akroeze

In many arrests we are definitive care otherwise we wouldn't be working and pronouncing in the field.

Either, I want to know what people's thoughts are on various arrest scenarios.

Here are some thoughts I'll throw out there: Working them in the back means they will get care sooner (defib, drugs, etc) and will have continuous effective CPR. Down side is you don't have as many hands to do things. Working them in the ER means they will have more resources available to them (more staff) which theoretically would be of benefit however to get them to the resus bed requires rolling CPR which we all know is about as good as no CPR at all and you have to plan on 45-60 seconds MINIMUM from time of taking them out of your truck to on resus bed with proper CPR being done.

So you're just pulling around the corner to the ER and your patient arrests on you. What do you do? Do you run the full code in the back? Do you shock once and then 'rolling CPR' into the resus room? Somewhere in between? I can see arguments for both extremes in this one and really don't know what I would elect to do.

How does it deal with the bloody trauma patient? We've all had that patient with blood everywhere and you just get the catheter in and want to get it secure by any means necessary, not necessarily pretty.

Link?

What does everyone prefer for a pump? Anyone have a favourite? Ones to avoid?

I know, doesn't make it any less bogus. I'd take a Tylenol that is 3 years expired no problem as it hasn't actually expired. They've done studies of samples of MSO4 from way way back (like old medic kits and stuff from WWII) and found them to be just as good as the day they were made.

Most drugs are good way beyond the expiry date. In fact, many drugs have no scientifically determined expiry and the dates listed are arbitrary.

We don't need no stinkin' pumps! Pressors are just titrate to effect anyway so you don't need to know exactly how much your giving. Just keep dialing it up slowly until you get the desired effect.

Holy crap, condescend much?!

If you use these skills on a 911 patient do you still get the bonus stipend? I don't like this idea of a "you get paid if you use your skills but not if you don't" mentality. That's like telling a cop they get paid a bonus for every person they arrest.

Zombies talking is a commonly held misconception. Somnambulists are unable to speak.

Out of curiosity, can you guys use your CCT specific skills on a 911 call? For example can you set up a patient on your vent? Can you start a drip of something that isn't on a normal truck but is on your CCT unit? In other words are you kind of an expanded scope medic even on 911 calls?

And possibly may show up on a toxicology report post mortem. Then there are those pesky investigators to deal with.... and you have to start the process all over again with them.

Bubble wrap is dirt cheap... and you know that anything made specifically for EMS will be 50x the price

I really don't know what to say here other than... no it doesn't. :?

Physician heal thyself! Vent was in no way trying to insult you or put you down. You are the one who is doing the assuming here in that you are assuming that Vent automatically is against you.

That too... Being unemployed is starting to really hurt.

You know the more I hear about Alberta the more I'm considering moving there. I really like how medics there are independent practitioners.

Exactly what mobey said. Atropine is not a cure for organophosphate poinsioning. It is merely something that will hopefully limit the symptoms so you don't die from them before your body can cure it as it were.

Quoted for truth. Even the ALS job market isn't huge huge right now. There are a couple services hiring but the majority that have ALS aren't even accepting resumes.

We must double our efforts!

Apparently my last post was missed.

They DO say that! (Bolding mine) http://circ.ahajournals.org/cgi/content/fu...2/24_suppl/IV-6