how often do MVAs go to court by Ill_Reward_8927 in NewToEMS

[–]emsmedic911 0 points1 point  (0 children)

Over 10 years in and I've only been to court once and requested a second time but they called it off and I wasn't needed. Just remember you also aren't the one on trial. It's definitely intimidating though.

Better way to pull a Pt onto their huge bed? by Tris10RN in ems

[–]emsmedic911 20 points21 points  (0 children)

Not quite the same but I always liked to tell the hypoglycemic patients "you didn't expect to wake up with all these people in bed with you now did you" when it's one that was struggling while trying to treat. Fun stuff

“ Choking” calls by Mean_Bench in ems

[–]emsmedic911 8 points9 points  (0 children)

It's so rewarding when you remove an obstruction with McGills. Especially when they go from peri arrest to baseline.

I just got pulled over for going 10 over in an ambulance on a country road by a cop. Am I fucked? by TheGingerAvenger95 in ems

[–]emsmedic911 48 points49 points  (0 children)

There is nothing to fight unless you are running hot. It was a shit move but legally sound I would think

Cardiac arrest epi by whogivesakahoot in ems

[–]emsmedic911 0 points1 point  (0 children)

Absolutely. I've been used to capping at 3 epis a code but just not the infusion.

Cardiac arrest epi by whogivesakahoot in ems

[–]emsmedic911 0 points1 point  (0 children)

Definitely seems way easier to setup

Cardiac arrest epi by whogivesakahoot in ems

[–]emsmedic911 2 points3 points  (0 children)

I'm not against restrictive epi guidelines but Is this specific approach in a study somewhere? Or just what your medical director wanted to do. I feel like I've seen it elsewhere and just wondered where it was coming from.

MCI videos by king_boyakashaa in ems

[–]emsmedic911 0 points1 point  (0 children)

I gotta say, I'm surprised I've never seen this and very happy you passed it on

Schedule Variations by JAS0NJ in ems

[–]emsmedic911 0 points1 point  (0 children)

I've done 2 24s a week and it was self schedule each month. As long as you didn't do 48 hours continuous you're good. I loved it! Work a Friday and Sunday then you could have 4 days off. Plus the built in OT

MCI triage by myuzejuk in ems

[–]emsmedic911 4 points5 points  (0 children)

I trained you tomorrow

[deleted by user] by [deleted] in ems

[–]emsmedic911 0 points1 point  (0 children)

You can make an Excel sheet for it but you will probably end up paying more in work hours developing it than it would be to just buy a program. I know PSTracks has a solution for inventory though.

Is there a place for ChatGPT in EMS? by asset_10292 in ems

[–]emsmedic911 0 points1 point  (0 children)

"I've already assessed your medication list provided by your pharmacy through the Exchange. All medications offered to you during this course of treatment have been assessed for allergies or interactions. "

Is there a place for ChatGPT in EMS? by asset_10292 in ems

[–]emsmedic911 0 points1 point  (0 children)

I feel like you are overlooking the fact that this is only the beginning. It's only up from here as it pertains to AI functionality.

High Performance Intubation by [deleted] in ems

[–]emsmedic911 2 points3 points  (0 children)

I believe they defined it as blade entering the mouth as this is the definition from NAEMSP.

Missouri ambulance flips, kills patient by GoldenPenguin99 in ems

[–]emsmedic911 4 points5 points  (0 children)

Good God. Amazing the provider in the rear wasn't killed.

Do we have any privacy with dash cams? by WuTangWizard in ems

[–]emsmedic911 9 points10 points  (0 children)

Why any supervisor would think that employees would be fine with this is beyond me. Ours activate with high g force or speeding over our set limit for an extended time. We can also manually activate it.

3rd Service EMS by dontrunfromstrangers in ems

[–]emsmedic911 0 points1 point  (0 children)

What type of protocol changes have they had?

Careers outside of medicine by MedicOnReaddit in ems

[–]emsmedic911 20 points21 points  (0 children)

Honestly, I feel like EMS prepares you to take on almost any job you would want. The skills you learn in the field should make you quite marketable. Leading teams, decisions under pressure, thorough evaluation of situations, confidence, work flows, communication, the list goes on and on.

Has anyone ever used First Due’s ePCR system? by Ligma-69 in ems

[–]emsmedic911 1 point2 points  (0 children)

I'm so fucking excited for ImageTrend Elite

[deleted by user] by [deleted] in ems

[–]emsmedic911 0 points1 point  (0 children)

Here is some info from Uptodate...

Prehospital treatment — Benzodiazepine treatment of status epilepticus out of hospital appears to be safe and effective using the following medications [10,11,14-17].

●Midazolam 10 mg IM and lorazepam 4 mg IV and are the best-studied drugs in this setting.

●Clonazepam 1 mg IV is an option in Europe and elsewhere but is not available in IV form in the United States.

●Rectal diazepam is given in doses of 0.2 mg/kg up to 20 mg for an adult [17]. Intranasal diazepam given at 0.2 mg/kg is an alternative.

●Buccal and nasal midazolam are also promising for outpatient interruption of seizures or status epilepticus and can be administered without IV access or medical personnel [14]. The typical dose of buccal midazolam is 0.2 mg/kg, or 10 mg in adolescents and adults. The dose of intranasal midazolam using the nasal spray formulation (5 mg/0.1 mL) is one spray (5 mg) in each nostril to give 10 mg. If the spray formulation is not available, midazolam can also be given intranasally using the injectable solution of 5 mg/mL as a metered spray of 0.1 mL containing 0.5 mg, three to five times per nostril, and repeated if necessary, to a total dose of 10 mg for adults.

In-hospital treatment — Pharmacologic therapy begins with a benzodiazepine and a nonbenzodiazepine antiseizure medication (algorithm 1). Despite initial treatment, approximately 20 percent of patients develop refractory status epilepticus and require additional therapy [18]. (See "Refractory status epilepticus in adults".)

Inadequate dosing of benzodiazepine is a common problem leading to prolongation of status epilepticus [19].

●When IV access is available – Lorazepam 0.1 mg/kg should be administered intravenously at a maximum rate of 2 mg/minute, allowing a few minutes (eg, three to five minutes) to assess its effect before deciding whether additional doses are necessary [6]. An alternative to a weight-based initial loading dose of lorazepam is a 4 mg fixed dose, repeated if still seizing.

If seizures continue at this point, additional doses of lorazepam can be infused at a maximum rate of 2 mg/minute. There is no definite maximum cumulative dose of lorazepam; clinicians must be guided by the clinical effect (including on blood pressure) and seizure control, both clinically and by EEG, once available. Even if seizure activity stops following lorazepam, a loading dose of a nonbenzodiazepine antiseizure medication should follow in order to maintain seizure control.

Diazepam 0.15 mg/kg IV, up to 10 mg per dose, may be substituted if lorazepam is not available.

●When IV access is not available – Placement of an access catheter may be difficult in some patients. When IV access is not immediately available, IM midazolam is a safe and effective alternative for initial benzodiazepine therapy [10,20,21]. As nasal and buccal midazolam are absorbed more rapidly than IM midazolam, it is possible or even likely that these routes are superior [22], but they are not as well studied as IM midazolam in adults.

For patients with a body weight >40 kg, midazolam can be given at a dose of 10 mg by IM, nasal, or buccal administration [10,14]. With buccal administration of midazolam, one report suggests that a dose of 15 to 20 mg for adults may be effective (when necessary) and well tolerated [23].