streethealer535

I was thinking as I read through this thread what about trying to vagal... it might not work but if it slowed the rythem enough to reconize something it my help. I guess running at 50mm might help but then I have never seen and EKG done like this is it easy to read and understand in relationship to the vertical lines on the tracing? ~street

Thanks for the great Information its nice to hear from someone who is actully in the system! I hope this lives up to the hype it could realy benifit everyone. ~Street

Your pretty close... there are still 2 states in the union that are "Duty to Act" states. Vermont is one the other is Alaska. It is unlawfully to pass someone in need if you are a licensed provider in the state. That being said If you have a duty to someone else IE pt in an ambulance or child in car you do not have to stop. I have never heard of anyone losing a license or even being warned for not stopping. Sadly this is not the first accident of the like in VT. I have personally been on four scenes were off duty police officers and FF have been injured due to vehicles hitting them or there vehicle on the side of the road. (luckily they all survived) This is a tough decision to make... I know you feel obligated to help but at the same time is your life or your family's worth the risk? ~Street

This seems quite interesting... My question of course is how well will this actually work... and what is the data that is used is it just location of calls from the past 4 years or does it take into account weather and other outside information? If this works like they seem to think it will I think we might be looking at a pretty useful tool!

Timmy, Please Let me Clarify for you... I was not talking about you wanting to know the child's O2 SATuration Level... I was talking about one of my pet peeves... Every time you say O2 STAT you sound like a moron! ITS SAT short for SATURATION... get it? ~street

REALY???? tell me please that this was a typo or a joke.... if its a joke I get it and yes you got me.... if not then well please just shoot me now... ~Street

O2, Bi lat B/Ps (femeral if poss or at least compare pulses), Injection of Diesel therapy back to the ED.

Seems to me the hardest part will be lifting and crawling around on the floor. If you will be early enough into your pregnacy that this is not a problem I don't see why you could not test. The biggest problems might come in the hands on part of the actual class (lifting, CPR on floor, ect...)but if they are willing to work with you it might not be a problem. Anyway good luck I have seen it done...

Yeah but the question is How many HOURS A week do you have to work to do that??? not just 40 for sure!! ~Street

fenwayfrankee From your name I am going to assume you are in the Boston area. If this is the case Two of the best Intercept "chase car" systems I know of are in your area. Lawrence and Lowell Mass both run BLS trucks for transport (privatly run) with dual paramedic intercept vehicals (Hospital based). These systems work very well and are very progressive with their protocols. Just out of curiosity what was your interest in this type of system?

I think p3medic said it best... who are we to decide what is quality of life for anyone but ourselves?? There is no way you can not work this patient. It is not right for us to try and push our own morals and belives on others. If this Pt did not want all efforts (real efforts not medicating her bed) She could easily have signed a DNR. You may be thinking mabey she just did not get to it, or someone else talked her into not signing a DNR but as EMS it is not our place to assume anything. WORK IT and work it RIGHT! JJ

Yeah the problem with the jepordy game is that its backwords... they are supose to give you the answer and let you guess the question... :roll: oh well ~street

Basicaly when all is said and done there is only one lower chamber and the IVC and SVC atatch directly to the pulmanary arteries and the Aorta is attatch to the RV Stay safe JJ

How about this? It does not get much more complicated then this... and if you think this is bad you should see the 3 stage surg done to corect it! stay safe. JJ

Mabey Im a little comfused but since when does RIGHT sided failure cause PE???? Its left sided failure causing PE then the elevated PA presure caused Elevated RV presure and then right sided failure!! Also we can get into the discusion of systolic or diastolic CHF, but I belive the question is a little easier to answer. Seems to me that most of our patients do not have simple one track disease processes. I might be wrong but it seems to me if there is PE then the Airway will become irritated and can be inflamed. So sometimes it takes albuterol to even hear rales instead of wheezes. Yes we can harm patients in CHF by giving them Albuterol, but in combination with everything else (C-pap, dieretics, baging, O2, Nitro if HTN) I think it is a good option as long as you continue to think about what you are doing to the patients. Just my thoughts... :wink: Street~