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fakingpatience last won the day on May 6 2013

fakingpatience had the most liked content!

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  1. I'm moving to California, and trying to puzzle through all the required documents to apply to work at AMR. I received my state california card through reciprocity, but to apply for work I need * CA Drivers’ License * H-6 DMV Print out of Driving Record (Online printout not acceptable) * Ambulance Driver’s License * Medical Examiner’s Card Getting a regular CA driver's license I assume will be a fairly straight forward process, just turning in my other state's license. For the Ambulance driver's license, it says I need to take a test... Does any have information on
  2. Not toe pain but transported a patient for gum pain x4 months, already seen a dentist for it, no new changes. Oh and it was 0200 and she was a block from the ER
  3. Some community colleges offer EMT-B during the summer semester. Not cheaper, but definitely less time then a regular semester. Mine was around 2 months long, we met 4-5 times a week for ~3 hours (I could be really off on the numbers though, it was a while ago). It was worth 9 regular semester credits through the college.
  4. Hmm according to this my ears are over 40 years old (I'm in my mid 20s).... I thought my hearing has been worse lately!
  5. Out of curiosity, is there a reason everyone wants a beta blocker instead of Cardizem? Capnography shows "sharkfin" waveform, but his etco2 isn't high, but I'm wondering if that is due to his increased respiratory rate compensating for that.
  6. Does anyone on here work EMS in Israel?
  7. Our protocols specifically said that if you aren't certain if it is SVT or other rapid atrial rhythm to give a trial dose of 6mg adenosine, to slow the rhythm down for diagnostic purposes. Personally the a-fib RVR pt's I've had have been fairly irregular rates, so it wasn't needed, however I did have a pt in a regular a-flutter (1:1 conduction) undecernable to SVT at the rate. Gave 6mg of adenosine, and the rhythm slowed for ~10 seconds, long enough to see the flutter waves and determine a calcium channel blocker was needed (didn't carry cardizem there so opted to not treat and wait till w
  8. I honestly don't know what training they are planning on doing. While it would be nice to say that the hospitals will trust our interpretation, honestly just like 12 leads they probably will not and will still do their own exams. For us it would be useful in destination decisions, and if a patient needs to be flown to the big city. Also at a recent training I learned that the ultra sound can be used to determine if the patient is hypotensive due to low volume, or poor cardiac output (helping determine if pressers or fluids should be given).
  9. Sorry I have been absent from this thread for so long, but glad for the discussion it has generated. Believe me, I am fully aware that the problem is me, not my partner; its not his fault that he is new, he can't change that and he does want to learn, but it is my fault that I am impatient. I have many faults, both as a person and a medic, and before was lucky to have understanding partners who helped me "mask" them at work. Thank you all for the various advice. To answer some questions, I am a new medic (less then a year), and new to the company (just a few months), but was a
  10. Sorry for the long delay in the resolution of this case. I ended up giving this patient 1 L of NS fluid on the way into the hospital, along with 100mcg fentanyl and 4mg zofran. He was much more comfortable with the pain medication. Stayed alert and oriented the entire ride, in fact joked with me "Its a good thing I'm talking to you, otherwise you wouldn't know if I'm alive!" when I was having trouble palpating a pulse. His blood pressure was 74/41 when we arrived at the hospital, so no significant change with the fluids. In hind site, I don't think I would have given him the L of NS, w
  11. Crappy weather, no ones flying, sorry! For pain/ anxiolytic drugs you have fentanyl, morphine, dilaudid, ativan, valium, versed, and etomidate Your pressor options are dopamine, levaphed, or mixing an epi drip Out of curiosity, why are you wondering about an amnesiatic agent?
  12. Aussiland: Thank you, yes the medication is lactulose which causes his chronic diarrhea. You start asking the patient more about his pain, he says that it is in the center of his abdomen, radiating into his back; "feels like it is ripping me in half." Pain is 10/10. Try as you might, you cannot feel any pulsating masses. As mentioned before, his abdomen is extremely distended and rigid. No molting noted in his extremities, just very very pale. Attempt to lay the patient flat, but he develops a panicked expression and tells you it is much more difficult to breath. You settle on
  13. Full set of vital signs: BP 68/42 HR 110, sinus tach RR 18 SPO2 92% Skin Pale, cool, diaphoretic; no jaundice noted (sclera white). Decreased cap refill. Good turgor. Temp 36.8* C Pt c/o severe abd pain, increasing over 24 hour period. Doesn't know what brought on feeling unless; is ill frequently, attempting to get on list for liver and kidney transplant. Vomited 1x today, small amount, mainly bile.
  14. Lung sounds have a trace of rales in the bases, otherwise clear. Didn't get abd sounds, sorry! Abdomen is extremely distended, rigid, patient tells you it is normally large but not this large. You can feel a non-pulsating mass in the upper R quadrant.
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