MrSpykes

Open his airway using jaw thrust give him two breaths with the BVM. If breathes went in fine do a rapid trauma survey and then log roll him while checking his back onto backboard give him extrication collar. Bag him at twelve a min. Check lung sounds and vital signs(P,R,T,BP,BGL, pupils, O2 sat) Move him to the truck. put him on monitor and get a large bore IV with NS at TKO. Lets boogie to the ER. Cut off all clothing reassess with head to toe survey. Keep him covered with a warm blanket He is getting tubed and check his capnography. Give him half dose of narcan and see if that improves his status at all. I dont want to give any sugar yet because of possible head injury i want to know his BGL first.

I am a paramedic student now and in my class there is a wide range of expeirence levels. There is a couple who have been in the field 5 yrs., a handful that have been EMTs for 1-2 yrs., a few who have just gotten their basic cards and even a few yet who are taking their EMT praticals this weekend. You can definatley see the difference. For the most part the people who have been on the street are doing better. Its one thing to be told what a pt is going to present like and another to have seen it before. Expeirence is a great way to get ahead in the game. A good way to get expeirence is work for a transfer company that also does some emergency calls. that way you can get a lot of pt contact in a small amount of time. The transfers are great for working on basic skills like geting vitals assements and building pt rapport and having an actual emergency evryone in a while helps you to get expeirence in some of the procedures and giving radio reports. Take a year to get good at ur basics then make the jump. As far as EMT-I's go i don't understand that and my girlfriend is an I. If you are going to go that far why not pay the extra money and go the whole nine yards and go to medic. There is only a handful of things you won't be taught and then you have to go through a lot of it again to get ur medic unless ur area offers a bringe from intermediate to paramedic. Hope this helped. Patrick EMT-B Paramedic Student

Personally I would never wear a helmet. How am supposed to recheck a BP or lung sounds if I have a helmet on. Well i guess a bicycle helmet wouldn't be that bad but if it was like a motorcycle helmet or a helmet for chopper personel forget about it. And can you imagine how hot that would get in the summer months. I agree lets work on making the rig a safer working enviroment. Patrick EMT-B Paramedic Student

Check pts pupils. Is the pt still breathing effectivley on there own or is there some suppression. If there is any evidence of increased ICP think about pushing some mannitolto draw the fluid out of the head. Pt is gonna get a tube. With that pressure and heart pt is gonna crash soon I would RSI them. If it doesn't seem like an increase in ICP maybe use some vasopressin to get the pressure up and the HR down. Whats the pts skin color and quality? If it is pw+d it is probably going to be neurogenic shock. Can we use a capnograh to see what the CO2 is doing as far as too high or low. The CO2 might explain the autoregulation problem with the pressure. Could be throwing off acid base balance. Patrick EMT-B Paramedic Student

Is she on any diuretics? Does she have a fever or anything. What are her lung sounds like. I am thinking maybe cardiogenic or septic shock. Does she have a history of HTN. Could be an arotic dissection. Patrick Indiana EMT-B Paramedic Student

I have been a EMT-B for a year and now I am in school now to get my Paramedic associates degree. I also wanted to bring to everyones attention a cert that only Indiana recognizes of Advanced EMT-B. They are allowed to start IVs and use the heart monitor but can only interpret normal sinus, sinus tach, sinus bradycardia, v fib, v tach and asystole. Patrick Indiana EMT-B Paramedic Student