[Glkster19]

Originally posted by firemedic21
The only thing that I can think of is that earlier on that day, I complained to the chief about a non certified person (still in first responder class) functioning as a lead tech on calls and adminstering asa and non pt perscribed nitro to a chest pn pt on a call.

Whose NTG is he administering? I'd can his butt on the spot. You don't give someone else's meds to another individual. You want to give your meds to your spouse/family member that's your business, but to give a 3rd party meds from someone else, that's a major no-no.

 

[Glkster19]

Originally posted by DaleGribble
I don't know about Florida but here in SC as an Intermediate I can not administer ASA or non pt prescribed Nitro under any circumstances. I can administer pt prescribed Nitro with online med control orders.

Same here in MI............



















but the pt must have a good B/P also :clown:

 

[Glkster19]

Originally posted by paragod
in my own opinion, emt-b's should NOT be giving nitro/asa.

what are you going to do when you bottom out their pressure,

medics shouldnt even be giving nitro w/o a line.

not to mention the other potential problems, what if its a triple A, congrats you just killed your pt.

the point is no line no meds.....trendelenburg is not a adequate replacement for a life line for hypotension.

Your thought process is not correct. Trendelenberg will adequately replenish the volume lost due to NTG. After a few minutes they are fine. Had many a Dr say that. These days its no different than someone having the same effect from Viagra, they pass out and are fine after becoming supine and blood flow being restored to an adequate level.

I agree on your thought for the triple A, however, that could happen to anybody. Not all pts present with classical signs of a triple A. Had a guy once called for CP, no other complaints and throwing PVC's. EKG was questionable. Treat the pt with Lido and NTG and get to the hospital and they find out later he was a triple A.