E-fun-ephrine
So the family went to King’s Dominion the other weekend.  As a teen, between 1975 and 1979  my friends and I went once or ten times every summer.  Roller coasters, flume rides, hideously overpriced food (we thought at the time – how little we knew).  It was fun.  But that was before EMS. Now-me arrives with the family, and the first ride I get on is the Drop Tower.  Sit in your chair, which raises you to almost 300 feet.  Nice view.  Then it drops you. During the second or two I fell, I thought, “Well, this is fun.”  But afterwards?  Meh. The roller coasters teen-me had loved were worse.  Whether it ...
Source: DTsEMT - August 23, 2014 Category: Ambulance Crew Authors: dtsemt Tags: Uncategorized Source Type: blogs

Did I tell you about the time…?
Our patient, c/c “chest pain”, was sinus tach and sprinkling PVCs like confetti. We’re applying oxygen, he’s got some morphine on board, and we’re just opening the nitro when he codes, just as we get to the hospital. We hit the ED doors running, pushing, bagging. “Code! We need a room!” “Room 4!” The charge is right on top of things. We roll into room four. “On Three! onetwothree!” Our patient is onto the bed, CPR resumes, bagging resumes. The attending physician is a new guy, I’ve never seen him before. “What’s the story?” “68 ...
Source: DTsEMT - March 18, 2014 Category: Ambulance Crew Authors: dtsemt Tags: Uncategorized Source Type: blogs

New App – Rampart BLS
A new app has been submitted to Google Play and should be appearing shortly. Rampart-BLS is a BLS  scenario emulator.  PLEASE have one of the many fine, natural-sounding voices (such as IVONA or SVOX) installed on your Android device! In this app, you are the ED doc or OMD.  Your EMT-B is calling from the scene and requesting medical direction.  Tell him (or her, depending on the Android Voice – installed separately) what to do:  Get vitals, splint, hold c-spine, etc. The app is designed for EMT-B students, to give practice in acquiring SAMPLE, OPQRST, and DCAP-BTLS information, as well as head-to-toe assessment...
Source: DTsEMT - June 22, 2013 Category: Ambulance Crew Authors: dtsemt Tags: Software Source Type: blogs

New App – Parkland
Available on the link to the left, or in the Google Play store: https://play.google.com/store/apps/details?id=com.dtsemt.parkland As usual, completely free, and ad-free.  Calculates fluid resuscitation requirements based on the Parkland formula.   (Source: DTsEMT)
Source: DTsEMT - January 21, 2013 Category: Ambulance Crew Authors: dtsemt Tags: Software Source Type: blogs

New App – Parkland
Available on the link to the left, or in the Google Play store: https://play.google.com/store/apps/details?id=com.dtsemt.parkland As usual, completely free, and ad-free.  Calculates fluid resuscitation requirements based on the Parkland formula.   (Source: DTsEMT)
Source: DTsEMT - January 21, 2013 Category: Ambulance Crew Authors: dtsemt Tags: Uncategorized Source Type: blogs

New App
… in the Google Play store.  DTsEMT Menu allows you to remove any shortcuts you might have to other DTs (Medics of Anarchy) titles and replace them with a single shortcut to the Menu app, freeing up screen space. The app scans your device on launch and creates a menu of all DTsEMT titles – building, well, a menu. It does NOT check the Play store for new DTsEMT titles. Absolutely free, like all MoA apps. (Source: DTsEMT)
Source: DTsEMT - September 15, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Software Uncategorized Source Type: blogs

who is… The Most Interesting Medic In The World…?
To him, anything less than a 14 gauge in the Circle of Willis is a peripheral line;   When he marks “transporting”,  the hospital pages a “Code Awesome, ETA 5 minutes”;   When he brings in a patient, the ED docs gather around – to learn;   When he was dispatched to the wrong address, the occupant faked illness to become his patient;   Just sitting at his table at lunch is worth one hour CE credit    He needs no siren; he just smiles at the rear view mirrors of the cars in front of him   Any more? (Source: DTsEMT)
Source: DTsEMT - April 24, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Uncategorized Source Type: blogs

Of course, Scotch is a colloid
In discussing blood pressures, and fluid resuscitation, my current precept asked a simple question, “When would you use crystalloids over colloids, assuming both were available?”.  Further discussion led to a narrowing of the question to, “When would you use crystalloids and pressors, rather than simply switching to colloids?” Since there are a variety of reasons to use any fluid resuscitation, let’s make this a trauma patient.  Mr. Smith was using his chainsaw to remove a fallen tree on his property when – whoops! – chainsaw slips and he has a deep cut on his anterior thigh.  E...
Source: DTsEMT - February 16, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Learning Curve Source Type: blogs

ACK! Mea culpa maxima
Version 1.1 of the drip rate calculator was broken, and replaced the working copy (1.0) for everyone who upgraded.  BUT, (and “everyone I know has a big ‘but'” – PwH) it is fixed, and version 1.12 seems to be stable.  Boring bit: compiler update now only allows lowercase identifiers; Apps market didn’t recognize the drip calc app as an upgrade unless the name matched exactly, which included uppercase; hilarity ensued.  The fact that it installed locally to my device meant that the problem went undetected (by me) for at least a day. Apologies.  Procedures are now in place to sooner catch th...
Source: DTsEMT - January 26, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Software Source Type: blogs

Mods to the Drip Rate calculator
“JS” had a nice idea – how about the gtts/min for folks who don’t have a ml/hr pump?  It’s now there, and I took the opportunity to make the navigation less clunky.  Well, at least /I/ think it’s less clunky.  Version 1.1 and should update automatically for folks who already have it installed. PLEASE let me know if you find any problems!  Thanks.   (Source: DTsEMT)
Source: DTsEMT - January 21, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Software Source Type: blogs

Another day, another app…
The latest is the DTsEMT RSI Calculator – enter a patient category (adult or peds), enter the weight, and see the drugs.  Allows you to deselect drugs you don’t carry to get them out of the way, and lets you enter patient health concerns (ICP, hypotension, pregnancy, etc) after which it will color-code the drugs.  Choose the green ones for best result ;-) Absolutely free, no guarantees, blah blah blah.  Android only, je me regret, and tested on a bigger screen – HTC Evo.  Let me know of any problems, please.  Thanks!   (Source: DTsEMT)
Source: DTsEMT - January 13, 2012 Category: Ambulance Crew Authors: dtsemt Tags: Software Source Type: blogs