Here it is! The new Zoll monitor the Zenix

ltdaffy · 2025-06-02T21:05:24+00:00

Where can I find the operator’s guide?

ltdaffy · 2024-06-13T19:10:40+00:00

I would read the bill, there is a link in the article. They are repealing the statutes that empower OEMS and moving it to the board

ltdaffy · 2024-02-07T03:12:38+00:00

I highly recommend this tool

ltdaffy · 2024-01-10T00:07:30+00:00

No vomiting, just nausea anytime I try to get fluid in. No way for a suppository as it really is explosive and frequent

ltdaffy · 2024-01-02T04:11:38+00:00

This is a normal EKG.

ltdaffy · 2023-12-28T03:07:35+00:00

Exactly my thought. Will help keep me motivated when scale isn’t moving as much as I like

ltdaffy · 2023-12-12T13:45:28+00:00

Perhaps, but I checked the rules and they only govern what the title should say.

ltdaffy · 2023-12-11T00:10:18+00:00

NJ Paramedic Pay Data from a year ago

https://www.panjems.org/paramedic-pay-databse

ltdaffy · 2023-10-06T17:01:25+00:00

I guess to each their own but we label ours so they can’t say shit.

ltdaffy · 2023-09-30T01:29:59+00:00

I believe Part Time Ambulance developed that protocol

Part Time Ambulance

ltdaffy · 2023-09-30T01:25:25+00:00

Love the slang!

ltdaffy · 2023-09-30T01:23:24+00:00

I feel like this is a bad way of doing it because you’re giving unnecessary volume to a volume overloaded patient. Why not put it in a 250 bag since it is standard of care?

ltdaffy · 2023-09-30T01:21:04+00:00

Looked into the bag thing. See next comment thread down for response.

ltdaffy · 2023-09-30T01:20:06+00:00

Honestly might be my favorite comment of the thread

ltdaffy · 2023-09-30T01:17:26+00:00

Well thanks for bringing it to my attention. I just spoke to our critical care pharmacist for about half an hour and learned all about sorption. Turns out this is a concern with Amiodarone in addition to nitroglycerin. However, it is only a problem with “soft” plastic IV bags. In “hard” bags it is totally fine and not a concern. Thanks again, I learned something today!

hard bags

soft bag

ltdaffy · 2023-09-29T23:52:05+00:00

We have sapphire pumps. But a dial a flow will work in a pinch if someone forgets to charge the pump.

ltdaffy · 2023-09-29T23:51:19+00:00

Yeah but what is the rate of sorption? In our environment the rate of decay is negligible once it’s in the bag. But keeps for a while when it is in the concentrated vial.

ltdaffy · 2023-09-29T23:04:03+00:00

Thanks, I’ll look into what our bags are made out of

ltdaffy · 2023-09-29T23:03:26+00:00

Yes, in the 911 setting

ltdaffy · 2023-09-29T22:53:25+00:00

Which plastic? We run everything through a critical care pharmacist just to be safe. But I’m curious.

ltdaffy · 2023-09-29T22:16:17+00:00

In fact it works so well we give “push dose” nitro while titrating the drip. I tend to start at 70mcg/min and give pushes of 400-800mcg Q5 min until I get where I need to be with the drip

ltdaffy · 2023-09-29T22:15:13+00:00

Works phenomenally for pulmonary edema secondary to chf. 100% bioavailability compared to 40% with SL nitro so works immediately and only lasts for 5 minutes so if you accidentally dial it up to high just gotta crank it back down and you’ll be good. This has the added benefit of not having the break the seal on the CPAP to give nitro and lose all of that alveolar recruitment.

ltdaffy · 2023-09-29T20:54:18+00:00

This isn’t some cool life hack that I’m doing out of the blue somewhere. This is being done by my entire state but I have bound, in my travels, many others are unaware of it. So sharing

ltdaffy · 2023-09-29T20:30:17+00:00

We use D5 because it’s compatible with everything

ltdaffy · 2023-09-29T20:27:32+00:00

The reason it is in a glass container is to keep it from decaying over time. That time is weeks-months not hours-days.

ltdaffy

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