wilsteev

My way of thinking would be maintain BP above 90 systolic. By increasing BP to much could actually cause what ever was bleeding to start bleeding more. So I think they did right by limiting amount of fluid. There have been trauma studys that suggest our old wide open boluses may have done more harm than good by not allowing bleeding to clot or even cause internal bleeding to increase.

I am in agreement under the protocals we use here in NB Canada as aPCP we are permited to bolus 500ml if bp is less than 100 systolic. We can bolus twice on our own than must contact medical control for permission to contune to bolus

New Brunswick is crying for paramedics as well

Check out www.ambulancenb.ca The province of NB is in the process of switching from about 54 indivual services, some for profit, some non proft, some RHAs to a provincal system similar to NS. Go live date of Dec 16. 2007

feathers

I am a NB medic, Employed by a mainly rural service. We just recently started doing IVs and administering some meds.We cover some 2704 square Km and serve approximate population base of 14,500 people. Last year our service did 1324 calls.95% of which were 911. I am an EMT-1 with some advanced skills. We are a 2 truck operation.

1960-1970