Tag Archives: Paramedic


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An ED doctor told me once, Epi stops the reaction and Benadryl cleans it up. So while Benadryl is a great drug for allergic reactions, it is not the ultimate life-saver epi is….Still I would hate to not have Benadryl in my kit.


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I rank Versed 20 out of the 33 drugs we carry. If we did not also carry Ativan, I would have ranked it much higher.

20 Drugs To Go

Now as we move up the list toward what I call The Essential Eight, the choices are going to become harder.


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Solu-medrol doesn’t reach its peak effect for 6-12 hours after we give it, but that studies have shown the earlier it is given, the less likely the patient will have to be admitted to the hospital.

Sodium Bicarbonate

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I rate it above calcium partly because it links me more closely with Johnny and Roy, and more importantly because it can be used for tricycliate overdose, and for crush injuries (I have never used it for these indications).


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I don’t use calcium very much, but there is one situation I always reach for it in — cardiac arrest in a diaylsis patient. While we don’t have labs in the field, a dialysis patient is a possible bet to be hypocalcemic and/or hyperkalemic, and calcium can save lives if they are.


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“We’re going to sedate him,” I say. (If this was movie, I would have said to my partner, “Fetch my dart gun.”)


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“So, the Metoprolol finally worked,” I said to the nurse.

“No,” she said, “We gave him Cardizem.”

I'll be At Your Side

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This is an old post I’ll be at Your Side from 2005 that I am contributing to this month’s The Handover hosted by Mac505 at Notes From Mosquito Hill.


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If we did not also carry Amiodarone, I would rank Lidocaine higher.

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