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	<title>Paramedic Class Notes</title>
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	<description>My notes taken during the Paramedic Class. Feel free to comment with corrections, suggestions or your own notes.</description>
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			<item>
		<title>Funny Video</title>
		<link>http://www.rhmedicclass.com/index.php/funny-video/</link>
		<comments>http://www.rhmedicclass.com/index.php/funny-video/#comments</comments>
		<pubDate>Wed, 03 Mar 2010 18:58:48 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/funny-video/</guid>
		<description><![CDATA[You may have seen this already…funny but sadly all too true (sorry about the language)
&#160;



]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Transcutaneous Pacing</title>
		<link>http://www.rhmedicclass.com/index.php/transcutaneous-pacing/</link>
		<comments>http://www.rhmedicclass.com/index.php/transcutaneous-pacing/#comments</comments>
		<pubDate>Mon, 01 Mar 2010 18:09:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[TCP]]></category>
		<category><![CDATA[Pacing]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/transcutaneous-pacing/</guid>
		<description><![CDATA[Great article here: http://ems12lead.blogspot.com/2008/11/transcutaneous-pacing-tcp-problem-of_15.html
Some highlights from the end: 
Here are some clinical pearls to get you through the procedure.     • The most common cause of failure with transcutaneous pacing (TCP) is poor pad placement combined with insufficient milliamperes! Remember, the pacer goes up to 200 mA! If you lose your nerve [...]]]></description>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Glucagon for Beta Blocker Overdose</title>
		<link>http://www.rhmedicclass.com/index.php/glucagon-for-beta-blocker-overdose/</link>
		<comments>http://www.rhmedicclass.com/index.php/glucagon-for-beta-blocker-overdose/#comments</comments>
		<pubDate>Wed, 17 Feb 2010 17:43:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Diabetic Emergencies]]></category>
		<category><![CDATA[Endocrinolgy]]></category>
		<category><![CDATA[Pharmacology]]></category>
		<category><![CDATA[Endocrinology]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/glucagon-for-beta-blocker-overdose/</guid>
		<description><![CDATA[Many times throughout the Paramedic Program I have come across a drug that has an unexpected use listed in the profile. Not very often are we given a comprehensive explanation as to why this drug works for this other use and it is left to us to try and figure this out. One example that [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Discordant ST-Segment Elevation in LBBB or Paced Rhythm</title>
		<link>http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/</link>
		<comments>http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/#comments</comments>
		<pubDate>Thu, 11 Feb 2010 21:01:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[12 lead]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/</guid>
		<description><![CDATA[Some great new blog posts over at EMS 12 Lead

Discordant ST-Segment Elevation in LBBB or Paced Rhythm
The Six Step Method for 12-Lead ECG Interpretation
&#34;New&#34; LBBB &#8211; What&#8217;s the big deal?
Identifying AMI in the presence of LBBB

&#160;
Relates well the the Tim Phalen lecture we had on 12 Lead EKGs.
Good Stuff….
]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Intro to Hematology &#8211; Paramedic</title>
		<link>http://www.rhmedicclass.com/index.php/intro-to-hematology-paramedic/</link>
		<comments>http://www.rhmedicclass.com/index.php/intro-to-hematology-paramedic/#comments</comments>
		<pubDate>Tue, 09 Feb 2010 00:33:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Hematology]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/intro-to-hematology-paramedic/</guid>
		<description><![CDATA[Components of blood – 45% RBC (hematocrit – 48% men/ 38% women), 54% Plasma, 1% WBC and Platelets 
Blood tests:
Hemoglobin (Hgb) usually around 14&#160; (Varies for men and women, adults and children)
Hematocrit is (Hct) usually about three times Hemoglobin levels,
Platelet count usually between 150,000 and 450,000 per uL of blood
CBC – Complete blood count
Diff – [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Mother of all Paramedic Mnemonics!</title>
		<link>http://www.rhmedicclass.com/index.php/mother-of-all-paramedic-mnemonics/</link>
		<comments>http://www.rhmedicclass.com/index.php/mother-of-all-paramedic-mnemonics/#comments</comments>
		<pubDate>Fri, 05 Feb 2010 17:05:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Mnemonics]]></category>
		<category><![CDATA[Paramedic Acronyms]]></category>
		<category><![CDATA[Paramedic Mnemonics]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/mother-of-all-paramedic-mnemonics/</guid>
		<description><![CDATA[I figured I’d write one Mnemonic to help remember all the other acronyms we use. (Not in order but what the heck! – Each one has the full description below) Enjoy! 
Mamas Dogs Flips
M – MONA 
A- ABC DEF GO
M- MOIST N DAMP 
A- AEIOU TIPS
S- SAMPLE
&#160;
D – DCAP BTLS
O- OPQRST
G- GUT PAINS
S- SIFDO
&#160;
F – [...]]]></description>
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		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>Critical Care Pharmacology for Paramedics</title>
		<link>http://www.rhmedicclass.com/index.php/critical-care-pharmacology-for-paramedics/</link>
		<comments>http://www.rhmedicclass.com/index.php/critical-care-pharmacology-for-paramedics/#comments</comments>
		<pubDate>Wed, 03 Feb 2010 14:48:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Pharmacology]]></category>

