THFD332

He should be fired for answering the first question. Technically not doing CPR on somebody if they need it is Willfull Neglect, and failure to act. Who cares who it is needing the CPR, That guy might be your Father, Mother ETC. Oh by the way....Falsifying a report, everyone has not done it...... I HAVEN"T. What a A hole.

Only 17 months? We had a guy in michigan for one of the services who forged his medic license for 13 years. He went through the medic class but could not pass the NR exam. So he made his own license and gave it to his employer. Worse part about this is, the employer didn't bother to check the online lookup to validate, verify his license. The only reason that they found out about it, is because one of the other medics let his lapse inadvertently, and he notified them about his situation, so they fired him for no license, so they decided to audit everyone elses license, and found the other medic's license was no good. Sad thing about it was he was a damn good medic. I don't know what ever happened with him, except that last I knew he was trying to take another EMT class, probably to get his medic again.

I was just wondering if anyone is using the 100mg vials of cardizem "dry powder" that is to be used as a drip for IV bolus injections. I know the label states its not for bolus use, but I have found numerous items on websites that say they use that, mixed with 10 or 20 cc of NS to make a 10 or 5mg/cc injection bolus. If you are using it how is it working for you, any problems with it and what kind of shelf life does it have dry? ( i have heard at least a year) Obviously after reconstituting it I think the 30day period applies unless refrigerated. Let me know. Thanks Robert Eberhardt EMTP

I am curious, what are your opinions with Medical Control wanting to pull meds from your protocols. There hasn't been an pt bad outcome to call for this but just that it is not really being used that much. Though on this hand, the drug is not being used according to ACLS standards. (oddly enough the exact reason that protocols are being updated!) Currently Cardizem is looking at being pulled, and the only use for it in our protocol is A-FIB c RVR. It is also used in symptomatic pt with SVT but only after cardioversion c conscious sedation and after Medical control permission. Current ACLS states that it can be used p the second 12 mg dose of adenosine if there is no conversion, or if a recurrence of SVT occurs. Any help with this would be appreciated, Also we just had a call yesterday where Adenosine didn't do the trick, and the pt was left to run at 180bpm until delivery at the ED. Any opinions about any medication being pulled, Would you rather keep them and have them available if needed even though it would be rare to use just to have the freedom to use it, or the feeling of being limited in a rather lenient system. Thanks Robert

Funny, I was doing research on cardizem today and came across this from EMS Responder Web Site: http://www.emsresponder.com/print/Emergenc...iltiazem/1$3822 Logistics of Administration Diltiazem will be administered in the prehospital setting most frequently as an intravenous bolus. It is available in both liquid and lyophilized states, although the liquid version requires refrigeration. Therefore you still can get some that does not require refrigeration and the 30 day window!