Medic7714

Medic7714 has 16 years experience and specializes in ..

Latest Activity

1. IV Zofran and LR

   Medic7714 replied to Christy1019's topic in Emergency

   I have never read that incompatibility in any of the drug references I use or heard it mentioned from anyone before. I give lots of Zofran but we only use Normal Saline even with trauma.

2. 12 lead EKG resources?

   Medic7714 replied to turnforthenurse's topic in Cardiac

   The company I work for had paid for mine so I am not sure what the cost of the course is. Sorry.

3. Explain: Preload vs Afterload

   Medic7714 replied to outside_child's topic in Cardiac

   Preload = volume of blood received by the heart. Afterload = pressure or resistance the heart has to overcome to eject blood. Drugs that dilate the vasculature thus reducing blood return to the heart effect pre-load... for example nitroglycerin by ma...

4. What does this ECG Say?

   Medic7714 replied to needtoknow_iq's topic in Cardiac

   This is not correct. The diagnostic criteria for a STEMI is 1mm or more of ST-elevation in TWO or more contiguous leads. Where did you learn ST elevation needs to be present in 3 leads? I can't tell you anything regarding the strips due to the low qu...

5. 12 lead EKG resources?

   Medic7714 replied to turnforthenurse's topic in Cardiac

   Check out Bob Page. He is a well known EMS educator and teaches a great 12-lead course all over the country and also internationally. You might want to check his website to see if he will be in your area. I attended his 12-lead course which was fille...

6. What is up with all the Dilaudid?

   Medic7714 replied to rgroyer1RNBSN's topic in Emergency

   Generally speaking, all of the opiate class medications work via the same mechanism / mu receptor and don't have a max dose as long as the patient's respiratory and hemodynamic status support giving more. The differences come from the onset, duration...

7. 12 lead EKG resources?

   Medic7714 replied to turnforthenurse's topic in Cardiac

   A really good online source.... EMS 12-Lead Follow this guy.... Tom Bouthillet - EMS 12-Lead And this is a free online video lecture on learning 12-leads. Reading 12 Lead EKGs | Learning About 12 Lead EKGs

8. Paramedic Students

   Medic7714 replied to celticcare's topic in Emergency

   To the OP, first I need to say that it is awesome you are taking this endeavor as it is one much needed!!!! When I was a Paramedic student we had to do clinicals not only in the ED but also in the ICU, PCU, cath lab, OR, phlebotomy, respiratory, etc....

9. Scrubs in the Emergency Department

   Medic7714 replied to Krystall's topic in Emergency

   All of the ED's I've ever been in (many in PA, VA, WV, DC, MD), all of the nurses wear scrubs. Some hospitals color coordinate by department but they still all wear scrubs. I think it would be weird not wearing scrubs in the hospital.

10. What is up with all the Dilaudid?

    Medic7714 replied to rgroyer1RNBSN's topic in Emergency

    I do agree sometimes indiscretions occur but overall I feel that pain should be aggressively treated. My favorite equation is 2mg morphine + severe pain = severe pain. As someone else said, customer service. What better way to get good feedback score...

11. What is up with all the Dilaudid?

    Medic7714 replied to rgroyer1RNBSN's topic in Emergency

    I see this as a good thing. Pain is easily and safely treatable and has many benefits to doing so. Maybe what you're seeing is finally a trend where we no longer view opiates as taboo medications and are treating pain the way we should be. Narcotics ...

12. Blood Infusion

    Medic7714 replied to Medic7714's topic in Emergency

    The automatic locking mechanism on the pump tubing wasn't the issue. I use IV pumps all the time and that is a basic in the troubleshooting process. Fluids not on a pump get taken off the stretcher IV pole and hung on the ceiling of the ambulance whi...

13. Blood Infusion

    Medic7714 replied to Medic7714's topic in Emergency

    I'm aware that blood can infuse by gravity without any problem and it is common practice at places to run blood this way. That isn't my question. My question is the practice of infusing blood by gavity with PUMP TUBING. The pump tubing has a cassette...

14. Blood Infusion

    Medic7714 posted a topic in Emergency

    Have a quick question. I had a patient the other day that I was transferring 2hrs from a community hospital to a regional medical center. Pt. was receiving a unit of blood that was to infuse during the transfer through a central line. My plan was to...