Great video, can you do more medication content please? I like the way you explain this.
@hader1029 ай бұрын
I'm going to second this because sometimes a video like this is just what someone may need to help connect the dots. I'm frequently finding in the EMT/medic refreshers I help teach that meds and med administration can sometimes be a big struggle point for some. Sometimes just getting them hands on with this again is enough, though it is nice to have a video resources to reference as well or point others towards as extra study. At the very least, it's a great option to have available.
@911life57 ай бұрын
I swear it’s like you’re reading off of our protocols. We’re blessed to have a great medical director with great advanced protocols
@dondiakow63643 ай бұрын
Ha, you guys call it a tie-fighter as well! Good explanation of push dose Epi.
@bprzyborowski37219 ай бұрын
Great video! I use this technique in my practice and this is a good reminder. I usualy don't comment on your videos but here i want to show support for this form of content.
@parkeratwood27179 ай бұрын
This is great! Please more med vids. IV nitro next please!
@greatuse9 ай бұрын
Thanks sir 🙋♂️👍👍 beautifully explained ❤❤🌷🌷
@jadensilva22277 ай бұрын
We need more medication content!
@johne16539 ай бұрын
Medication Math is ruled by the decimal. 1:1000 Epi 1mg per 1cc=100mcg/0.1cc vs 1:10,000 Epi 1mg per 10cc 100mcg/1cc thank God for the metric system!
@alpha1inspectionservices5 ай бұрын
Great Training and review of basic task. Keep it up!
@zed6399 ай бұрын
Very informative. Thank you for the demonstration.
@jamesa75069 ай бұрын
Everyone hates the dreaded paperwork! Good stuff sir! 👍
@juliachambers7257 ай бұрын
Video on dirty epi drip and how to calculate drip rate? I found other KZbin videos done by other pips confusing.
@heidi222099 ай бұрын
Thanks Sam. Great content.
@aetius99 ай бұрын
"Just don't stab yourself because it's a lot of paperwork and it's really embarrassing." Words to live by. :)
@jamesa75069 ай бұрын
😂
@snow85818 ай бұрын
Just a quick question, when you add epi to the IV bag should you (shake, squeeze) the bag to mix it? And by the way, I am retired (mechanic) and had spent several years as an EMT with a volunteer fire department. I try to still stay current on SOP's even though I no longer respond. Thank you for all the great content!
@kennymiller67097 ай бұрын
sometimes the turbulence of shaking the bag will make the medication frothy. I honestly tilt the bag upside down once and then right side up and call it good!
@911life57 ай бұрын
Love using this. Just need to commit Phenylephrine to memory like I have epi
@johnrioux6739 ай бұрын
What I find interesting is the use of pre-filled syringes to mix medication. As far as I know, the pre-filled syringes come with warning not to use them to mix medication. The Institute of Safe Medical Practices mentions not using the pre-filled syringes for anything else than flush. As a matter of fact, it also mentions not using a cartridge type syringe to draw medication from. Between you and me, I still do it but, it still goes against the 'recommended' practices. Thoughts?
@sydharrison4 ай бұрын
My thoughts are that it comes down to money, storage, and use. Medications vials will say you can dilute with NS vs bacteriostatic water but it is for immediate use vs. letting it sit out for 24 hours before used (such as vecuronium). Flushes are labeled as "Not Sterile"; yet the saline inside the syringe is used in sterile procedures every day. Provided the sterile user and the sterile field did not come in contact with the "un-sterile" syringe. Someone has to squirt the saline into a sterile cup. I have seen your comment like you're on another video, yet I have never seen an answer. I also have never seen this type of claim on the flushes either, in any of the areas of practice that I have worked in, since flushes have made the scene. I honestly think it is a way for manufacturers to get more money out of the system. No one else seems to have an answer. Is it maybe a particular manufacturer that is putting this on the flushes? Maybe something happened and they had to "relabel" the product?
@jasonadam90433 күн бұрын
My protocol is 10-20 mcg every 2 min. I have a 30 min transport, solo!! Is there a way to mix push dose into a NS bag and deliver it hands free?
@Tyrvana5 ай бұрын
didn't think i'd get an answer what they were doing in the ambulance 2 months ago 3:31
@fignewton22of20158 ай бұрын
What is a tie fighter on the aircraft ?
@ajventimiglia99969 ай бұрын
Can you do one for IV Acetaminophen?
@aliceduser63475 ай бұрын
Hey, quick question. Do you have to wait for a period of time for the 1/1 epi to diffuse through the syringe? I mean to say, will the epi sit at the top of the syringe and you could potentially give a large dose from the top and no dose from the bottom?
