sledogg1

Spray 9

FORGOT THE ASA if no allergies............................................... :oops:

Good luck.....................get to know their policies and if they have a top 10 rules for the company get to know them. The why do u want to work for us? what can u bring to us? what are your advantages and disadvantages? etc etc. Welcome to the family Be safe and wear your latex (not at the interview)

Start small and work your way up..........an hr drive clears the head before and after shift, and u are unlikly to bump into pts that you treated some good some bad . And u can leave work at work for wife/ GF will appraicate that. Chris

Love this site..................getting re-edamacated. Passing the time

I wish we could use our versed on MI's and we are going research on fentanyl................still go with the nito times 3 then 2.0 mgs morphine up to 10 mg every 10 mins, I think they worry about RVH and hypotension which does happen and freaks you out but thats why a trendelburg postion and a simple IV in place for precautionary before you start meds is a good thing CYA. We are starting glycoprotein 11b / 111a inhibitors for Non Q wave MI, Non-STEMI's and unstable angina so happy times

Nova Scotia Anaphalyaxis Epi 0.3mg 1:1000 IM and 1.0ml 10000 near death top off with diphenhydramine 25-50 mg iv/im salbultamol 5mg and if on a bata blocker glucagon 1.0mg every 5 min. Asthma Salbutamol and Ipratropiumand ei near death 0.3mg IM 1:1000 Croup Recemic Epi 0.05/mg mg arosol to a max 0.5mg Carry Mag Sulfate for the Torsade's and Toxcemia but not for asthma

Sry to hear that the State Trooper was such a turd and on VD day..............maybe his wife/GF gave him a dose of VD and he wasn't a happy camper. I usually have a EHSNS jacket hanging on my seat and this has kept the RCMP off my ass....yes it is corny but it helps believe me Hope the court nails his peaches to the tree for wasting court time..............and was a reading the Georgia Law, only -2 for a open liquor container :shock: go figure. Good Luck Georgia Chris aka Bluenoser

This is a no-brainier BAG TAG SUPERVISOR. Simple CYA unless you or your partner dap in the wacky tabacci and where afraid in turning in the mystery bag of goodies and thought u were going to be asked for a urine test..... :oops:

If the pt has time to be sedated prior to cardioversion Versed 2.0 mg over 1 min every 2-3 mins up to 10.0mgs, Valium 5.0 to 10.0 mgs over 1 min. I go AC IVP fast and quick. But life over limb..............its sucks not sedate it seems cruel but you have to do what u have to do. Good Luck and Happy Zapping

Hellooooooooooooooooooooo 37yo/m been doing this 17 yrs, EMT-P (USA) ACP(Canada). Work in Nova Scotia Canada,this is a great site for refreshing and learning. Be Safe Chris

Must have been 1 hell of an abrasion, was it a possible patella fx..............how much m/s was given 2.5mg increments, not probably recorded and charted, (malpractice). She verbally refused 3rd dose morphine (battery) removal of undergarments against pts wish's (assault). In the US everybody sues everybody and for a crapload of money which is silly, but sorry guys and gals I think there goose's are cooked and the attending medic is guilty. We need cameras in the back or take a female medic or police officer with you in this cases, I request female support where these difficult situations arise.CYA

CPAP is good as with he's age and all..........intubation would be hard to ween off and the pt would probably expire. CPAP requires alot of 02 will drain a m-tank in 15 mins our infield studies and research here in NS was positive but looking at the o2 SITRAP had very good outcomes.............I have a call area with a 25-30 response time in rural Nova Scotia, the city great, country bad. Thats why the Nitro and Lasix, wonderfull believe me it works for the CHFer wonderful stuff except no rubbersheets on board . Chris

Didn't see the CHF point...........but still a unstable A-fib cardiovert. abc's If not go down the line for CHF >92% O2 SATS Nitro,salbutamol,morphine,lasix <92% O2 SATS Salbutamol,morphine,nitro,lasix Laxix only if he is on it.

This guy is clearly a reoccuring unstable afib pt who is probably on every med out there..........has been cardioverted before?? or has a implanted pacemaker. So, O2, sedate with valium or versed if enought time have your intubation gear, suction on sandby or just cardiovert 100 200 300 360.

The term Paramedic is used for all now in Canada PCP -PRIMARY CARE PARAMEDIC LEVEL 1 ICP -INTERMEDIATE CARE PARAMEDIC LEVEL 2 ACP -ADVANCE CARE PARAMEDIC LEVEL 3 CCP -CRITICAL CARE PARAMEDIC LIFEFLIGHT In 1 comment it looked like a ALS Paramedic was downing a BLS Paramedic and I thought that was a shame you guys/gals where doing this. We have had success with PCP giving this med once until a ALS unit arrived icp,acp,ccp. But we have units close to each other to back one up. Some how the web page I put up isn't working so type it in and will show how our CASS system works here.......thanks guys. Remember teamwork and the pt, gotta go finished a 24 hr shift :shock: and the baby is up. Be Safe Chris

Like well dude like you hit a vein like like....................... this is why paramedic students should not take thier classroom home. Maybe they should give us a real show and do a external jug and then see the $%#@ hit the fan.

In simple terms, you got it. Also, when it's not working or in the time it takes to work there is the potential for other complications to arise that are best managed by a paramedic. Good work for understanding limitations. Well, looks like BLS providers are not Paramedics in the USA, a shame I think u believe u are better then a BLS provider. I did go to Davenport College in Grand Rapids in 94 and did get my NREMT-P and the EMT-1 did go over diabetic meds, so no ambulance companies allow BLS to do the above. This research paper sounds interesting, what,where and who did it? The longer without sugars the braincells are cooking and that is bad (is it not) that is my KISS aproach.At least you have tried and squezzzzzzzzz out alittle glycogen for some reserve fuel ;and our PCP'S EMT-1 don't go back CODE 1 or hot because the pt stabilizes to a point where a ALS can administer D50. Or better yet, treat and release ,and save the ER for a sick person. Glycogon A hormone excreted by the pancreas that increases the level of blood sugar by stimulating the release of glycogen from the liver..............glycogen is broken down to glucose. Chris Oh Thimine 100mg IVP if malnurished as well :wink: thought I would throw that in for fuel for the fire. LOL

Ok, I was saying what are medics do up here............................wrong website before.....it is http://gov.n.s.ca/health/ehs/ To bad the glucagon is not an option for US medics until you can get to a hospital or ALS backup. So why should it not be an option for bls.

I was wondering when the bashing was going to start..........dustdevil ease-up man, must admit Canadian medics have more leanway on infield P@P. Nova Scotia is the only Province to be CASS accredited in Canada, we are doing alot in the field. Starting CPAP and TNK this fall. So, the cookbook medicine is going a long way eh. Dustdevil check out www.emergencyhealthsevicesnovascotia.ca, then get back to me instead of putting up a typical RN response in bashing medics. Take care Sled

In Nova Scotia........PCP'S, EMT-1 are allowed to administer monogel and glucagon. Check out emergency health services nova scotia.

3 I believe.

Go glucagon SQ 1.0 mg if unable to start IV or 25-50 gms IVP.

Probably meant DVT....................long shift had a pt FOS 2 hrs ago.

Sorry Doc, forgot the saying KISS- Keep it simple stupid thinggy