1EMT-P

I know you can give Intra Nasal Ativan & Versed, but what about Valium?

We no longer carry Demerol, they replaced it with Toradol, but when we did carry it. I would usually give 25 to 50 mg IV over 1 to 2 minutes with 12.5 mg of IV Phenergan. If I was giving it to an older patient I would usually give 12.5 to 25 mg IV with 6.25 mg of IV Phenergan. I usually give 2 mg of MS IV slowly, followed by 12.5 mg of Phenergan. In an older patient I usually give 1 to 2 mg of MS IV slowly or 2 mg of MS SQ.

I like to use Demerol for back pain, burns, orthopedic injuries & renal colic. I like MS for chest pain & CHF. I also like to use IM or IV Toradol. When I give Demerol & MS, I also like to give the patient some Phenergan to keep them from getting n/v. It also helps make the patient more comfortable.

One of the MD's on TV said that Terry was higher functioning than some of the kids you see with CP. He said that she was not in a coma and did not have PVS, but that she suffered from a brain injury. I also read a report that said that the Dr's had not done an MRI on Terry, that all they had done was CT scans which are not as good as MRI's. I would like for them to release the medical records so we could see what has and hasn't been done in this case.

This is a very complicated issue, first you have Terry's husband saying that Terry would not want to be kept alive this way and then you have her parents and siblings saying that Terry responds to them and that they are willing to care for her. Based on what I have read and saw so far it does not appear that Terry is in a coma, she appears to be a living, breathing human being. I don't agree with removing the feeding tube and withholding fluids from Terry. I think that they should have left the tube in and moved her to a either a rehab facility or to a long term care facility. Terry is not terminally ill why is she in a hospice in the first place? Why don't her Dr's order some tests EEG, MRI & PET Scan to see just how her brain is functioning and just how bad her brain injury really is?

Ideas 1. Airway Management ALS & BLS. 2. Mulit-12 Lead Ekg 3. IV Access Devices ( Caths, Central Lines & Ports ). 4. Things they never taught me in EMT/Paramedic school. 5. Sports Injuries. 6. EMS Geriatrics. 7. EMS Pediatrics. 8. EMS Pharmacology. 9. EMS Triva Contest. 10. Psychiatric Emergencies.

In my opinion two of the biggest problems facing Rural EMS is 1. The lack of medical facilities. 2. The lack of money for education, equipment & training in the rural areas.

Our transport times average anywhere from 30 minutes to 1 hour. Our Inter-hospital transports average anywhere from 1.5 hours to 2 hours.

Does your EMS agency offer Critical Care Transport training?

1. Blue ADC Cardiology 2. Red 16" Sprague-Rappaport Type Professional Scope

I am an EMT-P and my areas of special interest include BLS, Critical Care, Expanded Scope of Practice and Wilderness Medicine.