nick46928

I whole-heartedly agree with that comment. Unless they decide to try to say something that they think is intelligent and then it doesn't matter how hot they are.

Birth control? She is 82yo. I seriously doubt she is on birth control.

I am open to any rebuttal she has for my post. Once again, everyone here needs to realize that I don't intend for these to be "little outburst" like Dust said. I may come off that way sometimes but I don't have bad intentions. I am not here to make enemies so please don't take it as such. As far as her being smarter than me, I am open to a good debate to decide the validity of that comment.

They have been adjusting my meds lately. Give them some time to get my depakote levels in check and the little outbursts should taper off.

First off, Einstein would b**ch slap you if he was still alive. Second, your "theory" completely ignores decades of validated research on the subject. I realize that this is your theory and that you are entitled to your opinion but even theories have to have some research that supports them, no matter how trivial. Before you say there is no research and that is why it is called a theory let me just say that most of these theories that everyone speaks of are only called theories because they can't be proven correct in 100% of instances. So they are never stated to be a law of physics. Every researcher would insist on some type of plausible evidence to support your idea before they would grant the title of even being a theory. If you would like to do some research on this subject then I would be very interested in the results so please post them. You mentioned elsewhere in your post that there might be researchers working on this currently. If you have links to that info then please post those as well. I try to stay up to date on the latest physics research that they are always coming up with, so this would be of interest to me. Have you ever stopped to consider that maybe you don't wake up before a call because you know it was coming. Maybe it only seems like this happens. I find it much more likely that you probably wake up numerous times a night and don't ever think anything of it when you don't get a call. Your mind rememebers the times that you wake up and then get a call more than when you don't. It only remembers when something out of the ordinary happens. Occam's Razor states that the simplest answer is most likely the correct one. Is it more likely that it seems like you wake up before calls due to some type of time paradox in which a future reality channels back through a time loop into your brain so that you know to wake up, or that your brain just places more importance on times you get calls after you wake up creating the illusion that you have some kind of combination between precognition and some weird time loop that its meir presence would negate a century of research.

Which came first, the chicken or the egg? It could be either.

Duh. That makes sense. I don't know why I didn't connect the two problems. I need to get some sleep. Insomnia is affecting my reasoning.

I thought that atrial tach(or any tachycardia other than sinus tach) was a contraindication for albuterol. Don't want to increase the rate even more.

My purpose of this thread wasn't to gain knowledge of these rare illnesses so that I could identify them in the field, as most of the above mentioned illnesses require more advance diagnostic precedures than those that are at my disposal in the field. I agree that is in anyones interest to have a good understanding of the common before worrying about the rare. It is just out of curiosity that I asked the question so that I could pull information from everyones experience. Thank you to everyone that has added input thus far.

Yes, I would consider that rare enough to meet the criteria of this thread.

I am sorry to anyone that I may have attacked on this thread. I know this is no excuse but I was having a bad couple of days and I guess I kind of projected my anger on to people that were innocent. Again, I apologize to Bushy and everyone else.

Sorry, I am not trying to act defensive. Just a sore subject for me I guess. In the past I have had a lot of people assume I can't do my job because of my age.

Can we get back to the original post, please? Lets stop getting side tracked everyone (including me).

Hey bud, you might want to recheck my age. I am 20 not 17. Just because I am only 20 that doesn't mean that its impossible for me to have as much knowledge as someone older than me. I have spent a lot of time gathering knowledge of medical practice. I am by no means saying that I know more than anyone else. Just don't underestimate my abilities.

Actually I watch "House" on regular basis. But I find it somewhat difficult to watch because of the same reason that I hate CSI. No one has that wide of a scope of practice. The doctors on "House" will be doing lab test one second and then high risk neurosurgery the next. No one person does all of the things that they do on those shows. Sorry for the rant, I am finished now and we can get back to the original purpose of the dicussion. Don't take my admitted lack of experience as a lack of knowledge.

I haven't been in EMS for that long so I am still low on the experience latter. But I was wondering what rare conditions or illnesses that any of you have seen in the field. Not neccesarily just ones that were identified in the field. Any interesting condition is fine. I kind of have a curiousity for illnesses and conditions that aren't very common.