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		<description><![CDATA[This pharmacology booklet was handed out the other night, it is very useful and comprehensive. This was originally prepared for the St Vincent’s class and any references to protocols refer to NYC REMAC (as of 2006).

Download here: Critical Care Pharmacology for Paramedics

Sample page:
 
&#160;

Download here: Critical Care Pharmacology for Paramedics

_________
También encontré un gran recurso si [...]]]></description>
		<wfw:commentRss>http://www.rhmedicclass.com/index.php/critical-care-pharmacology-for-paramedics/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Paramedic Golden Rules</title>
		<link>http://www.rhmedicclass.com/index.php/paramedic-golden-rules/</link>
		<comments>http://www.rhmedicclass.com/index.php/paramedic-golden-rules/#comments</comments>
		<pubDate>Tue, 12 Jan 2010 21:34:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Assessment]]></category>
		<category><![CDATA[Physical Exam]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/paramedic-golden-rules/</guid>
		<description><![CDATA[By Miguel
&#160;
&#34;This is why people fail exams and/or lose their certifications&#34;
Rule #1: BLS before ALS.
Rule #2: Treat your patient not the monitor.
Rule #3: An &#8216;excellent&#8217; EMT = a &#8216;good&#8217; medic.
Rule #4: Protocols are guidelines, not set in stone.
Rule #5: Refrain from getting tunnel vision.
&#160;
Never forget:
1) ABC DEFG (airway, breathing, circulation, disabilities, extremities, full vitals, GO).
2) [...]]]></description>
		<wfw:commentRss>http://www.rhmedicclass.com/index.php/paramedic-golden-rules/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Normal deflection of ECG leads &#8211; reviewed</title>
		<link>http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/</link>
		<comments>http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/#comments</comments>
		<pubDate>Mon, 04 Jan 2010 20:59:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/</guid>
		<description><![CDATA[Been a while since we did cardiology so I wanted to do a quick review on the normal deflections you should expect to find in each lead of an EKG
Limb Leads
Lead I – Looks across top of heart with positive electrode at left arm &#8211; so QRS complexes are upright but not that tall
Lead II [...]]]></description>
		<wfw:commentRss>http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/feed/</wfw:commentRss>
		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Paramedic Rotations</title>
		<link>http://www.rhmedicclass.com/index.php/paramedic-rotations/</link>
		<comments>http://www.rhmedicclass.com/index.php/paramedic-rotations/#comments</comments>
		<pubDate>Mon, 04 Jan 2010 20:01:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Rotations]]></category>
		<category><![CDATA[CVA]]></category>
		<category><![CDATA[Trauma]]></category>

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		<description><![CDATA[NYC 911 System – Sat night 21:00 – 09:00
I had two &#34;good&#34; calls on Sat night
16 y/o female, pedestrian struck by a cab. Unconscious with agonal respirations. Paddles applied shows sinus tach at 174 but no palpable carotid or radial (PEA?). CPR performed for approx two minutes and faint pulses felt. We arrived same time [...]]]></description>
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		<slash:comments>2</slash:comments>
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