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Ask A Medic

Discussion in 'Off-Topic Discussion' started by medic2230, Jun 2, 2011.

  1. Krazie Sj

    Krazie Sj Resident Jackass

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    Make sure you have your paper work and crap in order including your drivers license. I dunno if you have or will get a GDL once you get to Alberta. But winter is starting and the season is vamping up.

    IPS is the biggest company here thus far. Other companies pay more, but they have all the contracts and thus more work.
     
  2. futuretacoowner

    futuretacoowner Well-Known Member

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    Thanks, I was on the IPS website and there was an opening for an EMT-A. I know EMT-P is equivalent to ACP, but what level is EMT-A?
     
  3. Mitch

    Mitch Somebody call for a Wambulance?

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    Fuck flu season. It has to be the worst time of year. Ran 16 calls yesterday (did a double) 10 straight calls were "I have a fever"

    Common sense peeps. Its nothing new
     
  4. futuretacoowner

    futuretacoowner Well-Known Member

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    back on preceptorship had 3 weeks of nonstop N/V calls. On a side note I really need a job so I have more stories than "back on preceptorship...".
     
  5. Krazie Sj

    Krazie Sj Resident Jackass

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    PCP.

    While in Alberta unless your equivalency is that of an ACP, do NOT call yourself a paramedic. You will be shit on, and you will have a very hard time of it.
     
  6. Krazie Sj

    Krazie Sj Resident Jackass

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    Too good not to share. Might have already seen it floating on Crackbook cause that's where I stole it from.

     
  7. medic2230

    medic2230 [OP] Ditch Doctor

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    Cooking at the station.

    [​IMG]
     
  8. futuretacoowner

    futuretacoowner Well-Known Member

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    :jellydance: The station I did my preceptorship at was looking at making a deck in back and getting a grill and a patio set and what not. Dont worry wasnt gonna be with company money or anything.
     
  9. Mx SuperFly 25

    Mx SuperFly 25 Adrenaline Addict

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    thats pretty awesome...
     
  10. futuretacoowner

    futuretacoowner Well-Known Member

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    You have a hypoglycemic pt presenting with stroke like symptoms do you push D50 or no?
     
  11. TacoMX

    TacoMX TW's Official anti body-lift pundit

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    Our protocols say to treat a suspected cva pt for hypoglycemia if their bgl is below 50mg/dl
     
  12. Mitch

    Mitch Somebody call for a Wambulance?

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    Always. The blood sugar could be a factor





    Same here
     
  13. mtnmedic

    mtnmedic Active Member

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    Treat the hypoglycemia first. Some differential diagnosis skills should tell you pretty quickly what you have.
     
  14. futuretacoowner

    futuretacoowner Well-Known Member

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    Reason I ask is that the drug profiles I was given while in school said that a stroke was a contraindication, and while looking at different protocols it said bgl under 80(U.S.) and under 4(Canada) to give d50. Just goes to show that you don't learn everything in school I suppose.
     
  15. Mitch

    Mitch Somebody call for a Wambulance?

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    I've always believed that you learn a base in school and learn more while on the job. I wouldn't give the D50 orally but can hurt to give it IV
     
  16. futuretacoowner

    futuretacoowner Well-Known Member

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    I believe that also, but sometimes I need that little reminder
     
  17. TacoMX

    TacoMX TW's Official anti body-lift pundit

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    exactly.

    If you have a pt on scene w/ no Hx of DM, and now they are all zonked out, sudden onset, facial droop, weakness, hemiplegia....I would lean toward stroke and probably not give D50...unless it was very low.

    Even in an ischemic stroke D50 can worsen the cerebral infart by drawing oxygen from the non-infarcted tissues to try and metabolize the sudden influx of sugar.
     
  18. Mitch

    Mitch Somebody call for a Wambulance?

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    I agree with this. I think it would depend on the overall situation. And if you have any questions I would make a call to the on call docs and put it in their hands
     
  19. TeamSarcasm

    TeamSarcasm Mr. President

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    http://mobile.nytimes.com/2013/12/08/us/in-mass-attacks-new-advice-lets-medics-rush-in.html

    What are your guy's thoughts on this?
     
  20. Mitch

    Mitch Somebody call for a Wambulance?

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