1EMT-P

It varies depending where you are in the US, I have seen Ads anywhere between $ 11.00 - 23.00 per hour.

Are any of you currently using Fentanyl for ACS or Chest Pain in the field? A friend of mine who is a PA in the ED told me that they use FONA instead of MONA where he works.

I agree with your treatment..... Did you check her blood sugar? If so what was it? Also is there any history of Asthma, Diabetes, Hiatal Hernia, HTN or GERD?

You have a couple of options, you could offer the Farmedic class or you could put together your own class... Check with your local aeromedical providers to see if they would be willing to help... If you do decide to offer a class I would suggest that you talk with your local emergency department, local fire department & local police department... You also might want to check with your local college thearte department or community thearte to see if they would like to play victims.

Vs-eh, Let me get this straight your telling us that you would sedate the patient, instead of giving them pain medication :?:What's your rationale?

As I understand it the officer was chasing after the suspect prior to his injury, so yes I would have immobilized this patient based on his H & P & MOI.

:roll: :?: .

Dust we could be like Podiatry & have our own Doctorate... Doctor of Pre-hospital Emergency Medicine (DPEM)... .

Do any of you currently use Dimenhydrinate or Gravol in the field for motion sickness?

According to the FDA there has been cases of Severe Tissue Injury with the administration of IV Promethazine ( Phenergan ). Please see the FDA's website for additional details.

Maybe they didn't go over the difference between IM & IV administration when they were in school .

I have seen an MD & two PA's give Vistaril IV, but they diluted it with normal saline first!

From a medico-legal point of view the answer is no we cannot practice outside of our scope of practice, because that my friends would be considered practicing medicine without a license. It would be nice if we were allowed to have a more flexible scope of practice, but the truth of the matter is that the lawyers & politicians have limited what we can & cannot do in the field.

I think you did the right thing given your patient's history & presentation. Epistaxis can be a life threatening emergency, especially in patients with CAD & HTN. Many patients with CAD & HTN are on Aspirin or other NSAID related therapies which can make epistaxis worse.

Are any of you currently using IM Hydroxyzine ( Vistaril ) if the field for allergic reactions, antianxiety, nausea, pain or vomiting?

I don't have a problem with off duty providers assisting with the care of family members as long as they are calm and can think clearly.

I don't think that I would have cardioverted in this case, instead I think that I would have focused on airway management & rapid transport.

The EMT in this case was practicing outside of his scope of practice :roll: & the Paramedic delegated a task for which he had no legal right to do so plus he also filed a false patient care report :roll: ... The bottom line is it doesn't matter how busy the Paramedic was in this case what he did was wrong :!: :!: :!:

1. What are the requirements to become a Paramedic in the UK?

2. Is it possible for a US trained Paramedic to become registered in the UK?

Yes we do diagnose based upon our assessment & the patient's chief complaint & symptoms.

Is there any chance that some of the facilities could become critical access facilities and reduce their inpatient beds & services?

I have used IM/IV Phenergan in the field since the mid 90's & I have never had a problem with it. I usually give adults 12.5 to 25 mgs IM/IV, unless they are older then I give 6.25 mgs slowly. I usually dilute the phenergan with normal saline before

administration.

Other Alternatives: Benadryl, Compazine, Droperidol, Reglan, Tigan & Vistaril.

I have never heard of aspirating three times while administering D50. I was always taught that you check the line before administering the D50 and again after administering the D50.

Did anyone talk to the Paramedics to see why the used a 6.0 ETT? I was taught that you use a 7.0-7.5 ETT in female patients and a 7.5-8.0 ETT in male patients. I worked in ENT and it was not uncommon for us to see patient's with airway/vocal cord trauma following intubation... When you intubate be careful, check your equipment & visualize...

It depends on where you go to school & where you do your internship... I did all of my clinicals first, then I did my internship...