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akroeze

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Posts posted by akroeze

    OPA and NPA use

    in Patient Care

    Posted

    I'm not sure what's up with the right nostril thing. I've heard that you should start with the right nostril. I just looked and it says that in the 1994 Brady Paramedic textbook. But it doesn't explain why, and I've never been taught that in medic school or nursing school. I just did a pretty extensive Google search and couldn't find any other references to this.

    Well what I was told when I was trained is that the right nostril tends to be slightly larger than the left and a straighter path too I think (??)

    In the house vs. In the ambulance

    in Patient Care

    Posted

    Well in our BLS+ system essentially we treat on scene within reason.

    For example, severe SOB pt. We would do primary, O2, vitals and start a ventolin treatment on scene. Our protocols state we should initiate transport after the first dose of ventolin with further treatments given enroute.

    12 leads done on scene as long as they don't increase on-scene time more than 2 minutes.

    IV initiation should not delay initiation of transport

    Most of our med protocols involve at least the initial dose started on scene (ie where the pt is found)

    Jump Kits

    in Patient Care

    Posted

    After the events of recent weeks I need to desperately restock my jump kit, but I have had little time or spare money to do so. Below is the list of what I normally carry (at present I'm down to about half the listed amounts of disposable or non-reusable items)

    Adult BVM

    Pedi BVM

    Neonate BVM

    Oral Airways

    Nasal Airways

    "D" cylinders (1 in the bag, 2 in the truck)

    O2 regulators (2)

    Adult NRB (2)

    Pedi NRB (2)

    Neonate O2 Mask (1)

    Adult Simple Face Mask (SFM) (2)

    Pedi SFM (2)

    Venturi Mask (1)

    Oxygen Tubing (2)

    Non-latex exam gloves (10 pairs)

    4 x 4's (200 non-sterile)

    Trauma dressings (2)

    5 x 9 dressings (10)

    Kerlix (generic) (10 rolls)

    Scalpel (1)

    OB Kit (1)

    Extra pairs of umbilical cord clamps (2 pair)

    Scissors (1)

    Kelly Clamps (2)

    EpiPen (my own) (2)

    Benadryl tablets (my own) (1 bottle of 100)

    Albuterol inhaler (my own) (1)

    Aspirin (one bottle) (1 bottle of 100)

    Oral glucose (two tubes)

    Pulse Oximeter (1)

    Stethoscope (2)

    Adult BP Cuff (1)

    Pedi BP Cuff (1)

    Penlight (2)

    Glucometer plus strips and lancets

    Aluminum Foil

    Sterile Water (2- 500 ml bottles)

    Burn sheet (2)

    Plain sheets (4)

    Treatment reports (25)

    Pocket knife (1)

    Space Blanket (2)

    Stifneck Select C-Collars (3)

    Blankets (2)

    Cold Packs (4)

    Hot Packs (4)

    Porta-warm Mattress (2)

    Flashlight (2)

    Biohazard Bags (10)

    Sharps container (1)

    Ammonia inhalants (10)

    Sting swabs (10)

    Atropine autoinjector (HELLO- I live downwind from the world's largest stockpile of nerve gas....this is for me only)

    Triage tags (25)

    Isn't that a bit... you know... excessive?

    What freqs do you use?

    in Equiqment and Apparatus

    Posted

    Ladies and gentlemen, may I infer that, due to reasons of security, that we not publish any frequencies we use, on this forum? Let Mr. ben Ladin people get them in another way.

    I also made this request in the old board.

    A thought just occurred to me: Someone who becomes familiar with your agency protocols, might set up a frequency sensitive "secondary device" that your radio transmissions could activate, at the so called "safe" staging areas of an attack MCI.

    I'm afraid I'm all out of tinfoil, can't make a hat. Sorry.

    I direct you to exhibit A:

    http://sd.ic.gc.ca/engdoc/main.jsp

    You will find a link to the Canadian gov'ts database of frequencies.

    Exhibit B:

    http://www.radioreference.com

    In the RR Database section I can find out frequencies from all over Nort America. All it takes is a free registration.

    I just randomly picked a location. Florida, Sarasota county. Several towers listed but I'll give you an example:

    866.6375 866.8625 867.1125 867.4125 867.6625 867.7625 868.2625* 868.2875* 868.5125* 868.7625*

    Here are some fire talk group IDs:

    24976 FD Dispatch A1 (Station 1 – Station 8)

    25008 FD Dispatch A2 (Station 11- Station 14)

    25040 FD Dispatch A3 (Station 31 – Station 38)

    I don't think us discussing it on here will make any difference

    Local Protocals... Do You Ever Break Them?

    in Patient Care

    Posted

    As per my schooling that "monkey" is still used as a racist derogatory term for people of African descent, may I suggest going with the phrases "automatic" skills or "mechanical" skills?

    That's just taking PCness too far... that's not the context the word is being used it. There is nothing wrong with the word monkey....

    Consider the context.

    Short Transport times

    in General EMS Discussion

    Posted

    For something like that, I'd document on the call report, that, due to the short transport time, I was unable to fully reevaluate the patient. I would also treat (and document) whatever I'd found during the time available.

    Oh yeah, we did. It consisted of getting OPQRST and that's it. Not even enough time to pop some ASA.

    Short Transport times

    in General EMS Discussion

    Posted

    Back to short transport times. Last night called to a local rest home for a SOB with sats of 70. We get there and our monitor says around 79, throw on the NRB. Take some vitals hook up the monitor and all that, ausculate for some slight expiratory wheezes so we set up a ventolin and pack up to go. Get all loaded up and are maybe 4 minutes from the home to the hospital. 2 minutes into the journey she's starting to complain of some chest heaviness. That's not near to enough time to assess and do anything about it. If we had a longer transport time we would have been able to.

    Long Transport Times?

    in General EMS Discussion

    Posted

    It peeves me when I am listening to the scanner and I hear an MVA that occured on or near the county line and it takes the dispatchers 10-15 mins to figure out which unit to call out to the scene. Alot of times now if its on or near the county line, both crews show up, and they decide from there. The confusion here only adds to the on-scene response time as well as transport time.

    -Dixie

    Here it is closest unit takes it regardless of geographical borders.

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