dr-exmedic
  • Male
  • Pittsburgh, PA
  • United States
  • Paramedic/EMT-I/EMT-D, Physician
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Bonus link: occupational licensure
5 Replies

Started this discussion. Last reply by Skip Kirkwood May 21, 2012.

Potential GPS interference
6 Replies

Started this discussion. Last reply by Dale Loberger Sep 8, 2011.

IO for naloxone?
28 Replies

Started this discussion. Last reply by Rogue Medic Apr 15, 2011.

 

dr-exmedic's Page

Latest Activity

dr-exmedic replied to JEMS Web Team's discussion Protocol for Amputation in the Field
"Why bother writing a policy or protocol for such a rare event?"
Oct 12, 2013
dr-exmedic replied to David Spafford's discussion Mix it up or follow the Index?
"Ben Dowdy said: Earlier stuff is simpler for the graphic designers to understand, maybe? :)"
Aug 19, 2013
dr-exmedic replied to JEMS Web Team's discussion DCFEMS Considers Civilian Paramedics
"I didn't realize they were hiring military paramedics in the first place.  ;)"
Aug 19, 2013
dr-exmedic replied to Nathan Stanaway's discussion Freezers for Ambulances
"I don't know about freezers, but the service I used to work for full time used coolers with ice packs, rotated every 12 hours. Less than $50/truck (even with a thermometer) if you have reliable enough crews, though you may need to rotate more…"
Aug 3, 2013
dr-exmedic replied to David Spafford's discussion Mix it up or follow the Index?
"Ben Dowdy said: Personally, I've found the bigger problem is that they appear to have not been made by people with medical training, but by graphic designers who were given the book and told to maker a Powerpoint out of it. :) But they do often…"
Aug 3, 2013
dr-exmedic replied to Thrawn's discussion Looking for Agency policy - Do not carry cardiac monitor inside (leave in truck)
"Justin P said: The worst thing to listen to is people like that complaining that they're "not just an ambulance driver." Really? Then start acting like something more...."
Jul 18, 2013
dr-exmedic replied to JEMS Web Team's discussion Training To Clear the Highway Quickly
"I love those trucks--do they also carry brooms and such for getting smaller debris off the road?"
Jun 3, 2013
dr-exmedic replied to Thrawn's discussion Looking for Agency policy - Do not carry cardiac monitor inside (leave in truck)
"Problem with the 12-leads: if your local cath lab is typical, the staff for the cath lab are on 30 minute call. If you get the 12-lead just before you start moving, they're not going to be in-house (let alone set up) by the time you hit the…"
Jun 3, 2013
dr-exmedic replied to Skip Kirkwood's discussion Are your community's law enforcement and EMS agencies prepared to work together effectively in the event of a "rapid mass murder" attempt?
"Skip Kirkwood said: And that's the clincher. We've got to get out of the mindset that our scene needs to be totally safe--in part, because our day-to-day scenes aren't (as already noted). I ran into a medic just the other day who was…"
Jan 12, 2013
dr-exmedic replied to Adam Bernarde's discussion ketamine in the field
"Scott RB said: It's just like any other medicine: it has its up and down sides, and times you use it, and times you don't. I like it, it's one of my favorite drugs, and sometimes I use it on patients as well. ;)  I don't…"
Dec 8, 2012
dr-exmedic replied to JEMS Web Team's discussion Long Wait Times
"Skip Kirkwood said: Hopefully just a "mini-reg," which is basically get their name and DOB so you can get them into the computer system (and connect this visit to their medical record, if available), then go back and get…"
Nov 27, 2012
dr-exmedic replied to Nicole Reino's discussion Will the Legalization of Marijuana in Wash. and Colo. Allow for Better Care?
"Are people lying about their pot use to you all that much? I've never really had anyone that I suspected of it *not* admit it, and I've had plenty of people cop to it even when I didn't suspect. Of course, since MJ doesn't…"
Nov 18, 2012
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????
"I suppose if I were just supervising a midlevel I could see 10/hour...but then when I said those 10 pts were "seen by a doctor," they would literally have been seen. Glanced at, more like. Interesting."
Oct 21, 2012
dr-exmedic replied to Justin Tilghman's discussion Regionalization: The wave of the future?
"It's pretty much a matter of time in many places, though everyone trying to protect a fiefdom can slow it down some (or a lot, depending on local politics, which is why my county has 1 PSAP, while Cuyahoga Co OH has 47). It doesn't have…"
Oct 20, 2012
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????
" Please tell me you just made that number up. Either that, or I'm going to be extremely jealous of how much support your docs over there have that they can see a pt and not have to spend any time on documentation etc. :)"
Oct 20, 2012
dr-exmedic replied to Kevin's discussion AMR physical agility test...
"It may vary by region--the only thing I remember is several lifts of weights that were meant to represent lifting a patient from floor to stretcher, stretcher to height, etc. This was ca. 2003 in Akron, OH."
Oct 20, 2012

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D, Physician
Primary Agency/Department Type
Hospital
Years in EMS/Public Safety
13
Personal Site/Profile
http://www.dr-exmedic.com

Comment Wall (4 comments)

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At 12:44pm on February 21, 2011, Nathan Stanaway said…
I know what your referring to in the PICU. Kinda a cpap for infants.  Though the flow rates are usually much lower than 15lpm.  I though it was interesting however in this article that there actually seems to be a transient increase in o2 sat even during apnea!
At 9:32am on July 9, 2010, Mike Rubin said…
The first half of "Functions of the Basal Ganglia" was a little hard to follow, but the second half made a lot of sense. Thanks for the link.
At 3:27pm on September 20, 2009, Ken Westby said…
Youtube video was great ... I would slow down your commentary blurbs however, they come and go a little fast.
At 2:56pm on July 25, 2009, mike said…
doc please contact me about your you-tube video..the Seattle arrest survival rate is not based in 100% fire response.....King county is included in that study I believe which is also serviced by KC medic one (3rd service ems)
 
 
 
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