said, aside from a full set of V/S the patient hardly seems symptomatic, so probably the standard ALS treatments, unless of course the patient became symptomatic...