medic1488

medic1488

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All Content by medic1488

  1. Do you let ambulances drop off in triage?

    medic1488 replied to Anagray's topic in Emergency

    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...

  2. Questions regarding epinephrine.

    medic1488 replied to Mithrah's topic in Emergency

    And dont forget racemic epi via

  3. Intubation

    medic1488 replied to EricTAMUCC-BSN's topic in Emergency

    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...

  4. Ed Techs

    medic1488 replied to nursejennie76's topic in Emergency

    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...

  5. Ed Techs

    medic1488 replied to nursejennie76's topic in Emergency

    Great, another thread coming down to degrading EMS personel. Just what this site

  6. Interesting Read

    medic1488 replied to Pete495's topic in Certified Registered Nurse Anesthetist, CRNA

    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

  7. restarting prehospital IV's

    medic1488 replied to JillR's topic in Emergency

    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...

  8. is it muscle or technique for intubating?

    medic1488 replied to kestrel1121's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  9. is it muscle or technique for intubating?

    medic1488 replied to kestrel1121's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  10. Did you get your first intubation?

    medic1488 replied to louloubell1's topic in Certified Registered Nurse Anesthetist, CRNA

    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

  11. PHRN certification

    medic1488 replied to traumajunkie03's topic in Flight, Surface Transport

    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...

  12. Did you get your first intubation?

    medic1488 replied to louloubell1's topic in Certified Registered Nurse Anesthetist, CRNA

    Whats a

  13. ACLS - Help!!

    medic1488 replied to kaseysmom's topic in Cardiac

    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....

  14. hypothetical ? about defib a pregnant patient

    medic1488 replied to lifeLONGstudent's topic in Cardiac

    Per ACLS, no change in current or pad position. Also state that no signifigant energy gets transferred to the

  15. 7 P.m. - 7 A.m.

    medic1488 replied to Spider Cat's topic in General Nursing

    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...

  16. Xray tech~ more $$$ than RN???

    medic1488 replied to SoulShine75's topic in Nursing Career

    If it makes you guys feel any better, us EMS people are still making less than all of

  17. Pulseless patients: shock or drugs

    medic1488 replied to EricTAMUCC-BSN's topic in Emergency

    Thats why theres the minute of CPR post med before your next shock. Its only about 20% of typical cardiac output, but thats better than none. Came across a study that was still preliminary, but...

  18. Would you tell a family to sue??

    medic1488 replied to askater11's topic in General Nursing

    Not a comment regarding weather should recommend sueing or not, but we have a case up here in the northeast. Elderly gentleman drives through a small yard, through a fence, and into a major river...

  19. Any tips for starting IVs?

    medic1488 replied to nurse_wannabe's topic in General Nursing

    Put the catheter in the vein:) . Just being a smart a**. Good site selection, and good distal

  20. how many times can a human be defibrillated?

    medic1488 replied to TinyNurse's topic in CCU, Coronary, Cardiac

    Personally, 16 defib, but guy expired anyway so I guess that doesnt count. A friend of mine encountered a patient in the field, defib * 2, both with return of perfusing rythmns, despite multiple...

  21. EMT-P Question

    medic1488 replied to MikeyBSN's topic in Emergency

    I guess I'm just lucky that the hospital based EMS system I work for the nurses and medics have excellent relationships. We respect them, they respect us. They know there limitations, and we know are...

  22. RN transporting pt. across state lines

    medic1488 replied to imenid37's topic in Flight, Surface Transport

    I'm not sure where your from, but I know as a paramedic in a relatively small state in the Northeast we routinely bring pateints across state lines, as well as picking up and bring back to our state...

  23. EMT-P Question

    medic1488 replied to MikeyBSN's topic in Emergency

    I come more from the medic side of this equation, I know in my state (CT) there is a program that you can get an accelerated EMT-P. The question is, should you. I work in a hospital based system were...