Category Archives: P-School

73 Environmental Emergencies

(29:40) Ron has his last lecture of paramedic school and it is about Environmental Emergencies.

What I Did This Week

Medical Emergencies

Environmental Emergencies
Heat
Cold
Do you have a low temperature thermometer?
We’ll see hypothermia in Houston because there are lots of ways to have it happen, but she said not going to see frostbite. Then my wife posted to FB it was snowing in Abilene.
Drowning
Fresh vs saltwater
Fresh washes away surfactant.
Since salt water is osmotic, do you risk hypovolemia?

Special Populations

Final review

Clinicals

Final paperwork

Mentions:

ALTE University of Chicago

Listener Questions

Hey Kelly and Ron. Or is it Ron and Kelly? I’ve been following he podcast since the beginning as I was starting EMT B right after Ron. It was a cool experience to go through the class while listening to Ron’s show at the same time. Now I am half way through P school. My school is segregated in to thirds. Didactic-Clincals-Externship (intern). Unfortunately I have become extremely unmotivated during my clinicals. I know this is an important part of the learning process but it’s really dragging me down. I know the general answer to many issues is to “man up”, but I was wondering if this is common and if you have any advice on making it through this phase. In my EMS experience there is nothing I dislike more than working in an ER. I really appreciate the folks who can spend a career in there.

Russell

Could y’all talk about ALTE’s? It relates to the blue baby that resolves prior to EMS arrival. After having one of these, I did research on it and it apparently can be a precursor to SIDS. Our protocol mandates that we always, always, always transport these kids due to that risk. Is this related to the cardiac conditions Kelly discussed, or is it different?

We discuss airway obstruction beyond the vocal cords.

What was your first Oh $#!T moment as a EMT and as a paramedic What did you learn from it? – Andaew
Michael wrote:
Kelly, Are you one hundred percent positive that 250 mLs of D5W has the same of amount of dextrose and D50. My math shows that 250 mLs of D5W would have 12.5 g of dextrose (glucose). Just curious.

72 Hematology and Burn Out

(33:54) Blooooodddd, maybe this should have been the halloween episode. Ron learns about blood diseases. Its also scary how burned out everyone in class is getting at this point. Only 3 weeks to go.

Ron gets his textbook changed. He also gets an EMS job, find out what’s scary about that on this week’s episode.

What I Did This Week

Got something added to the new addition of Paramedic Care, Testicular Torsion

Had a Job interview – I got the job

Medical Emergencies

Another test. Are they trying to trick us?

Special Populations

Skills lab – Which do you think is the most challenging skill when testing?

Airway lab

Clinicals

Giving Glucagon IM when you can’t get a vein for Dextrose

Christine asked about it. Someone on FB asked about it.

I had an interesting situation with Oral glucose when we could’t get a vein.

Listener Questions

Please help settle a debate that has torn my partner and I apart. We’ve argued in many different hospitals, stations, and nursing homes about pushing D50 through an IO. It’s not actually a situation we run into often; I think we just like to argue.

One of us argues that pushing D50 via IO is practically a guarantee that the patient will lose a limb. The other thinks we would have heard about all these limbs going necrotic by now, and that it would be discussed in EMS more or perhaps popping up in a new protocol.

Thanks in advance,
James

Hi Ron and Kelly. I have an answer, a question and a comment for you all.
The answer to the question Kelly was asking on episode 66 is the McMartin Preschool trial, which took place in California.

The question is I am an EMT student and our program has just released us to do ambulance ride alongs. What are the best things I can do to have an effective ride along experience and help, rather than hinder my preceptors?

Finally the comment- I’ve been listening to your podcast since episode one and it, along with your can do approach is a significant reason why this 40 something guy believed that it would be possible to become an EMT.

Thanks and keep up the good work!

-Marc

71 2011 Texas EMS Conference

(27:30) This week Ron and Kelly podcast live from the 2011 Texas EMS Conference. They discuss the different lectures and sessions they attended, which were good, which were packed so full of information it was tough to keep up and which left the brain as soon as the feet left the room.

There’s talk of C-PAPP, the number one reason of geriatric altered mental status, another episode of “This week in firearms”, retrograde intubation, and the new myths of EMS by Dr. Brian Bledsoe.