medic1488

medic1488

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About medic1488

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  1. Do you let ambulances drop off in triage?

    Being from the other side of things (The one getting the call for the patient that needs a taxi ride) I find most hospitals will send directly to triage. It amazes me how many patients still believe it gets you in quicker. And there are alot of patie...
  2. Questions regarding epinephrine.

    And dont forget racemic epi via nebulizer.
  3. Intubation

    We use CPAP prehospitally and have had very good success with it. I would much rather CPAP a patient rather than RSI them and put them on a vent, the only exception being in an acute MI were some research shows that intubation is superior to CPAP for...
  4. Ed Techs

    I absolutely agree with many of your points Happy, and as a senior paramedic where I work and an EMS educator I strive for those things all the time. (especially the better wages part) However, just as there are weak and undertrained EMTs/Paramedics ...
  5. Ed Techs

    Great, another thread coming down to degrading EMS personel. Just what this site needs.
  6. Interesting Read

    Just curious from the outside, is it common place to have a neonate and adult code cart in the room (or right outside the door) at deliveries?
  7. restarting prehospital IV's

    Hows this for one. My hospital (work in the field if the name didnt give it away), the hospital's paramedics lines are not changed, but if any other paramedic service brings it in they are changed at 24 hours.
  8. is it muscle or technique for intubating?

    Cats are pretty similar (ours werent very adoptable, the smell of fermaldhyde (sp) was kinda a put off). And digital intubation (like the dogs) is done on humans also. Rare but its in our skill set for airway control in a situation were we cant get i...
  9. is it muscle or technique for intubating?

    Mannequins are horrible to intubate. In my experience for the great majority of patients, technique is much more important. The mannequin is usually much stiffer, no floppy tongue, and the head seems to come up off the table before anything moves ins...
  10. Did you get your first intubation?

    Learn something new everyday. Guess my day can end now. (Boss wont like that very much though because I still have 11 hours left of my shift)
  11. PHRN certification

    Just because mommatrauma asked: I dont find 11:11 especially insulting. I've also been doing this job for awhile and on forums and in daily life I have encountered more than one RN that thought they were qualified to do my job. From what 11:11 has po...
  12. Did you get your first intubation?

    Whats a Robert-Shaw?
  13. ACLS - Help!!

    The pre-course exam isnt something to worry to much about doing an excellent job on. It does show you were you need to work on but it is more a tool to judge the amount learned during the course. However, obviously there are some things that if you t...
  14. hypothetical ? about defib a pregnant patient

    Per ACLS, no change in current or pad position. Also state that no signifigant energy gets transferred to the fetus.
  15. 7 P.m. - 7 A.m.

    I have been working similar shifts for about 5-6 years now. I've trying to stay up a little late the night before, and getting up early (which with having a newborn at home is never a problem), trying to grab a 1-2 hour nap in the afternoon. Also whe...