@Daniel.H.Garavaglia4 ай бұрын
No you don't you can use immediately however he didn't do it you just shake the syringe to mix it when it has a bit of air in it then dispel the air and push.
@Nate-ro8nk9 ай бұрын
They let you bring the Rx meds home?
@krisdeaglephotography45395 ай бұрын
Since epinephrine works on alpha-1 AND beta-1 receptors, does that not mean epinephrine could be used in hypertension? If not, why not? I am curious (yes, I know epinephrine works on alpha-2, beta-2 and beta-3 as well). I presume there’s some nuance to this since it’s non-selective?
@PrepMedic5 ай бұрын
You mean used to treat hypertension?
@krisdeaglephotography45395 ай бұрын
@@PrepMedic Yes.
@PrepMedic5 ай бұрын
@krisdeaglephotography4539 so I think you are confused on what alpha 1 and beta 1 receptors do. Both contribute to increased cardiac output and vascular constriction. What would cause it to decrease blood pressure?
@krisdeaglephotography45395 ай бұрын
@@PrepMedic Beta-1. Beta always dilates and 1 works on the heart. Therefore does that not mean beta-1 acts as a vasodilator? Am I missing something or does beta-1 not work that way?
@PrepMedic5 ай бұрын
@krisdeaglephotography4539 beta 1 increases chronotropy and inotropy which both act to increase blood pressure. Beta 2 is smooth muscle relaxation which gives you some basic dilation but it’s certainly never going to drop blood pressure with Epi.
@jellybeanx4897 ай бұрын
Hi Sam
@brendangaffney63449 ай бұрын
Hey, I got a question for you. I now have my lifeguard and CPR certification, and I have been carrying around a pocket CPR mask. I have not done any official training (like with a CPR dummy), however I have opened it up and tested it a couple times (then throw it out of course). They came in a pack of 7. My question is, is there a specific CPR mask brand/item that you personally recommend? I am looking for a quality one that I can become farmiliar with. Thanks!
@markrein69049 ай бұрын
how do you have either cert without physical training with a cpr dummy?
@brendangaffney63449 ай бұрын
@@markrein6904 When I was in lifeguard training we trained with the CPR dummy.
@nyagudinyagudi27439 ай бұрын
Sam what is your take on virtual reality Critical Care simulation eg SimXVR and Oculus Meta Quest 3 ?
@PrepMedic9 ай бұрын
Haven’t used them so can’t really have an opinion yet.
@JDLRodriguez9 ай бұрын
I want to know exactly what I need to do to be a paramedic?
@murvygoaz59039 ай бұрын
attend and pass a paramedic course, pass the NREMT exam, apply for your state license
@JDLRodriguez9 ай бұрын
Thank you bit i need to take emt first before paramedic like is mandatory or is recommended to take emt know the basics then go to paramedic
@murvygoaz59039 ай бұрын
@@JDLRodriguez it depends on what state you live in, but you probably don’t NEED to take EMT first, but a lot of people recommend you work as an EMT for a few years before becoming a medic.
@gator70829 ай бұрын
@@JDLRodriguez What do you want to do with it and who do you want to work for? Every state is different and every organization that uses Paramedics have different requirements. Research who you would like to work for and go from there. If they will train you, all the better. Why pay out of your pocket if they will pay you train? Many large Fire Departments run their own EMS programs. Most Helicopter EMS want to see a few years of 911 experience plus you will need your Flight Paramedic certs unless they hire you with the stipulation that you will have that cert in X amount of time.
@user-wd4ge2zh2c8 ай бұрын
@@murvygoaz5903No one needs to work as an EMT before becoming a paramedic. That is a nonsense recommendation. Though some states require you to get an EMT license before you get a paramedic license.
@richardforst15749 ай бұрын
What? No Pulp Fiction reference?💁🏻♀️
@hvymtal85669 ай бұрын
For anyone who doesn't know what a "Tie Fighter" is, it's slang for a 3-way stopcock
@PrepMedic9 ай бұрын
It isn’t actually. It is a female to female connector without a dial.
@scottmayhew22279 ай бұрын
Ever work in a ditch, long term? No pumps in a ditch.
@Atonement463 ай бұрын
We actually carry pumps on our trucks 😊 We can grab it and take it into a ditch with us.
@brycee69759 ай бұрын
Yeah…. Ohio would rather you mix epi into a bag of NS and eyeball it instead of PDP. 😑 Then again, they also think paramedics aren’t smart enough to use ultrasound, even though I teach ultrasound and I’m a paramedic. Weird. 😑