Almostmedic

There are a few of these LVAD pt's in my area. They are really proactive with their medical needs. They usually stop by the fire stations every so often to drop of educational documents on how to care for them in an emergency situation.

The first time I heard of them I saw this layperson driving like a bat out of hell into the ER with a weird box on their hip and a siren sounding. After asking around it turns out it was their LVAD running out of batteries. I remember thinking if that was my life line I would sure as hell always have a spare battery on me haha.

Not to undermined the good intentions here but when I worked for rural/metro SD the ambulances that were donated to Mexico were the rigs that couldn't pass inspections here in America. Obviously an ambulance is an ambulance and probably will help a great deal, I just didn't want anyone to think they were brand new or even decent.

My first partner was from my EMT class that was a little more proactive about getting a job than I was. She did w

However take me under her wing and teach me whatever I needed to know for the job.

So would I. So what would be the tipping point for you? True hemodynamic instability? Or is evidence of cardiac ischemia enough to cardiovert?

Good question, I guess I'm stuck after my straight out of medic school answer I gave .

I know this is a bad answer but the hospitals are so close to where I am I probably wouldn't cardiovert the cardiac ischemia I would work on the bp with fluids and obviously O2 therapy.

I guess the tipping point would be the pt being hemodynamicaly unstable.

I just don't know if the risks of a clot out way the benefits of stopping the ischemia.

What if the patient had been in atrial fibrillation for an unknown duration and wasn't currently anticoagulated?

I would be wary to cardiovert without knowing for a fact it was a new onset of Afib with fear of moving that coagulated blood around.