scmedic2016

We don't carry it. I've never worked for a service that does so I have no experience with diltiazem. I know they have looked at getting it on our trucks. But we have not gotten to that point. I'm just asking about nitro and ASA for a patient complaining of chest pain with afib RVR with a rate between 160 - 180. But I got an answer. And I know its vague. Which is why I said the information is vague. I wasn't the medic on the call so I don't have much information. He treated the patients with nitro and ASA and I've never heard of that for a patient in afib rvr. But like I said I got an answer so thank you for your time.

Rate was 160 to 180. Unknown history of afib. Bp was 110 systolic. This wasn't my patient instead a supervisor of mine. Not sure what the 12 lead showed. Just heard his radio report. I'm going to assume with the rate so fast it looked regular and once he administered adenosine it slowed down enough to see afib. I know its vague because I don't have much information but it brought up a good discussion.

Afib RVR patient with chest pain. First attempt was to treat the rhythm which failed because we only carry adenosine. Vs were fine so no electricity. Patient was then treated with nitro and ASA. I've heard people go either way with this, some would give the nitro and ASA and some wouldn't. Any thoughts?