emt123

Ace, I appreciate your "constructive"?? critism and your view points, but i believe in protocols, and the reasons they are set. I DO agree with you about the bring to baseline, and "optimal care", but too much is dangerous, especially COPD. I have no problems slapping a NRB at 15LPM on any patient i encounter, but with a thorough history obtained "within reasonable patient interaction" is very key in treating the patien; and I would have kept the patient at a level that is both comfortable to themself and myself, i would rather had a patient sats of 92 and breathing, than possibly tubed and walking in the ER bagging them. Working in an AICU i know COPD's and normal breathing O2 sats run between 87 and 94%. Im not in a pi$$ing battle with you, just defending my opinion.

I also agree with everyone, as protocol in Pa, it is suggested to get a COPD patient at between 89-95%, any more O2 will actually create more difficulties in the COPD patient. You did the right thing. Starting with the nasal cannula would have been my second choice (you tried NRB first), and would have tried coaxing the patient into wearing it, atleast until his sats came up, but no harm done on your part with the nasal cannula, you got what you were hoping for out of the patient.

In EMT-B class, we are taught to use an AED on breathless, pulseless individuals no matter what. Some paramedics on the other hand seem to rarely use them. What are y'alls protocols regarding AED's, just for insight. I work in healthcare (intensive care), and i was told that only specific rhythms should a Defib machine be used (V-tach and V-fib). Why is it one way or the other? I understand that in the field (EMT) your most likely on your own initially, and that is the best thing you can use along with CPR and Airway management.

Im fairly late to reply to this, but not once did you mention an ID band, bracelet, or (not sure) a necklace. The EMS personnel should be aware of his autism right off the bat to better prepare your son for his treatment, rather than restraining him and freaking him out more (most likely scenerio though). From what i understand of autism, persons with it are very protective of their surroundings and dont like (maybe cant adapt) to changes in the routine. I would suggest getting a band or ID of some kind to put on your son, that would help a lot. (Name, Parents, #'s, condition, age). Good luck.

???? what happened to the mother? Why is she dead in the first place? it is a trick question, the boyfriend killed the mother. and later went with the sis, andnow they are both dead. Here is the TRUE story: The mother didnt want the b/f and woman to get together, he killed her and ran away with the sis, the woman found the sis and killer her lol :?

hey y'all! Ive been off and on practicing for 2 years, and i plan to go for paramedic certification. Does anyone know where i can get info about being nationally recognized EMT or paramedic? I plan to travel, and the course i took years ago was based on National registry information. Do you think the DOH? any national EMS websites/agencies that i can contact? Brandon

This is more along the lines of working off of prom, but we do a mock MVA with a pre-set scene (vehicle layout). The police, fire, and EMS get involved in this little demo to show what happens when drunks get behind the wheel and drive. We use this opportunity to educate about EMS systems, and how we function with other emergency services. We even go all out and get our local lifeflight helicopter to take one of the "victims" away! Great demo every year!!