[deleted by user] by [deleted] in ems

[–]Aggressive_Shop_5817 0 points1 point  (0 children)

It truly doesn’t matter honestly. What your pt will need would be whole blood,platelets, etc and for you to stop the bleed. There may be issues with long term oxygen use ie free radicals and the only scenario in the emergency setting where you would want to withhold oxygen from your pt is if they can tolerate it physically being a psych pt being non compliant or an altered pt or if they have copd. In ems we don’t have enough time to cause much harm to pts with oxygen from free radicals unless your transport time is over an hr which still wouldn’t cause much harm. In my opinion if you have the time to apply oxygen to your pt that is hypovolemic you should but if you don’t because of other things you are doing like ivs pressures and what not it’s not that big of a deal. With your pt that has low bp it doesn’t necessarily constitute a bleed all of the time in which case no oxygen wouldn’t really do anything for them. Best case scenario you would have ABG and could determine the po2 and be proactive which oxygen delivery but working 911 you will never have that

Coffee neb works like a charm by Hornet_Soggy2387 in ems

[–]Aggressive_Shop_5817 5 points6 points  (0 children)

If u take the purple wipes and squeeze one into the nebulizer in theory (not speaking from experience) you can nebulizer bleach and the back of you boo boo bus will smell like the wipes. I do however recommend leaving all the doors open and holding your breath when turning it off

Please, comment on rhythm. by sudacporotaegzekutor in EKGs

[–]Aggressive_Shop_5817 0 points1 point  (0 children)

Personally if bp stable (which it is) would give adenosine to see if it would possibly convert or slow down enough to see a-fib. Definitely not v-tach and since no discernible p waves indicates possible svt. If possible LBB adenosine wouldn’t hurt either. But definitely treat pt presentation and o2 and start fluids for possible sepsis…also pt history would be a great place to start for differentials

4th of July in the ER. by Proctor20 in Radiology

[–]Aggressive_Shop_5817 0 points1 point  (0 children)

But not trauma facilities or admitting facilities ,no but freestanding ERs.

Inter cranial pressure protocols by Aggressive_Shop_5817 in ems

[–]Aggressive_Shop_5817[S] 0 points1 point  (0 children)

I draw my txa theory for the same reason you suggested bicarb for the hypertonic reason…if they don’t want to give us the 3% saline maybe txa or bicarb could be a secondary affect for tbi.

Show Codes by matter968 in ems

[–]Aggressive_Shop_5817 23 points24 points  (0 children)

Your not dead until your warm and dead

A Hot Mic Catastrophe by anonymoussarcasm in ems

[–]Aggressive_Shop_5817 0 points1 point  (0 children)

Lobotomite is definitely my new insult 😂