A paramedic is only as smart as all the calls he has ever done minus those he has forgotten about.
You are the dispatcher for the cath lab.
I recently participated in a podcast at EMS EduCast on pain management.
Do the rhythm check with a loaded gun and be ready to fire when you see v-fib.
We use to update our regional paramedic guidelines every two years, but we have taken a new approach where we hope to update every six months, provided we have good evidence behind our changes.
Gone is “Effective Advanced Care.”
This is something valuable to keep in mind, when the QRS is small in leads V2 and V3. You may be able to see an anterior STEMI that others may miss.
I join Rogue Medic in his call. I see no reason why we should continue to give D50 when D10 is better for our patients.
Don’t assume because the person is fine now, that they were fine when 911 was dialed.
Just because a person is aware enough to move their hand to avoid their face, doesn’t mean they can’t also be really sick.