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1EMT-P

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Everything posted by 1EMT-P

  1. I would like to see a national EMS licensing exam similar to what the LPNs & RN's take instead of the NR.
  2. How's the Paramedic job market in southwestern PA? How are the protocols? What's the medical command process like?
  3. I would obtain glucose levels on both patients.
  4. I wouldn't give medication unless the patient had signs & symptoms of an allergic reaction such as coughing, cramps, hives, itching, shortness of breath, tightness in the chest, swelling of the face, tongue or throat, nausea, vomiting or wheezing. I usually give Albuterol 2.5-5.0 mg via HHN PRN, Benadryl 25-50 mg IM/IV, Tagament 300 mg IV, Solu Medrol 125 mg IV.
  5. I was talking with a friend of mine from Maine and he told me that they were using Fentanyl, O2, Nitro & ASA ( F.O.N.A. ) for chest pain.
  6. I am in favor of EMT-I's being able to administer limited medications as long as they have completed the EMT-I certification process along with a pharmacology class and exam and are authorized by their EMS agency, Medical Command, Medical Director and State Office of EMS to do so.
  7. I have no idea why she took the patient off of the NRB. Was the patient fighting the NRB? What was the patients vital signs?
  8. I suggest that you check out the Richmond Ambulance Authority, they are one of the leading EMS systems in the country. Good Luck!
  9. In the future we may see more providers administering & assisting with IN Narcan in the field. FYI: An EMT-Basic by definition is an EMT who has training in [b]basic life support, including automated external defibrillation, use of definitive airway adjunct, and assisting with certain medications. AAOS Ninth Edition.
  10. I have experienced problems in the past with newer EMT's who didn't know how to assist or do certain procedures, but those problems were corrected with better communication, planning and practice.
  11. It sounds like she has a serious condition that needs to be addressed ASAP. Has she been evaluated by an Ophthalmologist and a Neurologist?
  12. Dust just because someone is an EMT doesn't make him or her a loser :!: I know EMT's with college degrees in Athletic Training/Sports Medicine, Health Sciences and Nursing.
  13. It all comes down to your assessment and the patients condition. You could treat the patient with IM or SQ Epi., plus Solu Medrol & Tagament. You could also give the patient Albuterol if needed.
  14. Do any of you carry either Nubain and/or Stadol?
  15. I like IN Narcan, but you have to be careful when you give it that you don't wake up an aggressive patient.
  16. A very wise Paramedic once told me that Paramedics save lives and good EMT's save Paramedics.
  17. What age is too young for a medic & what age is too old for a medic? Should there be age limits?
  18. What medications do they use in Canada for PAI/RSI? What's your Medical Director's reason for not allowing sux?
  19. RSI is a great tool to have if you have a good airway training program, good facilities & a good medical director, but it's not for everyone. If you have a low call volume, RSI is probably not the way to go, but PAI is an alternative like the CBT or LMA.
  20. I agree there does appear to be QRS's until the mid point & there also appears to be P's.
  21. I have not used it in the field, but I have used most of the other medications. I urge you to check out the Richmond Ambulance Authority in Richmond, VA they were one of the first services to use it in the field & their Medical Director is considered to be an expert on it's use in the pre-hospital setting.
  22. It's hard to say without having addition information, I would be interested to see what her lab studies looked like... I would also be interested in seeing her EKG... Has she been ill recently? Has she had an Echo? What about a 24 hour cardiac event monitor?
  23. I have worked in rural areas before that were 30 - 60 minutes away and the nearest hospital was a small critical access hospital without Cardiopulmonary, CT, OB or Surgical Services. The next closest facility was a 90 plus bed facility which was over 50 miles away.
  24. I don't think that I would do it, because it would be going outside of our scope of practice, not to mention the fact that there are ethical & legal implications to consider...
  25. As a former PALS Instructor, I can honestly say that I don't like either course... I am in favor of having a Comprehensive Life Support Program that includes both Adult ALS & Pediatric ALS.
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