Dan Limmer

1.3K posts

Dan Limmer

Dan Limmer

@limmerdan

I am a paramedic and author of several textbooks. I also founded Limmer Education, a publisher of smartphone apps for EMS and medicine. https://t.co/mTRq6Ugc82

Kennebunk, Maine Katılım Nisan 2009
1.2K Takip Edilen1.6K Takipçiler
Dan Limmer retweetledi
Ted Rogers
Ted Rogers@emstchrspc·
@limmerdan Had a student ask me if he could continue compressions during defibrillation. Me: Once
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Dan Limmer
Dan Limmer@limmerdan·
While reviewing #cpr with my class I said a child is 1 year of age to puberty. Patients are considered adults after puberty. A student asked, “When does adult end?” I said “When CPR stops.” #ems #emt #paramedic
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Dan Limmer
Dan Limmer@limmerdan·
There are times when lifting a patient to a stair chair, bumping down two flights, transferring to a stretcher and a ride to the hospital in a diesel truck does more for improving mental status than any medication or fluid we carry. #ems #paramedic #emt
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Dan Limmer retweetledi
Limmer Education
Limmer Education@LimmerEducation·
Want to know how to deal with stressful calls on the street? Learn 7 Things to deal with stress & improve performance from an emergency physician Dr. Mike Lauria (@ResusPadawan), who was a special forces medic. Cool. Listen and Get CE Now: bit.ly/StreetMedicine #EMS #paramedic
Limmer Education tweet media
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Bex
Bex@Medibrat·
I need someone right now, friends. I am not okay. Please send happy photos. Animals, kids, whatever you have on your camera roll that makes you smile.
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Dan Limmer
Dan Limmer@limmerdan·
@DownToFifer Starting a line is also a significant expense for the patient if uninsured/underinsured. We need to consider ourselves part of the healthcare system. A line isn’t benign clinically or financially. Even close to reasonably necessary is fine to start a line. Not rote or routine.
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David Fifer
David Fifer@DownToFifer·
@limmerdan There is something to be said for clinical course & contributing to flow of care. But in general, I think we shouldn't do procedures that aren't necessary. In general.
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David Fifer
David Fifer@DownToFifer·
I don't know which Paramedics need to hear this, but starting IVs is not a defining skill. Everyone from CT techs to ATs do it. It's a routine, minor, common thing, but many Paramedics think it represents advanced patient care. It's an oil change, not an engine swap.
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Dan Limmer
Dan Limmer@limmerdan·
@mds1820 Is that MIH by necessity rather than design? Creative and done in the best interest of the patient. And likely defensible with the right documentation. Cool.
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MDS182
MDS182@mds1820·
@limmerdan Majority of our non-transport runs stem from PCP’s lack of room in their schedules. Pt is told to call 911 and they’ll take you to the hospital. ED’s are overwhelmed with PCP pts. We assess, call pcp, give real time assessment and pcp either sees pt or call’s in a script!
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Dan Limmer
Dan Limmer@limmerdan·
Is there a patient refusal “culture” or trend in #EMS? If so, is it a side effect of call volume, staffing woes, or personnel issues? Is it education? Or is it an early effect of #MIH, treat and release, progressive EMS? All of the above isn’t an acceptable answer. #paramedic
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Dan Limmer
Dan Limmer@limmerdan·
@Jakeification I don’t know. I know my students have come back from field shifts with 7 calls, 7 refusals. Some valid I’m sure but how long can that average last? I’ve seen refusals that would piss me off if it was my parents. But I also know broad stroke generalizations are bad. Thoughts?
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