Using OTC Sleep Aids in EMS

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Motivated by a recent Facebook post, Josh brought a pretty important topic to the show. He was surprised at the number of EMS professionals who use over the counter sleeping aids to fall asleep. We discussed some of the potential issues with this type of facilitated sleep as well as possible causes of sleep issues in the EMS field.

Take a listen and leave your thoughts below. Do you take sleep aids or need stimulants to stay awake when working i.e. coffee, energy drinks etc.?

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Member CVA Feedback

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EMS1So my post the other day about my CVA call offered me one huge insight to my members…. they are great.

Not just because they have sent me numerous emails and messages about this call agreeing with my course of action but also because they offered me feedback about the call itself.

Three common points mentioned where;

  • That this patient could have had a UTI or other infection. I did actually consider that but the patient did not feel like she had a temperature and her heart wasn’t elevated. She also had no recent illness or injury complaints. But this was a great point by the members.
  • The other one was why I didn’t do a BGL test. I actually did do one but forgot to note it in my original email.
  • The third was why I gave oxygen when her SpO2 was above 94%. I do agree that there is research showing no need for supplemental oxygen in this case. But research doesn’t always follow along with protocols or what the ED docs expect. So sometimes we have to keep doing some things we may feel don’t need doing.

I also received many more thoughts on this and appreciate all the great feedback. It lets me know that my members are indeed true EMS professionals who think outside the box and look for things beyond what may seem to be the obvious.

If you didn’t have a chance to read the original post you can do that here.

 

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If you struggle with clinical judgment or want to improve your skills in this area. I encourage you to check out Turbo Medic. Many of the members of the blog or email list are also Turbo Medic members or have been in the past. Build your knowledge base and join me inside this exclusive members only website today.

 

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Cellular Metabolism | EMS Quick Study Help E6

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This installment of the EMS Quick Study Help series continues with A&P and cellular metabolism and cellular respiration. These key areas should help you focus on what you may be challenged with on this topic and perhaps assist you in recalling important terms when taking your next EMS exam.


 

Check out the EMS Quick Study Guide that helped Jim pass a recent FISDAP exam ten points above the national average. Get details here.

Be sure to Like and Share on Facebook.
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My patient has slurred speech but…. WWYD?

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zebrahtI sent this email to my members the other day about a possible stroke call I had.

Most of us expect that one sided droop, weakness, slurred speech or no speech deal.

What I get is a 78 y/o female completely alert who says she feels like her speech is slurred.

I do note some slurring. But no facial droop, negative Cinninatti Scores etc.

She also complains of headache that has been worsening over past 3 hours and numbness to her right hand for the past 20 mins, which is about the time she noticed her sleech issues.

When doing my history taking she can’t seem to recall details like why she takes a medication.

She says she feels “dopey” like she can’t formulate her thoughts as she usually can.

Her BP was 176/100, HR 88, RR 18, Sp02 98% on room air.

Here is what I did.

I called this in as a Code Stroke. Started an IV, gave 02 via NC and perfromed a 12 lead.

To me although she wasn’t presenting like a classic stroke patient, there where enough signs and symptoms to suspect that one may be occuring.

It may even have been a TIA.

But I felt better to up triage and treat as a CVA than blow it off and have her suddenly get worse enroute to the ED.

Plus I always worry that if I don’t point out my suspicsions she would end up in a ED room or hallway and not be seen for 10-15 mins or longer and suddenly a nurse will think “hey this may be a stroke” and now precious time has past where the alert talking patient is now unable to communicate or move her entire right side.

So, what would  you do in this case? The same? Totally opposite?

I’d be interested to know if you think her complaints warranted a priority transport or not.

Leave your comments below with your thoughts and keep an eye out for a follow up on this in a few days.

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If you want to be a better clinician and think about a bigger picture with your patients like the one above, Members of Turbo Medic do just that. Anyone can follow a protocol, real EMS professionals look at the whole patient presenation and treat/transport in the best interests of their patients. Join me at Turbo Medic and see what I mean - http://turbomedic.com/whytm/

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Treating Intoxicated Patients in EMS or Babysitting 101

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EMS1With some recent news about a paramedic and ED Doc refusing treatment of an intoxicated patient. The cast at Office Hours thought it would be a great time to discuss the treatment and transport of intoxicated patients. What qualifies at intoxicated vs. having a few too many? Is it an actual ETOH amount or when EMS arrives on scene?

Thinking about your last ETOH abuse call, was the transport for CYA or did the patient need ED evaluation?

Take a listen to this episode and leave your comments below. We would love to hear your last intoxicated patient story.

Read the article mentioned in the episode here.

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The 45M Dollar EMS Volunteers

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spam_can_openThis week we talk about volunteers and rather than the usual paid vs volley debate. We decided to talk about how there are counties that actually pay for the volunteer service to operate and it’s funded by the taxpayers. Now there is of course a lot to consider but when a number like 45 million dollars gets thrown around someone needs to raise an eyebrow.

This was a lively episode so pay attention and leave your thoughts below.


Conquering The NREMT CBT Exam

Get key points on the NREMT CBT exam like developing a mindset of success for the NR cognitive exam and learning how the test is administered and scored (Why you’re going to fail). Understanding how National Registry test questions are created. (And what that means to you), dispelling the myths about what the test is really about and how to develop powerful strategies to approaching the question and finding the right answer. This digital e-book is the UNDERGROUND WRITTEN TRANSCRIPT of the live two hour webinar held at EMS Boot Camp. Get all the details by clicking here.

 

 

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Cellular Transport | Just The Highlights

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Here is another EMS Quick Study Tips episode. This week I continue with A&P and focus on cellular transport and mainly the key areas you might see on your next EMS exam.


Check out the EMS Quick Study Guide and discover how this resource can help you study for any EMS exam.

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EMS Quick Study Guide – Click for your copy.

 

 

 

 

 

 

 

Be sure the Like and Share this video on Facebook and give me some social media juice.

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Are Smart Phones Replacing Our Partners?

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EMS1This week we talk about using Smart Phones on the ambulance and mainly ask the question “Is your smart phone replacing your partner?” Take a listen to see what we mean and leave your thoughts below.

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Anatomy & Physiology P1 | EMS Quick Study

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EMS study guide on anatomy and physiology. This first installment in the A&P area focuses on the systems of the body and what is located within the various sections of the body.




Check out the printed resource mentioned in the video by clicking here.

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Taking Risks To Meet Expectations

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ems paramedic questionsThis week the guys talk about EMS pay and what is enough pay for the risks involved. Speaking of risks. We also discuss the risks we take in order to meet expectations set by our agencies and even our training.

Take a listen and be sure to post what your optimal EMS salary would be below.

I would love it if you would Like or Share this post on Facebook. Better yet, go leave us a rating on ITunes and subscribe to us there by clicking here.

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