IN2B8

Looks like you need to run a 12 lead just to see the whole picture. Then look in lead V1 to see if the deflection is Pos. or Neg. (Pos. = RBBB Neg. = LBBB by Bob Page) and the QRS is greater than 120ms. to see if you have a BBB. This is the best lead to see if you have one, R wave notching is not always the best sign for a BBB.

Littmann Cardio III. Tried the Littmann 3000 electronic scope and didn't like it in the back of the truck sent it back.

What methods do you use to warm your IV fluid. Also does anyone know how long to put a bag in the microwave to heat it?

CW

Don’t aspirate 3 times but do a 10cc flush NS to make sure the line flushes good before administration of the D50. If you can only get a 22ga. you can dilute the D50 to D25 and it will flow thru a smaller ga. easier. I always believed that you had to have a large IV to give D50, but I was working with a medic of over 20 years and she gave it thru a 20ga. and I thought that the Pts. arm was going to fall off. Not the case she sad she had given it this way for years w/o any problems just have to push it slow. Also when you give it do you hang NS or D5W? .

Has anyone given D50 thru a adult IO? Is this possible?

Does everyone carry Glucagon as a backup?

What would be wrong with pulling 50cc out of a 250 bag of D5W and putting the D50 in and using a ten gtts. set, and giving it that way thru something as small as a 22-24ga. Just keep good check on BS and shouldn’t be a problem, it may take a few min. but the Pt. is getting the meds.

CW