The emergency medical technician-intermediate provider organization shall ensure that all ambulances used for the provision of advanced life support contain the emergency care equipment required in 836 IAC 1-3-5, the rescue equipment required in 836 IAC 1-3-4, and communication equipment required in 836 IAC 1-4-2. The advanced life support emergency medical services vehicles shall also carry the following equipment: (1) Portable defibrillator with self-contained cardiac monitor and ECG strip writer and equipped with defibrillation pads or paddles appropriate for both adult and pediatric defibrillation. This may be the defibrillator listed in 836 IAC 1-3-5(1)(L). (2) Tracheal suction catheters (adult #14 and #18, child #10). (3) Endotracheal intubation devices, including the following: (A) Laryngoscope with extra batteries and bulbs. ( Laryngoscope blades (adult and pediatric, curved and straight). © Disposable endotracheal tubes, a minimum of two (2) each, sterile packaged, in sizes 3, 4, 5, 6, 7, 8, and 9 millimeters inside diameter. (4) Crystalloid intravenous fluids and administration supplies approved by the medical director. (5) Medications limited to, if approved by the medical director, the following: (A) Acetylsalicylic acid (aspirin). ( Adenosine. © Atropine sulfate. (D) Bronchodilator (beta 2 agonists): (i) suggested commonly administered medications: (AA) albuterol; (BB) ipratropium; (CC) isoetharine; (DD) metaproterenol; (EE) salmeterol; (FF) terbutaline; and (GG) triamcinolone; and (ii) commonly administered adjunctive medications to bronchodilator therapy: (AA) dexamethasone; and (BB) methylprednisolone. (E) Dextrose, fifty percent (50%). (F) Diazepam. (G) Epinephrine (1:1,000). (H) Epinephrine (1:10,000). (I) Vasopressin. (J) Furosemide. (K) Lidocaine hydrochloride, two percent (2%). (L) Amiodarone hydrochloride. (M) Morphine sulfate. (N) Naloxone. (O) Nitroglycerin. That is what the Dept. of Homeland Security website link that 4cmk6 posted said on the subject. It says it is for the EMT-I but it was good enough for what I need it for. Obviously all of that stuff is on top of what a BLS truck has to have and there are a few more meds that could be added such as some type of NMB.

Thanks for the help guys. I think I found what I need.

Actually, I have tried doing that but you know how the state is about stuff. I haven't been able to get anywhere with them. I have also looked all over the net including their website and have failed to locate anything.

Does anyone know where I could find a list of required equipement for an ALS ambulance in the state of Indiana? I don't mean suggested equipement. I want a list of the bare minimum that is required by state law. Thanks for any input.

I work at a private service full-time but I also volunteer with the local county services. I agree with everyone else that inexperience is the main cause of unneccesary medic intercepts. Most of the people on the volunteer service do it more as a hobby than a job. So anytime they get something even remotely exciting they are screaming for a medic even though it is a BLS run. I would say that the majority of the time that we get daul dispatched with a medic, if I am on the BLS crew, I will cancel the medic. But obviously if I feel that it is out of my scope then I will intercept. I know my limitaions as a Basic.

I can't really say that much about ssb's because I haven't ever used one in the field. I have only been in EMS a couple of years and I don't even think that they tought us how to use one in EMT-B class. I have never worked with a service that actually used them either, they weren't even on the trucks. From what I have heard about them by the oldtimers, they are a lot more complicated to use and are just a pain in general. I have never heard anyone say anything good about them. You also have to wonder why they were phased out. I am guessing it was because the KED was a superior tool.

I wish I had had that prof when I was in college. Anytime I wrote something on a test when I didn't know the answer that was even close to being like that he just gave me an F and called me a smarta**.

You can't say that anymore now that I posted on this board.......haha, jk.

All that somewhat makes sense. One more question kind of involving that same thing. If Adenosine slows down impulses through the AV node then why is it that it doesn't create something that looks like a 1st degree AV block (or 3rd degree if it completely stops the conduction as opposed to just slowing it down)? Shouldn't the atria continue to fire and there just be a delay at the AV node rather then the patient going to a sinus arrest? (Remember, I am just a medic student so if I am just mistaken about the action of Adenosine please correct me.)