Last On: 8:02AM, 13 Mar 12
Kote B
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inferior MI
6 Replies

Just curious what peoples thoughts are for treating an inferior MI with RVI with oxygen, asa and fentanyl as opposed to oxygen, asa, nitro, morphine for an MI without RVI? Continue

Started this discussion. Last reply by Rogue Medic Feb 26, 2012.

 

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Michael Lee Reisman Maj-Ret RNNP left a comment for Kote B
"Learn from my lesson. Esp about a handshake agreement covering a medical clinic in Las Vegas http://www.youtube.com/watch?v=RbJ8IsQqmAk Please check out my you tube it's only 5 mins long"
Mar 10, 2012
Rogue Medic replied to Kote B's discussion inferior MI
"I agree about the importance of fluids. Ditto ASA and oxygen if the difficulty breathing or low sat.  IV NTG is much safer than SL NTG.  Fentanyl is probably a much better idea than morphine. Fentanyl produces less of an effect of blood…"
Feb 26, 2012
dr-exmedic replied to Kote B's discussion inferior MI
"Fentanyl it is then...or for anyone whose BP has you even slightly concerned. "
Feb 15, 2012
Scott RB replied to Kote B's discussion inferior MI
"I've heard of a couple different approaches... One is O2 as needed, ASA, fluid loading, and careful use of NTG (IV preferred), and then fentanyl or morphine as needed.  The other was O2 as needed, ASA, fluid, and morphine (no…"
Feb 15, 2012
Kote B replied to Kote B's discussion inferior MI
"I agree completely! I am just wondering people's opinions and which analgesic if any used for an inferior"
Feb 14, 2012
dr-exmedic replied to Kote B's discussion inferior MI
"How about some fluids, too? Many of these people will be hypotensive and bradycardic until you prime the pump."
Feb 14, 2012
Kote B posted a discussion

inferior MI

Just curious what peoples thoughts are for treating an inferior MI with RVI with oxygen, asa and fentanyl as opposed to oxygen, asa, nitro, morphine for an MI without RVI? See More
Feb 14, 2012
Kote B is now a member of JEMS Connect - EMS Emergency Medical Services
Feb 13, 2012

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D
Primary Agency/Department Type
Private EMS
Primary Department/Agency Name
LECS
Years in EMS/Public Safety
4
My Training:
PCP x4 years, currently finishing paramedic program
Relationship Status
Married

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At 3:16pm on March 10, 2012, Michael Lee Reisman Maj-Ret RNNP said…

Learn from my lesson. Esp about a handshake agreement covering a medical clinic in Las Vegas

Please check out my you tube it's only 5 mins long
 
 
 
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