PRPGfirerescuetech

Shhhhh fella...not what were talking about.

Wrong. Physicians cant be responsible for patients they cant see. WE, and only we, are responsible for the patients we see in the field. Think im wrong? http://www.defrance.org/artman/publish/article_167.shtml http://www.merginet.com/index.cfm?pg=asses...atientInterview Theres more...but try these first.

Well put. Computer based education is a creative way for students to get their "tickets punched" without having to go through the effort of actually educating themselves. This type of education promotes one thing. Laziness. Anyone who got the email with the answers for every fema IS-100 through 700 answer can attest to that one. PRPG

No...such drips arent on the state list. But... This wasnt out there when the state list was last reviewed... thus... maybe thats an idea. but... In the mostly urban areas it seems to be prevalent, 2 minute or three minute transport times negate getting that far.

Im aware of what it is. But should it be this way? Should it be a joint venture?

New people here, so im bringing this post back for another round...good discussion last time. Should RESCUE be an EMS or FD function? Base your opinions on some sort of tangible reasoning. XoXo PRPG

Take my freedom, take my heroin/fentanyl...just dont take my porn

AHA shouldnt be including narcotic based arrests in any study. Too many additional variables in regarding to cause that would inappropriately adjust results. Side note: Any one wishing to send the eastern states narcan care packages, please send them to my newly developed for profit foundation. "Save the Smackheads" c/o PRPG Firerescuetech 1 PRPG Place Philadelphia, PA 12345 XOXO

the second post whit made with a second article is a touch more written to the responder and clinician levels... more trustworthy as well. Good link whit.

I dont disagree...anyone got any information on the authors background?

Yes...they are getting their hands on hospital grade fentanyl, mixing it with powdered herion, and re drying it. At least, that was the description of the junky that lived through thew experience today... Nasty ish rid...

Whit. Thank you for posting the link. Good read. Everyone re read the link he posted about this stuff...

AHEM! Scroll up.

Yes. Dispatched to the cardiac arrest, and arrived to find the patient on the phone still talking to dispatch.... "Dispatcher XYZ, this is PRPG. Guess what, the arrest you dispatched us is null and void when the patient is telling you about it. Your dumb."

HAHAHAHAHAHAHA I think that was you and I at the nursing home on state road when that went up....loooooool My worst was old man Sinsowetz, who called us to turn on his air conditioner, he didnt feel like getting up....

[marq=left:8c0c97321d]OK EVERYONE SHUT UP [/marq:8c0c97321d] Whit: Please present some sort of documentation regarding your 4 grains of table salt statement. I would be curious as to this information, relating to the 14 or 15 odd arrests and countless narcan express jobs we've done related to this stuff. Use and amount of use would certainly relate to the etiology of the event. That being said...if you dont present it, im going to release the hounds back on you again for attempting to BS me. Heres your chance to shine squirt. No numbers, just printed, posted evidence. Ace: Your my boy, and I agree with what you said, just learn to pick your battles. Thats all. Rid: Yes his use of the word skewed misplaced. Good catch. I actually didnt know that until you referenced it, and i looked it up, and the appropriate use. Thanks for teaching me something today. This thread seems to need a readjustment. That being said... [marq=left:8c0c97321d]HAS ANYONE ELSE HAD A RUN IN WITH THIS NASTY OLE Fentanyl / H mixture? [/marq:8c0c97321d]

So... Whats everyones experiences with this new cut of heriin? Were killing people here left and right... 4 arrests last weekend...all under 30.... Im sure im not the only one...

Online based EMS continuing education programs...opinions?

Pale skin color indicated poor perfusion. This may be because of inadequate oxygenation, or due to decreased blood volume in the circulatory system. Pupils are constricted. I cant shake the feeling this is trauma 2ndary to a medical issue. CO poisoning if im right. Or...im reading too far into it. Expose, intubate, bag, IV large bore, monitor Otherwise, normal trauma care. ...im missing something here.

Also personable.

My opinion has always been to start simple. However... the combi-tube is a nice option considering the situation. Extricate to spineboard. Pad void spaces. Extricate to truck. Expose? Reevaluate ABC? General evaluation findings? Physical exam? Actions to follow exam.

A folded cot sheet I attempted to cut today to splint a hip split the standard shears in half. Otherwise...its fairly rare...

C Spine, 02, and do your best to manage airway. Nothing more can be done safely it sounds. How long does the extrication take?

smart fella.

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