Wraith

Ok.....I'll give it a try. How about MAT with a hemodynamic reflex to respirations. Looks like there a few different morph's of P waves with althought minimal variation to the PRI. However minimal there is still variation. Looks like the rhythm speeds and slows with what could be a respiratory rate association. Normally I just lurk and read but thought I'd get in on this one. Be gentle.

Do any of you work for a ground EMS organization that has in its protocols placement of NG or OG tubes? If so would it be possible to get a copy of that protocol? I am looking to present this to our medical director for implementation. Thanks in advance.

God that's what I love about this forum. You ask a simple question and there are not quick, one sentence answers. The combined knowledge and experience of the readers and posters makes this a great place to burn time. Thanks for everyones time and answers.

That's it!!!!! Prinzmetal Angina. Thanks guys. That was bugging the %^&$&* out of me. You know how it goes.

I know there's an actual name for this condition but I cant for the life of me find it in any searches that I have done. It's not that big of a deal but it's just something that's been bugging me for the past few days. Does anyone know the name for this? Thanks in advance.

Normally what I do is hold the IV bag lower that the IV site and see if blood runs back into the IV line. Then I raise the bag back higher than the site and the blood runs back in and the line clears. Then if I am satisfied with the results of this small test I perform my administration while watching the site for signs of extravasation. I've used this technique for 14 years now and have never had a problem with it.

What a messed up situation. I truly feel for you guys. Right place at the wrong time. Does your organization utilize combitubes? Have found them to be wonderful in situations like this. As for the Wide complex tach, it could have been caused by any number or combination of things ranging from hypoxia to severe head injury to traumatic injury to the cardiac muscle itself. The point remains the same though. There wasn't much that could have improved this kids chances for recovery. Don't beat yourself up too bad.

My department uses the F A S T One and has had a good bit of success. Of course, there are the occasional situation where failure was imminent using this device. Such was the case of an elderly lady with severe osteoporosis. It shattered her manubrium. However, she was a med-code and due to a vast PMHx had practically a nonexistent vascular system. Was worth a try. It does look rather midevil but isn't really as bad as it looks. In fact the training video that comes with it shows the doctor that helped to invent it having it used oh him while he is conscious. There are a series of large needles in a circular pattern surrounding a 16 gauge needle. The surrounding needles do not enter the body but are there to measure the depth so that the device can correctly place the single 16 gauge that does enter the manubrium. It is not a gun. rather it is placed by the arm strength of the provider alone. There are no spring action or mechanical parts. Our protocols have implemented them by first attempting IV access either 2 attempts or 90 seconds. At first the ERs in our area looked at us kinda funny when we would bring a pt in with this in place but latter they became quit fond of it in the absence of IV access. When we do use one we tape the tool for removal to the IV bag so the ER can remove the device if needed. We do continue to attempt IV access at convenience throughout the rest of the call. But the F A S T One is exactly what it says. FAST and very easy to place. But I must admit if given the choice between the F A S T One and the Easy IO I believe I would opt for the latter.