Kiwiology

Puseless VT = cardiac arrest, quick, get the deflubberlator! Unstable VT = VT causing physiological abnormalities (shock, CCP, ALOC etc) Stable VT = VT with no abnormal V/S or altered haemodynamics

Most reality TV is scripted drivel that I wouldn't lower myself to watch although I am partial to COPS and T:LIER. Oh, and desperate housewives, is that real?

Wonder if you will be working in one of these

Chest pain, diff breather/asthma/COPD and "unknowns" are probably what we get the most.

Hmm what about a polyphonic siren ringtone? New Zealand Fire Rescue has some

Now that's pretty darn cool; and I thought the old timer at our station who's been with us since 1972 was a record. guess not

Horseshit! When I used to work there we violated operating standards every second of every day; not that we did it purposefully to break the rules but the rules are unworkable especially when you have 100 customers an hour. The sinks we used were maybe four feet by four feet and about two and a half feet deep; hardly the kind you can have a bath in .

Only two times when I flt really sad and had no idea what to say or do; one was a threatning suicide and the other was a rape

We were told that the company had list of "appropriate" places to have sex, needless to say, the bunk next to mine while I am sleeping is inappropriate. Personally now, well there was this one Friday morning .....

very funny

Same here, if you're doin 60 in a 60 zone every bastard up your ass gettin pissed and trying to pass

Ha hah ha hah hah ha hah ha thats the funny

Pilot's discretion here from what I understand.

The term is "engineer"

Yeah well the other kid passing out didn't really happen, I just threw it in there for good measure Addl Tx TKO 1:1,000,000 epi drip 2x 5mg nebulized allbuterol through the BVM (sorry no atrovent) Vitals are now: BP 120/80 RR 12 SPO2 97% on 15L BVM PR 80 regular and stronger Monitor shows the tachycardia is slowing (let's hope it breaks to a regular rhythm) GCS has gone up to four, get it while it's hot! 8) Cops have shown up Can't do an NG tube coz we don't have 'em (and this isint an OD anyway)

Yeah that's basically it; started an epi drip (1mg in 1000cc) and mixed up a couple breathing treatmenets (don't carry any steroids)

You cric the sister and the brother who is watching passes out and whacks his head on the coffee table; oh I am mean Ventilation through the cric tube yields adequate compliance and chest rise with the following- BP 100/60 (no change) RR up to 10 SPO2 97% (up from 80%) PR 70 Cyanosis is decreasing Monitor shows tachycardia decreasing to rate of 80 GCS is still 3 The cops are rolling to look after the kids.

You are unable to pass the tube even with suctioning all the secretions ouf of the airway due to angioedema. This one is basically where the kid was given Zebeta (bisoprolol) for migrane headaches which have caused a slow anaphylactic reaction.

Tx - 20ml/kg bolus of NS - 2ml/kg of dextrose x 2 - 0.5mg naloxone x 2 - 0.5mg epi IM BP 100/60 RR improves (!) to 6 but are very shallow and agonal; still cyanotic Breath sounds reveal what sounds like bilateral rhonchi or rales Pulse is still 100 and weak Monitor shows the sinus tach is slowing Brother states his sister is not pregnant, tampon check is a negative and the kid says his sister "got on the zebra to gain headaches". In the trash you find a bottle of bisoprolol.

Sorry, your are inside the apartment. No obvious hazards, building and some of the people you encountered on the stairs look like they have seen better days. No crack dealers or gang bangers in sight. No trauma and only one patient. One of the kids states his sister is 14, she looks like she weighs about 50kg (100lb). Respiration is limited to agonal gasps. You can place an OPA but the airway is full of mucous. There is some localized edema around the mouth. Monitor shows sinus tachycardia at 140 and decreasing. You get the following information from the oldest child: S - obviously unconscious A - none M - states his sister went to the doctor and got the "zebra" P - unknown L - unknown E - she was watching TV with him when he fell asleep and woke up to find her KO'd. Vitals are as follows: BP 60/40 PR 100 and weak RR about 4

You are dispatched to a rough looking hood at 9pm for an unconscious called in by 5 year old who said he fell asleep watching TV and awoke to find his sister had done fallen down while mom and dad are out to dinner. Having secured the ambulance with the trusty steering lock, you arrive on the second floor of the walk up to find two kids (one aged 5 and one aged 3) peaking out and crying over thier sister who is unconscious and cyanotic.

<BENNY HINN> PRAISE THE LORD </BENNY HINN>

Um ..... since, when exactly? Correct me if I am wrong but let's see ... - Start an IV .... nope - Give drugs .... nope - Use a manual defibrillator .... nope - ECG analysis .... nope - Advanced airways .... nope - Needle thoracostomy .... nope - Cricothryrotomy .... nope - Advanced assessment .... nope Geez, I am not sure where this guy went to school but if a Basic can do "95 percent" of what a Paramedic can do on thier education I am worried! Hey, maybe it's just as well I'll probably end up in Texas to get my Paramedic, let's see ... if I can do 95% of what a Paramedic can do as a basic with 150 hours, hmm, should only take me 157.5 hours to get my Paramedic, sweet! Not.

Who in the hell do you think you are coming in here and making such assumptions on a person you've never met based on an internet forum? Don never said anything remotely sexist Google defines sexism (to be sexist) as "...the belief or attitude that one gender or sex is inferior to or less valuable than the other". Don said he doesn't care if you're male, female, black, white, Chinese etc as long as you can do your job which I think is fair - likewise, I don't care what you are, male, female, black, purple, white, rich, poor (hey thats all of us in EMS init?! ) etc as long as you can do the job. I'm unsure which banned member who has come back under some pseudonym you are but give it up, it's just sad mate. Ben

Hmm ... if the ECG does not show any dysrhythmia or abnormalitiess beyond the bradycardia (which does not seem to be severely haemodynamicly compramising right now) I am going to look for a differential diagnosis. Since she was shooting up, what about a thrombus or embolus? Where abouts in the chest is the pain? Left, right, radiate etc OPQRST? Could she just be seeking drugs? Could this be an attempt to rip off our drugs? (Somebody hidden in a closet etc) I would want to either have myself or my partner have a look around the apartment and make sure there aint no junkies hiding under the bed with a blade or some shit like that.