TraumaSurfer

TraumaSurfer

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All Content by TraumaSurfer

  1. CCEMT-P?

    TraumaSurfer replied to traumasurgRN's topic in Flight, Surface Transport

    LearningByMistakes, Why do you think Paramedics are worthless? Those were not my words so they must be your thoughts. This is one reason why EMS is still stuck in 1970. Instead of taking note of...

  2. CCEMT-P?

    TraumaSurfer replied to traumasurgRN's topic in Flight, Surface Transport

    Kinda cool to be called a Critical Care Paramedic after just 2 - 3 weeks of training in a class that is basically a no fail. Then you take a couple more tests which have books that feed you the...

  3. Why can't nurses intubate?

    TraumaSurfer replied to natnat122's topic in Emergency

    How many times will you be able to intubate? How will you maintain proficiency? How often will the doctor not be available? If this is an ER without a doctor being available I think the state and...

  4. Why can't nurses intubate?

    TraumaSurfer replied to natnat122's topic in Emergency

    Almost every state allows RNs the ability to intubate if their job requires it. Only one or two states say an RN can not intubate even if the job was to require it. Examples of when an RN's job...

  5. Sinus drainage in trach patient

    TraumaSurfer replied to malem's topic in Pulmonary

    Did you mean the drainage pooling in his throat and lungs? Sinus drainage can definitely lead to serious pulmonary infections. Sometimes people (professional and lay) feel the throat and the chest...

  6. How to become a vent certified RN?

    TraumaSurfer replied to mmorgan30's topic in Pulmonary

    Correct. But for a specialized licensed profession with specialty certs within it to be established, it means the material is broad. It is also constantly changing with new technology being...

  7. How to become a vent certified RN?

    TraumaSurfer replied to mmorgan30's topic in Pulmonary

    No but there is an Associates degree and also a Bachelors degree in it. Ventilator theory and management are broad categories which requires specialty training and education. Without that you are...

  8. How to become a vent certified RN?

    TraumaSurfer replied to mmorgan30's topic in Pulmonary

    Vent certified on what ventilator? Do you have enough foundation theory in the basics of mechanical venitlation as it pertains to respiratory physiology? Most RTs spend several hours learning each...

  9. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    The UMBC might be responsible for that with the patches they sell. CCEMTP at UMBC It is misleading if the state does not have a certification or title for CCEMT-P. It leads people to believe this...

  10. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    Good discussion vamedic4. I did not mean to come across as FDs being the root cause. There are several private ambulance companies which also put their employees through the medic mills and some have...

  11. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    That is incorrect and does not take into account for all of the transport teams in TX. Specialty transport teams do not require an RN to be a Paramedic. Being a Paramedic would have very little to do...

  12. Respiratory Therapists Stingy with o2?

    TraumaSurfer replied to haji's topic in MICU, SICU

    I think you have taken the wrong attitude. The question is why does the patient need 100% O2 and is there something that can be done to make them more comfortable. Just increasing the FiO2 will not...

  13. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    I do have to ask one thing and I don't mean to distract from the original question, but, why in the year 2013 would any Paramedic do a central line in the field when IOs are so readily available or...

  14. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    The information is very easy to look up on each state's website. Most states in the US require only 600 - 1000 hours total. No FD, which now many areas for Fire based EMS, is going to put their...

  15. GI Bleed/BiPap

    TraumaSurfer replied to sleepy17's topic in MICU, SICU

    Numerous reasons here why NOT to place someone on BiPAP. Increased pressure gradients for varices to bleed, drying of air, gastric distention on top of an already increased vomiting risk, aspiration...

  16. Low saO2, normal sO2?

    TraumaSurfer replied to dirtyhippiegirl's topic in Critical Care

    SaO2 is the measured value and the "a" stands for arterial. If you are moving a pulse ox probe around and looking at a waveform you are measuring the SpO2. If you are looking at SO2 on the ABG then...

  17. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    I hope nobody takes any information on that forum seriously. Most of those commenting on education have only a 3 - 6 month certificate as a Paramedic and no college. Not even an Associates. They...

  18. Loma Linda, CA travel assignment

    TraumaSurfer replied to Love1another's topic in Travel

    Loma Linda UMC/CHU are bringing in lots of travelers now in all areas and professions because they are training their staff for transitioning to EPIC computer charting starting the first week of Feb...

  19. PHRN transfer to EMT-P in other states?

    TraumaSurfer replied to RegMurse12's topic in Flight, Surface Transport

    Ask the TX Board of EMS and the TX BON to see who regulates nurses in prehospital situations. EMTlife probably will not be of much use since that is a forum for mostly EMT Basics and not

  20. Respiratory Therapists Stingy with o2?

    TraumaSurfer replied to haji's topic in MICU, SICU

    If this patient is a DNR and is on BiPAP, chances are the decision has been made to treat the patient aggressively which will probably take more than O2. Giving more oxygen may just mask the...

  21. Low Tidal Volume Alarm

    TraumaSurfer replied to SterlingArcher's topic in MICU, SICU

    This is where you also need to look at the graphics along with the patient. The waveform will tell you alot more. Sometimes the patient's breath and the ventilator are just a little out of synch....

  22. Nebulized flolan for severe ARDS

    TraumaSurfer replied to sunnycalifRN's topic in MICU, SICU

    The dosing of almost any aerosolized medication including Albuterol is "sketchy". A nebulizer may only deliver about 10 -20% of the medication especially when given by mask and a regular nebulizer....

  23. Nebulized flolan for severe ARDS

    TraumaSurfer replied to sunnycalifRN's topic in MICU, SICU

    I have seen Nitric Oxide work many times in ARDS patients. There is also no contraindications for the use of HFOV in H1N1 or other infectious diseases unless there is a pneumothorax which is...

  24. Pulmonary issues BPAP vs Vent

    TraumaSurfer replied to Connie Belculfine's topic in CCU, Coronary, Cardiac

    You or your source info must be referring to a very old BiPAP machine. For the past 15 years, most hospital machines have been blended and not bleed in O2. The 45 - 70 L/M also sounds like the...

  25. Respiratory question for a patient with a trach...

    TraumaSurfer replied to goannain's topic in Critical Care

    Looks like someone did not get an inservice on the O2 equipment they are using. The device used, which includes size and brand name, will determine the liter flow required to make 28%. This is often...