Marius357

Has she every felt like this before if so when and did anything(drgus) cause it. If not then I would say it is either due to caffeine pills(altered due to dehydration), Ex or candyflipping(X dipped in LSD), anyway O2, 250ml fluid bolus, EKG, 12-lead, you can try Narcan but if it is any of above probably wont get a reaction unless the ex was cut with heroin. Also call LEO they may want to investigate. Also how long ago did she take the pill, is the person who gave it to her still there, and do they still have any pills left for testing at ER. Also where did she get her drink, is it in a can, bottle or open cup. If it is a can or bottle was it open before she got to it. Was it an open cup sitting on table, did she fill the cup or did someone fill it for her. Also scan the scene do we see any tell-tale signs of drug use, glow-sticks, drug paraphenalia, any weird smells in the air.

If the woman is alert and oriented times four, and has no neurologic disorder, Alzheimer's, Dementia, etc, I would no transport her. Just because they have doctor's orders does not mean anything, Once you get their and assess them they are your patient and you follow your protocols. If the woman refuses to go you can not force her regardless of what the nursing home says. I do know what you are talking about with nursing homes I see it all the time, but you have to remember that not all the time the people you are dealing with are nurses, especially here in NC. Majority of the time they are med techs who have very little training in medical knowledge, they can only do what the doctor tells them to do. I do agree that alot of times they abuse us but remember if it is an emergency to them we have to take them. They may have called all of the other services and no one would transport them in a reasonable time frame. Also they may have to go by EMS, in the county I work anything that goes to the ER has to be evaluated by a Paramedic and none of the convalescent units are Paramedic staffed.

Never mind I found them here ya go http://www.wremac.com/ goto online protocols or download them. Good Luck with the snow.

If it is a general call and the patient is stable, I might stop. Although technically you are already commited to a call and have no legal responsibilty to stop, although then the moral issue comes up with could you live with yourself if it was something very tragic you were being flagged down for. Honestly the best thing to do is probably just notify communications of the apparent situation and go about your call. Just because your patient is stable now does not mean they are going to be five minutes for now. Also you have no idea what exactly you may be walking into with the flagged down call, it may be a domestic or a shooting or something along those lines where PD should be dispatched first.

Epi 1:1 Epi 1:10 Atropine Calcium Chloide Mag Sulfate Adenosine Cardizem Amiodarone Sodium bicarb Narcan Romazicon Phenergan Thiamine D-50 D-25 Glucagon Haldol ASA Nitro SL spray Normal Saline D5W Dopamine Benadryl Ibuprofen Afrin Oral Glucose Albuterol Atrovent Toradol Lebatalol Lasix Dexamethasone Activated Charcoal Valium Versed Fentanyl Morphine

We recently switched over to Zoll E series initally we had alot of artifact problems to begin with the had to update them twice with newer software and stronger filters, to actually be used in the back of the units. They finally admitted after them blaming us for 2-3 months that it was a problem with the filter in the machine being way to sensitive. Now I haven't had any problems with them, although I don't like the separate capnography unit that ships with them I have had problems with it becoming unhooked to the monitor and giving faulty readings and waves. If anyone is going to buy them go with the thickest lead cables they sell the thin ones that come with it are terrible. I do like the Phillips we got to test them for about 2 months through a program with a local hospital, great monitor I loved the fact you could pull the 12 lead up on the screen before actually printing it. Also the lay out of the screen and buttons was great, again as with Zoll we did see an increase in artifact against the lifepack. If there is one thing the lifepack 12's gave us, was a very clear EKG.

I would contact you agency or instructor and make sure they put you in the system, I noticed you are in North Carolina where at and what system I may be able to help, as I use EMS Charts on a daily basis. Also try your first inital and last name for both username and password.

Usually our first skill day is going by the flow chart step by step, then as their knowledge base increases as far as signs and symptoms and understanding of general A&P increases, we advance them into scenarios and coming up with a diagnoses based on there findings. But I agree that it is a cookbook way of doing things, I have noticed that if they dont have the basics down first they tend to be all over the place and miss simple things like checking patient responsiveness and pulses. They tend to focus on the distracters and miss the big picture. As far as there diagnoses goes they are required to tell us what is going on with the body to cause that problem. It seems to work fairly well, although our classes our always perfect till the next one, meaning we are always changing something trying to imporve it.

I do agree that the EMT-B should be phased out and higher levels of education should be a standard. Even as a "Diploma" Paramedic I feel my education is not enough for dealing with sick/injured people, yeah sure I can treat CHF and an AMI, but I still feel I am lacking alot of education. I feel anyone who is in medicine should always to strive to obtain more knowledge, in some way I think or hope anyway that is why we choice medicine as a career. Medicine is always evolving and growing and new treatments come out everyday, If we do not continue our education we are simply going to be left in the dust. I do agree with some form of degree being the standard of education whether it is a 2 year or a four year degree. I feel that a 2 year would probably be the ideal place to start and then progress from up from there. Until we improve our standards no one will ever give us more respect or better salaries. So why settle for bottom of the barrel, as a fairly young field we still have room to grow and improve. For those that volunteer, that may be what is currently working or not working for your area but why settle for lower healthcare and standards of education. If you are "dedicated" to helping people, would you not also be dedicated to helping people get the best level of care possible, or dedicated to improving your knowledge base of medicine and thus our profession in general. I have no problem with anyone who is a volunteer, just make sure to provide your patients with the best possible care available. Most of the volunteers that I see in this area do so with little respect for our profession, showing up to calls wearing shorts and sandals. They are almost always a EMT-B and when asked why they dont go on to get their paramedic cert, The response is almost always "because I dont get paid for it" well if that is your answer than stop volunteering and let some one who wants to further their knowledge regardless if they are getting paid for it or not, step up and take your spot.

I live in Pitt County and work for Lenoir County EMS, Pitt County is not not bad although I would recommend trying to get on Greenville Fire/rescue since that would be more what you are looking for. Greenville is a great place to live. Lenoir County EMS(Kinston,NC) also has some openings as well although we are not Fire/Ems, but the pay is good for the area if not one of the highest for this area(base paramedic pay $16.11/hr). Anyhow http://www.ncems.org/ems_home.htm will be your best bet to find something quickly, although keep in mind that not all providers list openings on this site.