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Jim Squire

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    EMS student, builds stuff, teaches how to build stuff
  1. Rock_shoes, First, thanks for the response. I appreciate the time people with experience like you take to answer questions from people like me who are in the process of starting out. I have no idea why I find all this so fascinating, but I do. Unfortunately, I'm not sure I understand your point - I'm still just a student without a single ride to my name yet searching for a class that's open during COVID without much success. Can you check my analysis below and tell me if I'm right? The Monro-Kellie Doctrine (which was a new one for me; thanks!) says that if any one of the
  2. Thanks everyone! I appreciate the feedback. It's tough enough to feel comfortable in knowing what to do in a critical emergency, worse to have to juggle conflicting standards of care. But what's really worse is the feeling that it leaves us vulnerable to lawsuits if things go south. I could imagine a lawyer saying, "Mr. EMT, please read here, from the AOSS textbook, the standard in the field, about whether to provide O2 at 95% saturation. And, yet did you provide O2 anyway against this guidance? And let me ask the expert, is it possible unnecessary O2 administration could cause O2 to
  3. Contraindications for morphine use include (among others): head injury, decreased mental status, multiple trauma. Why? I understand why it's respiratory depression effect would make contraindicated for patients with COPD and asthmatic attacks, and why its effect on blood pressure would make it a bad choice for a hypotensive pt. But why would multiple trauma and altered LOC/head injuries make it so? I'd think head injuries would make rise of ICP an issue, one in which morphine would, if anything, help.
  4. Thanks rock_shoes. Makes me feel like I am learning something. Although I’m a bit surprised that local protocols don’t reflect evidence based research (which is just common sense here), especially as a “critical fail” point. Well, as I said, I’m new to this.
  5. Hi all, I've done a long career in teaching/military, and thinking about what to do with my spare time in 18 months once my kids leave the house. I did a ridealong and volunteering in the local EMS unit seems like it could be really rewarding. I don't want to take the EMT course quite yet - I want to spend the remaining time I can with my kids while they're still around - but I've found a great course offered where I teach that I'll take next year once empty nest arrives, and in the meantime I'd like to poke around and see what those with experience say about the career, especially as a
  6. I'm learning to become an EMT, so be easy on me for asking this newbie question, but it points to something about O2 adminstration that I don't understand. Virginia's health department posts a bunch of scenarios for EMT training like this one: http://www.vdh.virginia.gov/content/uploads/sites/23/2016/05/M003.pdf In it we find a young adult diabetic patient with a Rx for insulin, able to speak but not feeling well, alert and oriented x3 but "sluggish to respond" and a CC of "not feeling right". He has an O2 sat of 95 and respiratory rate of 14, no mention of cyanosis, vitals nor
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