NCFD18

Blunt trauma arrest have very low chance of resuscitation. Also you will get alot of flack for bringing something like this into the ED. However I would work the code. I usually will work a code if the bystanders started CPR, and if the Fire dept is still continuing the code. This a courtesy code definitely.

Yeah, If somone is alert and can swallow give them glucose PO. As paramedics we should choose the least invasive procedure first. Thats terrible medics in some places can't start a line. Is there a reason for this? I also figured that the gel was absorbed quicker in the mouth that was kinda the question I had and the answer I was looking for thx. As far as Glucose gel flavors we have at my service i've seen the ocassional cherry. Majority of the time all we have is the lemon thus the chore of getting a person to finish them. I don't even know why they make the lemon. I've never heard of anyone liking them haha. I think the tablets seem easier faster to get down. Just wanted to see what you guys think. Thanks for the input.

Hey guys, at my service we carry oral glucose gel. People don't enjoy this stuff, its a chore to get them to finish them. Well one night I had a call of a AMS, get there, and have a guy conscious but had incomprehensible speech. Found out he is a diabetic and had a D-stick of 50. Anyways soon as I found this out his wife handed me some of these Glucose tablets. He ate them improved fast and he enjoyed them haha. I was thinking about buying some of these for the truck since they seem more enjoyable. I'm not sure if they are less effective then the gel. I think an adult usally has to eat 4 or 5 to get there glucose levels back up but if they like them better then the gel and it is faster imo why not? Anyways what do you think and does anyones service carry these?

bicarb? I hope that was a joke. I think anyone in VT/VF would benefit more from an antidysrhythmic.

HAHA Who hasn't gotten excited and started driving before thinking?

Hey you will be fine. First night was overwhelming for me. I was thinking about quiting during the first class. And you will be too if you let it pyshc you out. Just relax you will do fine.

lol same situation here. Any help would be awesome. Thanks!

I disagree. I am in my last 2 weeks of Medic school and you cannont be a good medic without being a good basic. 90% of the time on your routine call your going to be using your BLS skills and your BLS skills are the most important ones. Also EMT came easy for me but say mechanics, math, and engineering aren't things that come easy for me. It depends on the person.

Hey guys where can I start to find a Grant for a defib/monitor that also has a AED setting? My departments Monitor is outdated and has terrible artifact when using it. The battery in the AED we have is going bad not working. So we really need a new Defib/monitor that does AED. Thanks guys

No that is orthostatic hypotension is not what happens when you have it. If its Orthostatic it can be a more accurate sign of: -Cardiogenic -Low blood volume (e.g. anemia, dehydration, dialysis) -Medication related (usually too high doses of blood pressure medications or medications for depression) -adrenal insufficiency -Or Neurogenic orthostatic hypotension

I wouldn't give Nitro because pt had no chest pain. This pt only complained of SOB. But Nitro is contraindicated in Right AMI. Im not sure about Right CHF. I guess it would be the same principle. I think it has something to do with completely dropping pre-load but im not sure of the etiology but it bottoms out the B/P. This pt needed Lasix more then any other drug. EDIT: This is based on my states protocols. I know some recommend to consider Nitro in CHF.

90 systolic isn't all that bad if pt tolerates it. The same with the tachycardia. If a pt tolerates those things it might be normal for them so its not of our concern. Also is this orthostatic hypotension?

I live in Alabama and we do not carry glucagon. We have to start a line and push D50. As far as I know glucagon goes IM, which makes it easier then getting a line and pushing D50. But if the side effect is Nausea and Vomiting and we are giving it to a person with hypoglycemia. Lets see blood sugar is low, then you get them up and they get sick throw up alot then blood sugar goes back down. It seems kinda fubar.

I think it can but majority of the time the pt will go to the hospital will go for pain and dyspnea before that point. "Spontaneous Tension Pnuemo" what a way to die lol.

Dopamine is only good in CHF Hypotensive pts. Majority of the time just bolus them with NS. Some say oh no your increasing there Pre-load, but they hardly have any if there hypotensive anyways....

Wow they know the medical intervention that is called intubation, but they still call us ambulance drivers. This has to be a nurse saying this.

Yeah the pt is having hypoglycemic seizures we have esatblished this.

You can stop the seizures and the unconciousness all at once. It would be dangerous waisting time w/ diazapam esspessially if you live here where you have to call in orders for diazapam. BTW i've never started an IV on a seizing pt but ive seen it done, not only seizing a diabetic low sugar fighting with the first responders lol. Its not impossible.

I see it like this Hypoglycemia can cause seizures! That being said D50 should treat the underlying problem while at the same time making an unconcious patient concious, which is your main concern.

Our heli-meds can do it. But other then them its not legal in our state. But somtimes med control will give us the mcguiver version by pushing alot of diazapam or morphine if its needed. But ive only been told of these happenings. But the need of RSI are far and few.

Speaking of Placebo Effect ever had a emphysema patient who freaked out when they think there not on 02. I've seen them have ^Resp. and look like there struggling to breath because they didn't think you still had them on 02 you have to tell them somtimes there on it. They get mentally dependant on it I think.

I have a guy in my medic class who has a science degree. He is really good at the nit picky questions in class.