akroeze

Kinda off-topic but why are you guys carrying an LP12 AND an LP500?

Are you going to give priority jobs to members of EMTcity?

huh? I just want clarification... you don't want the straps over the pillow when it's sitting empty? Why?

No, not that I'm aware of.

What province are you in?

Well just wanted to point out that it was Asystole, not PEA so the strip was pretty flat He put in two amps of sodium bicarb in the end IIRC. Also, there were two pressure infused lines running (1 central and 1 20ga peripheral). They worked her for something like 20-25min after we got her there and then called it.

Ok so last night I had another mid-20 y/o VSA (last was on Friday) and the doc did several things that surprised me. First the background: Pt was well known to the ER staff for being a poorly controlled diabetic (seen her a half dozen times for DKA). We found her in the inevitable dungeon basement with no light. We go through our three no shock protocol (asystole) and transport. Due to extrication from residence we were on scene about 10-15 minutes in total I believe with a 3 minute transport. We got there and as soon as they saw who it was the following happened: The doc started by intubating (RT hadn't arrived yet) and that isn't unexpected while the nurses tried to get a couple of lines started on her arms. He then went right into starting a central line in the femoral area (don't know much about them). That's the first thing that surprised me, didn't know that was common practice in an arrest. Secondly, he ordered a BGL to be done, Epi, Atropine, Insulin (not sure of dose... I think 10 units but could be wrong), D50, Sodium Bicarb and Calcium Gluconate. I can sorta see the justification for all of them except the Calcium Gluconate... can someone explain this one to me? I'm not sure what order those were in and the insulin order was after he found out the glucometer read "HI" I believe.

Ok, cool. Thanks folks

Had someone seize in front of us a week or two ago and immediately after coming out of the seizure she had extremely large T waves, they were about have the size of the R wave and the R wave went almost to the top of the strip so that should give you an idea of how large. Over several minutes they decreased in size back to normal. Anyone seen this before? What causes it? My guess is that there is a rapid uptake of K+ causing a transient hyperkalemia but I don't know why this would be and I can't find any literature to support this.

Nice vent but do you have any specific issues/complaints to bring up?

ACPs in Lambton county here in Ontario are going to be in a study of its use is what I'm told.

I don't know, but I suggest you get out of town as fast as possible :shock:

Is that a P wave before the second to last QRS?

To build on what vs-eh said, from what I have seen double ACP crews are all but unheard of because if there are two ACPs then they will make another ALS truck instead in most cases.

Fake unconsciousness immediately after calling it in to dipatch so it's somebody else's problem.

You guys still use the portable pagers? Our bases have speakers wired into the ceiling.

Ok so this is a question of suction preference in relation to "in the field" not in your truck. See the options above and vote.

At my college we have to do: 90kg pt (~200lbs) on a Stryker stretcher. At the head up the stairs At the head down the stairs At the feet up the stairs At the feet down the stairs Only allowed one break to "readjust" your grip Let me tell you, that's awkward...

Care to clarify it for me rather then?

Yes, we get it... you don't like EMTs... You only point it out in what seems like every post :roll:

Yeah, a while ago there was a picture on the front page. Car on it's side, roof off and all that. The medics were working on getting her out and immobilizing her (obviously medics with the reflective stripe on the pants, the jackets that say "PARAMEDIC" on them) and the caption read something like "Firefighters work in an attempt to free the patient" :evil:

:shock: Wow, where I mod we don't take kindly to people telling us how to do our job Also... why close this topic? Perhaps someone else will take up the idea. And why can't we mention someone?

Yes it can be discussed but it was a VERY... well... I can't think of any other way to say it than biased way to go about it. Not exactly what I want to say but the words escape me at this moment. That and it could have been covered in the thread that is already discussing it.

Ok no offense intended but it seems like you are trying to prove a point. What point are you trying to prove in another thread? That's a common debating tactic on a web board. Make a new thread that is directly related to another thread.

We all understand what you're asking and it's a VALID question however you also threw in a personal edge and that is what many will take issue with. To contribute, I HATE the term... what do you folks think of the phrase "Ambulance Attendant"?