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FireEMT2009 last won the day on December 17 2011

FireEMT2009 had the most liked content!

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About FireEMT2009

  • Birthday April 10

Profile Information

  • Gender
  • Location
    Questioning the logic of people.
  • Interests
    Firefighting/EMS, Paintball.

Previous Fields

  • Occupation
    Firefighter/Paramedic, B.S.E.S., NREMT-P

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5,840 profile views
  1. Finally made it back...

    Thanks guys!
  2. Finally made it back...

    Well after about 4 to 5 years, I am trying to get back into EMTCity because I enjoyed the back and forth discussion ad scenarios, and finally remembered my log in information! Anyway wanted to say hello after being gone for a while...
  3. Finding an EJ

    Hey guys, After working with patients for a while now I have a question. I have noticed that some people have blatent EJ veins but some of the patients that I have thought about attempting the EJ, I have had issues trying to locate and find it even though I know where it should sit anatomically. Does anyone have any tips to find an EJ for the non-obvious EJ patients? Thanks in advance, FireEMT2009
  4. Ammonia levels

    Medicgirl, looking at your original posting compared to your posting just now about your patient being extremely bradycardic, why did you not start TCP? What where the vitals prior to coding? Looking at a pulse of 30ish, that is showing poor cardiac output. Why not place them on the TCP while you were working on the line? In this patient, since they were unresponsive and critical, why did you not start an IO? Not trying to armchair quarterback here, just trying to follow your rationale and train of thought. What were the patient's pupils? How was the patient's blood pressure and Respiration rate prior to coding? Because a mix of hypertension, irregular respirations, and bradycardia would show me an increased ICP. I have seen hepatic encephalopathy before, but not in this severe of a case.
  5. Respirations

    For me, I always try to see if you can see the chest rise and fall, and yes some patients might not have a very noticable chest rise and fall, or they might have some very thick/multi-layer clothing on. If you are sitting on the captain's chair or bench seat you can see respirations looking at the clavicle area, you should see some movement. Also, look at the stomach, some patient's stomach will rise and fall with their breathing. Just suggestions.
  6. Transport Ventilators usage for 911 response

    Yea that is one of the big pluses that I was thinking of when I had the theory hit me, especially when you get someone bagging with a critical patient that gets caught up in the action taking place or gets anxious and looses rhythm and rate of his ventilations. Anything else you would like to add Kiwi?
  7. I have been thinking about the usage of transport ventilators in 911 response. Not just for the normal vent patients but for patients that are intubated in the field, using them to free up manpower to help with critical patients instead of keeping someone constantly bagging the patient. (Of course this would fall under the proper traning for usage, maintanence, pathophys, etc.) My theory is that it might help free an extra set of hands in the back of a truck and allow the ALS provider to use his BLS/ALS partner in another part of patient care while the ventilator does the ventilations, while under constant capnography, SpO2, etc. monitoring to ensure effectiveness of ventilations. I am just curious on what ya'll's thinking is on this topic. All opinions and advice are welcome. I am excited to see where this thread will lead and what new ideas, or education will come out of it. FireEMT2009
  8. Got my official resuls, I am now an NREMT-P!!!! Oh Yeah!

    1. Lotus


      Congratulations ^_^

  9. Officially finished the diadetic portion of my paramedic program today along with getting PALS certified. Now to finish my ride time and pass my test prep class for the NREMT-P

  10. Dopamine Drip calculation

    My preceptors have made me in clinical calculate drip rates for the drips we start after the doctor has ordered them. When I am back home working I have at least a 45 minute ETA to the closest hospital. Most times it is longer than that. I have always had trouble with dopamine calculations so I thought that I would start this post to see what people thought about it and possibly help someone out in the long run. (The hospital I did my clinicals at had pumps we used for drips but our preceptors wanted to challenge us because we don't have pumps in our units where I'm doing my externs). I am 2 and a half hours away from my hometown for college. Where I am now I am only around 15 minutes or so from the hospital.
  11. Dopamine Drip calculation

    Yea if im setting up a med drip i use the Dosage needed to be given, times, drop set, divided by concentration like you stated earlier. I use my calculator usually so my drops are correct because I have alot of trouble working with big numbers in my head, and usually if I'm doing a drip like dopamine I don't have time to get a piece of paper and pencil to write it out.
  12. Passed my semester wrap up for my clinical and field interships with flying colors, should be testing for my NREMT-P in April

  13. Dopamine Drip calculation

    After talking to a very respected medic in the company, they taught me an easy way to calculate a dopamine drip for a patient as long as you are using the standard 1600mcg/ml bag (double the drips for a 800mcg/ml bag). For every 5kg you add 1 drop. so a patient weighing 100kg would get 20gtt/min at 5mcg/kg/min. (I worked the math out myself and it works perfectly). Just thought someone might appreciate that sometime or another, I know I did.
  14. Forcing the Tube

    For all the times: Attempt to sedate the patient with versed, ativan, whatever sedative you have available and with an OPA and BVM with nebulizer. If the sedatives work as I would hope them to then I would attempt to reintubate and continue my neb treatments. As long as you have an OPA and BVM you have an airway of some sort. RSI needs sedative/anesthetics and paralytics. I would use it as a sedative assisted intubation to help the gag reflex and to ease the patient's suffering on the tube. I would use the versed or whatever sedative you have available at your disposal to help facilitate better airway management for my patients.
  15. Forcing the Tube

    SW Virginia for college. Southern VA on the border of NC originally. Why?