DFIB

First of all welcome to your own thread! Good on you for stepping out and asking a very good question! I am only an EMT so I hope some of the medics will chime in. I am interested in their opinion as well. I have found that many patients with dyspnea that are alert are not receptive to rescue breathing. I find that pulse oximetry is a useful tool in determining how well a patient is perfusing and shape my interventions accordingly. If they need oxygen, that is a good place to start. I try to keep the pulse oximetry around 94%. Discovering the underlying condition that is the causal factor for the difficult breathing will ultimately be the key to improving their ventilation through interventions. The patient might benefit from nebulization or a dose from their measured dose inhaler. The patient might be having an allergic reaction, or have a host of pulmonary and cardiac pathologies or diseases that could be causing their increased work of breathing. If we can identify and rectify the cause we will do the most good in reducing their respiratory distress. I always ventilate adults at the same rate for rescue breathing although there are cases when we would want to ventilate slower of faster such as head trauma or preparing for an advanced airway intervention. In pediatrics I only ventilate if the patient will accept the ventilation. A child that will let us breath for them is an indication that they need the help. If the baby is well enough to fight off the mask he most likely is ventilating well on their own with the exception of an occluded airway which would require other interventions. Good on you for starting an airway thread!

In Mexico people are not required to render first aid and face at least the possibility of legal action if they do. This usually does not happen but is a real possibility. All persons are required to call for help and not abandon an injured person which seems kinda like they are telling people to say "I can't help you but I am happy to sit here and watch you bleed".

I am picking up what you are throwing down.

Interesting article. http://www.jems.com/article/news/judge-california-responders-had-no-legal

Just turn down your hearing aids ...

I think I remembered Doc talking about this before http://www.emtcity.com/topic/20644-military-approves-tranexamic-acid-for-major-hemorrhage/?p=264201

First assist, cool,

Simply curious.

I am an ambulance driver, usually in the front seat, I mean, when I am Not an EMT-B riding in the back!

So assuming that you have no problem with a transsexual/crossdresser working with you. Would you feel comfortable in sharing hugs on special congratulatory occasions?

Death bothers me not, I can also catch bullets with my teeth, stop a speeding train and jump a tall building with a single bound. Yep, it doesn't bother me at all

Interesting.

I might have not explained my thoughts well. What I meant to say is that the reason that the differences would be accepted would need to be a sexual orientation issue. If a hetero wears a dress it is a costume so for this to become a legal issue, sexual orientation would almost by nesecity come onto play.

Well I guess it would have to be a sexual orientation issue and the real deal. Companies don't usually let people wear costumes to work.

I am sorry that you had to resuscitate your friend. That must have been very hard for you. She was fortunate to have people that loved her around in her final moments.

I read an article a while back that has changed my thoughts about the duration of CPR but not the practice. We don't have the luxury of ALS so all codes are actively transported. Most are declared DOA at the hospital.. Here is the article. http://www.nytimes.com/2012/09/05/health/research/doctors-may-be-ending-cpr-efforts-too-soon-study-says.html?_r=0 I read an article a while back that has changed my thoughts about the duration of CPR but not the practice. We don't have the luxury of ALS so all codes are actively transported. Most are declared DOA at the hospital.. Here is the article. http://www.nytimes.com/2012/09/05/health/research/doctors-may-be-ending-cpr-efforts-too-soon-study-says.html?_r=0

Every patient contact changes me, in particular when they die.

It might wor tryk if you to save the powerpoint to your computer in an editable format.

Tacos, tortas, tostadas, tamales from street vendors.

In the wise words of Dr. Eminem ... Never take ecstasy, beer, baccardi, weed, pepto bismol, vivarin, tums, tagamet hb, xanax, and valium in the same day. It makes it difficult to sleep at night. Eminem quotes

Welcome,

Welcome to the City! Participate and have a good time!

Shreveport, Louisiana has something like this. It is called SPRINT is an acronym for Single Paramedic Rapid Intervention Non-Transport

This measure will surely save lives. I just could not believe that people would help a person who had been drinking to operate a motor vehicle. EDIT: Well, I can believe it but it was still a little shocking.

Taste like nuts.