New IV Tool

[Muppet]

Lol, no. I didn't. Our department did. Along with a Doppler, E-Scope and a long list of other shit that doesn't work well in a truck.

What's the E-scope?

F.M.

 

[DoctaJ]

What's the E-scope?

F.M.

It's a stethoscope that amplifies lung sounds or heart tones. Rather than your standard ear pieces, it comes with an earmuff style headset.

http://cardionics.com/e-scopeelectronicstethoscope.htm

 

[Muppet]

Oh, yea. that thing also. I know a medic that carries one. Again, don't believe in it for E.M.S. I would rather get a King Vision for difficult airways.

F.M.

 

[DoctaJ]

I would rather get a King Vision for difficult airways.

F.M.

Ain't that the truth. Those things rule. Well, they appear to. Can't say I've ever used one. Have you ever had success with the King LT that you can slide an ETT through?

 

[Muppet]

Ain't that the truth. Those things rule. Well, they appear to. Can't say I've ever used one. Have you ever had success with the King LT that you can slide an ETT through?

Never tried that. I have used the King multiple times and usually just ventilate through that, with the Etco2 waveform attached.

F.M.

 

[DoctaJ]

Never tried that. I have used the King multiple times and usually just ventilate through that, with the Etco2 waveform attached.

F.M.

I've been fortunate; I haven't had a colossal shit storm of an airway yet. Now that I've said it...give it a week. CPAP has become my friend recently.

 

[Muppet]

You will get bathed in blood soon enough. Been there, done that. Don't forget to ventilate first. Lots of new medics think they need to "get the tube", forgetting to ventilating the pt. (B.L.S. B.V.M.). Do you use M.E.I. / R.S.I.? CPAP has decreased the tubes I have gotten but if it prevents the older C.H.F. / asthma pt's from getting vented and staying on the vent, I am happy.

F.M.

 

[DoctaJ]

RSI. I prefer etomidate/sux. I suppose if I knew the pt didn't have a gag reflex, MEI would be a viable option. I just know that if I was being tubed, I wouldn't want even the slightest chance of being partially awake. Not to say you can't under-dose someone with Etomidate, but I like the idea of a completely relaxed jaw. What about you?

 

[Muppet]

P.A. has M.E.I. (etomidate alone) but only 2 squads in the county I work in uses it. The S.O.P. written for it sucks and so most squads and medical directors don't believe the S.O.P. was written correctly so "we" don't use it. I would like to see R.S.I. but apparently the S.O.P.'s are written for the lowest common retards that don't do a lot of jobs, in the center part of the state. P.A. has I guess > 13,000 medics with command so that makes it hard to control. Hell, E.M.S. in the urban / burbs of Phlly have a hard time carrying the monitor TO the pt. let alone giving meds to paralyze a pt. So, I don't believe that giving MORE toys to medics that are medi

 

[Muppet]

W.T.F.! Anyhow, giving more toys to medics that suck I don't agree with.

F.M.

 

[DoctaJ]

P.A. has M.E.I. (etomidate alone) but only 2 squads in the county I work in uses it. The S.O.P. written for it sucks and so most squads and medical directors don't believe the S.O.P. was written correctly so "we" don't use it. I would like to see R.S.I. but apparently the S.O.P.'s are written for the lowest common retards that don't do a lot of jobs, in the center part of the state. P.A. has I guess > 13,000 medics with command so that makes it hard to control. Hell, E.M.S. in the urban / burbs of Phlly have a hard time carrying the monitor TO the pt. let alone giving meds to paralyze a pt. So, I don't believe that giving MORE toys to medics that are medi

I totally understand the lowest common retards. There are a couple medics in my area that are scared to given valium to a combative or seizing patient, much less completely knock them out. My volunteer squad recommends 2-5mg Versed for intubation, and we don't carry Sux. At work is a different story. It's almost scary how much they let us do and how many drugs they give us. But anyways, protocols pretty strict in PA?

 

[DoctaJ]

Lol..from Veinlite to useless shit to airway to drugs to protocols. Slightly off topic..

 

[amlove21]

Ain't that the truth. Those things rule. Well, they appear to. Can't say I've ever used one. Have you ever had success with the King LT that you can slide an ETT through?

Yup. Works very well.

...At work is a different story. It's almost scary how much they let us do and how many drugs they give us. ...

As a 68W? I was not aware that a W could pass narcotics. When you're "at work", what do you mean? Are you a different flavor of combat medic (e.g, other than a 68W)?

 

[policemedic]

Yup. Works very well.

As a 68W? I was not aware that a W could pass narcotics. When you're "at work", what do you mean? Are you a different flavor of combat medic (e.g, other than a 68W)?

Speaking for Whiskeys, narcs were OK.

 

[DoctaJ]

Yup. Works very well.

As a 68W? I was not aware that a W could pass narcotics. When you're "at work", what do you mean? Are you a different flavor of combat medic (e.g, other than a 68W)?

Ah, sorry for the lack of specificity. Work would consist of an ALS truck in a medium-sized Ohio city. Unfortunately, I signed my contract as a 68W too early to realize that I should have gone AD. Now I can't even get any recruiters to talk to me about AD. I considered switching branches and attempting PJ..but I have plenty of time to accomplish those goals. But as for the 68W question..nope...strictly 68W1O.

 

[DoctaJ]

Speaking for Whiskeys, narcs were OK.

Correct, the only Schedule II's in the standard 68W scope are MS and Fentanyl, if I remember correctly.

 

[TLDR20]

Correct, the only Schedule II's in the standard 68W scope are MS and Fentanyl, if I remember correctly.

In pre measured doses yes.

 

[Muppet]

I totally understand the lowest common retards. There are a couple medics in my area that are scared to given valium to a combative or seizing patient, much less completely knock them out. My volunteer squad recommends 2-5mg Versed for intubation, and we don't carry Sux. At work is a different story. It's almost scary how much they let us do and how many drugs they give us. But anyways, protocols pretty strict in PA?

Actually, the S.O.P.'s in P.A. are fairly progressive. You can view them by going to the P.A. Dept. of Health website and looking for P.A. statewide protocols.

F.M.