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(25:57) Ron has his cardiology finals. Both the written, which was a third of my grade, and the practical which was 3% and got him his ACLS card. But it was 3% if you don’t pass, you don’t pass the course.
This episode sponsored by MedicsTest.com
Listener Questions
On the last podcast y’all talked a little about CPAP. Our CPAP protocol says to use our ETCO2 monitoring equipment which resembles a nasal cannula. I would think that using that would prevent a seal around the mask, defeating the purpose of using CPAP. What are your thoughts?
Lastly, say you have a patient with a respiration rate of 40 with a hx of COPD, and they are unable to speak in complete sentences. They have diminished lung sounds, however you can hear wheezes in the upper right lobe, slight cyanosis in their lips and nail beds, initial sat was 84% after a NRB with 10 LPM it comes up to 92%. Would you give a neb treatment to see if they improve or would you go ahead and attach the CPAP? I’m sure that I’m probably in the minority for EMS providers but my philosophy is to do the least invasive treatment which in this case would be CPAP before I begin to administer drugs.
Kelly: After all the years of schooling and the many calls you have run, has your thoughts or views on EMS as a whole changed, and if so, what about?
EMS Freak
(25:57) Ron has his cardiology finals. Both the written, which was a third of my grade, and the practical which was 3% and got him his ACLS card. But it was 3% if you don’t pass, you don’t pass the course.
This episode sponsored by MedicsTest.com
Listener Questions
On the last podcast y’all talked a little about CPAP. Our CPAP protocol says to use our ETCO2 monitoring equipment which resembles a nasal cannula. I would think that using that would prevent a seal around the mask, defeating the purpose of using CPAP. What are your thoughts?
Lastly, say you have a patient with a respiration rate of 40 with a hx of COPD, and they are unable to speak in complete sentences. They have diminished lung sounds, however you can hear wheezes in the upper right lobe, slight cyanosis in their lips and nail beds, initial sat was 84% after a NRB with 10 LPM it comes up to 92%. Would you give a neb treatment to see if they improve or would you go ahead and attach the CPAP? I’m sure that I’m probably in the minority for EMS providers but my philosophy is to do the least invasive treatment which in this case would be CPAP before I begin to administer drugs.
Kelly: After all the years of schooling and the many calls you have run, has your thoughts or views on EMS as a whole changed, and if so, what about?
EMS Freak