Posted 18 December 2012 - 08:45 PM
Posted 18 December 2012 - 10:04 PM
I always end up trading the ER LP's until we get back, but that is the nice part of working remote EMS, we always return to the same community, and have trust between agancies.
Posted 19 December 2012 - 01:25 AM
Posted 19 December 2012 - 01:33 AM
Posted 19 December 2012 - 02:05 AM
Posted 19 December 2012 - 08:47 PM
What do you do in the event that you are called to do a transfer of a patient whom is already being paced by your hospital? (Also... anyone know why my "return" key won't work on the city?? Not windows 8 compatable?)
It's not something I've ever encountered and likely never would. If we're pacing someone here they'd go straight to a distant CCU after stopping at our local hospital. Once we arrive in the CCU they have a completely different setup and therefore we have to d/c pacing and they put theirs on.
Edited by mobey, 19 December 2012 - 08:49 PM.
Posted 19 December 2012 - 09:38 PM
I've tried to suggest that we just take theirs and we leave ours, but it's too complex for them and they don't wanna learn how to use it.
Edited by Arctickat, 19 December 2012 - 09:43 PM.
Posted 13 January 2013 - 12:44 PM
I've seen them call in cardiology and have a trans venous pacer put in place before DCing external pacing.
Depends on the facility but most will just start a transvenous pacer in they truly need to be paced.
Posted 13 January 2013 - 03:52 PM
Posted 26 January 2013 - 10:09 PM
What is the process to change over to the hospital pacer following transport? Scenairo - in the field, find a patient in symptomatic brady, no response to medications, initiate pacing with good electrical and mechanical capture using the Lifepak 12. You arrive at hospital and the ER wants to continue to pace the patient. The ER also has the Lifepak 12, how do you switch Lifepaks and pads without losing capture?
Do you have the strips by any chance? It's so rare to see true electical capture achieved in the field I'm sure we'd all learn a lot from the case. In my experience the ED physician wants to see the underlying rhythm anyway. I remember on one occasion the pacer was turned off and there was (almost) nothing underneath. They turned it right back on and took the patient up to the cath lab with our LP12 attached. Not sure what happened when they got there but one of the nurses brought back our machine.
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