Charles6771

Thanks zippy for clearing that up. I think that they are put on wrong in a lot of cases. Charles

I agree with both of them. Nasal atomization is still fairly new at least where I am. An ER doc questioned someone the other day for giving narcan intranasaly, I tried to look it up in the latest Davis Drug Guide but it didn't show anything for either valium or versed. I think a PDR might help. Charles

I personally like the paddles. You cant really get you 25 pounds of paddle pressure that ACLS recommend with the pads. However I have seen a cardiologist on multiple occasions fold a towel and press down on the pads. It was kinda ridiculous to me but then again he is the man. The Zoll is what we use. Charles

You are right 1EMTP, people who have taken it more than 3 or 4 times really don't care and just show up to get there hours and recert. But they are the ones who really need it. The newer medics get it pounded into there heads(at least the ones I teach do) and they can blow a ten year veteran out of the water. But you are right they need a course for experienced providers. CHARLES

We do long transports from hosp-to-hosp, the longest one was almost 6 hours but they average from 1.5-4hrs, the burn ctn is 4 hrs so it is our most frequent run. Charles

I have been an instructor in many ACLS classes. I also teach at the local college with the paramedic class. If someone doesn't pass the megacode or does something that would be dangerous they will fail my station. For instance 7 resident dr.'s from a local hosp came to certify ACLS, well 4 of the 7 had to come back after they were told they weren't ready. And these are folks with MD after there name. If you don't feel they met the minimal requirements they don't need to pass. Charles