flightmedic608

Always take the five seconds to introduce yourself......ask the medic how he/she would like if his mother were treated in that manner...you start touching and assessing without an introduction...not very professional.

This is only my interp.....for what it's worth. To me I see a prolonged and changing PR interval making the initial rhythm sinus tach/borderline SVT with 1st HB or maybe a sick sinus transitioning into a bigemeny of junctional escape. I would lean more towards the sick sinus theory..... It is a very poor copy online. Sorry..to those who think maybe A-Fib...I would suggest reviewing the R to R's, they are regular and equal making A-Fib not possible, do not look only at isoelectric line in determining EKGs, take a minute and review the whole complex..Also on the issue of V-Tach...remember the parameters for a vent rhythm...wide complex....

Hi...due to the fact that the ATLS course is a physican provider course, medics are only at this time allowed to audit it. It is however a great review course, (if you have ever taken BTLS,PHTLS) and they add in the invasive procedures that you may or may not be able to participate in depending on the class size. There are a couple of classes that are put on in your area...the BI Deaconess and Boston Medical Center both have classes...contact Adam Blumenthal at BMC or the TNC at BI Deaconess for more information. I believe the cost is about 900 for the two day course (I am not sur if medic have to pay full price). I hope this helps. Any other questions, please feel free to pm. Sean

Hi. I would not say that I would not use MAST, I am always open to more adjuncts for patient care. I would be hesitant to place the MAST on an isolated extremity trauma, there are quicker more effective therapies immediately available i.e. direct pressure, tourniquet etc... I think on my list of treatment modalities it would be at the bottom. Sean

Hello, as much as it pains me..I am in agreement with Dust. He presents a very clear and concise way to treat this injury. On the thoughts of hip fractures...I have used the KED placed inverted on the affected side and this has stabilized the affected area wonderfully, while not changing circulation and allowing access to the patient. If there are any questions about how to placed the inverted KED on a patient, please feel free to ask. Sean

Hello, in response to your question. You have to apply and take a written and practical exam to be considered for the EMS academy. Once hired you attend an academy based on BLS care. Once you pass the academy, to include a preceptor evaluation period, you are used as coverage personnel for your first year (meaning what ever shift needs to be filled you fill) after that you may bid on a perm shift/ambulance. After you have been in the union for a year you are allowed to take the exam to be considered for acceptance into the paramedic academy. After being accepted you have to retake paramedic school, and then you may or may not be selected to work as a paramedic for Boston EMS. I hope this answers your question. As to the residency requirement, yes you have to live in the city of Boston to work for Boston EMS. Fly Safe..............Sean

Hello, I think we should back up and start from the beginning...are you securing the patients airway? If so, how? In the case of someone seizing from being hypoglycemic...hmm which came first...has the person been seizing so long that they are using their metabolic stores? Is there a different pathophyisology of the seizure...known disease, head bleed etc? There are a lot of factors that you need to discuss before you can just state to give this medication or that. This is a good post...it shows that people are out there trying to learn and find the right way to treat a patient. You should get used to looking at the patient as a whole picture and trying to assess in that standard. Fly safe.