slo50stang

It says BBCode is enabled, so I don't know how else to get the images to work. If you can guide me in the right direction, that would be appreciated

That was what we brought him back to... Here's the 12-Lead 12 Lead reads SVT, but I'm leaning towards Sinus Tach. The rate isn't high enough, correct? And yes, I figured the EPI is what made his HR elevated. That stuff can jumpstart a rock!

Ok, I have learned the "Lido Clock" once before. Thanks for the helpful tip! I will post the 12-Lead if possible tomorrow! Edit: His last recorded BP was sky high, (can't remember the exact numbers), and he was unresponsive throughout the whole transport, although he did begin to breath on his own (although very slow) upon entrance to the ED. We just helped with ventilations after that.

Hey everyone, I did not know where to post this, and this is my 2nd post, but I figure I'd share. (Mods, feel free to move this post if neccessary.) I was riding today with the fire department as an internship with my school of which I'm almost complete, and participated in a Cardiac Red. My first true code, so I feel I should post my experience... The call came out as Chest Pain, so we were on the way. It was a fairly long response time due to the fact we were far away from the call, which rarely happens in our city because we have quite a few stations in the area, but a recent structure fire pulled away some closer units. About halfway there, the Lieutenant yells back at me "Get ready, we have a Cardiac Red", so obviously the scene had escalated. Now, I'm in the back, nervous as hell, because as a student, how else am I supposed to feel? (Note: I'm a paramedic student, who does not work with EMS right now, so I have no outside experience other than school.) We get to the scene, Engine Company is already there performing CPR, bagging with highflow O2 with a NPA, with monitor and pads connected, showing Coarse V-Fib. The Pt. had already been shocked once by the time we got there, and received one round of Epi 1:10000. I also forgot to mention this is on a boat dock, about 300 feet from the trucks, so we hauled ass with the stretcher and backboard to get the Pt. on the truck as soon as we were ready. (Perfect spot to go down in Arrest, right?) I took over CPR while the Engineer intubated. (Missed intubation, sunlight made it difficult for him. Retried intubation in the truck and was successful). Took out the tube after the first attempt and continued bagging. We gave the Pt. a second shock before heading to the truck. Now we're in the truck, and we continue. CPR and start getting some more drugs prepared. Few minutes later we shock again, and I pulled out Lidocaine and calculated the dose, and pushed it. Here's where it gets difficult for me, so please throw in your input! We had converted him into what looked like SVT, and the EKG confirmed, but the BPM was only at 160. All through school, we were taught that SVT is above 180 BPM's? I hung a Lidocaine drip because that was the drug that helped us convert the Pt. , which the dosage based on our protocols is 2-4 mg/min. Can someone please help me figure out how to calculate the dosage based on drips? I nailed the Epi and Lidocaine dosages (although they're not too difficult to remember), but the drip had me wondering... (With the Lidocaine, we also had a bag of NS hung, btw.) We got him to the hospital, with his own pulse and respirations,but the monitor showed the SVT rhythm still... (Since we converted him, actually) My question though, is would you have treated the SVT's? We learn to read the Pt. not the monitor so I can understand why we wouldn't treat SVT's, but I think any rhythm which the heart is beating in sync is a good result considering he was "circling the drain"?? I got a copy of the 12-Lead, so if you all want me to post that, I can, by the way. I guess all in all, for a student, that's a pretty good call? Ask any questions you feel neccessary, I'm sure I left out some details. It was a strenuous call for me, and it happened earlier today, so I'm sure I left out something