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Ever take any physics or astronomy? When you start covering relativistic effects, you would not believe just how true the essence of your statement really is. Sorry, off topic. Take care, chbare.

Holy shit...He only has two posts, took the time to get involved, and Really? The only thing the next page of posters could think to comment on is his caps lock and formatting? C'mon folk. Some of us have done way more foolish things, I do them on a regular basis, perhaps we could show a new poster the courtesy of at least commenting on his content at the same time as bitching about his presentation?? Capt Stern, a few things, as I'm going to assume you might be new to forums. First and foremost, welcome to the City!! Thanks for taking the time to participate. Presentation sucked..But that's not terminal, as I think your post content was really good! All caps is bad form. We're strong believers here, many of us anyway, that the way you present your ideas in text tells much about your intelligence and personality. Spelling, punctuation, capitalization, and paragraphs go a long way towards making your post easier to read and respond to. Also any 'lingo' that may be specific to your location, cert levels/radio codes, etc should be defined when used so that others are not confused by them. Not sniping brother, just trying to give you a heads up. I absolutely agree that much more information was necessary, including your ideas on confirming that this was actually a CVA, is necessary before being able to determine whether or not fluid was appropriate. Though it's not uncommon here for folks to create a 'what if' scenario off of an actual call to help them ask a specidic question. I found a lot of food for thought in your post, I'm grateful you took the time to create and it and had the courage to post it. I'm also confident given the information you need, if you haven't been discouraged by your first time out, that your presentation will be much different in the future. And last, and possibly least, if most or all of that information came out of your head as opposed to being Googled, as I have a feeling it did, I have much to learn from you...I hope you'll stick around. Have a great day all... Dwayne

lETAS LOOK AT THE PATHOPHSIOLOGY OF A CVA. YOU HAVE A THROMBUS, EMBOLUS, LUCANA, ANYERUSIM,PONTINE HEMMEROGAE IN ANY CASE THEY ARE ALL CLOSED HEAD INTERVENTIONS. I HAVE NEVER SEEN A PERSON WITH HPOTENSION GET A STROKE , MAYBE HYPOTHERMIA WITH A RECIRCULATION DISPBRITUTION BUT FOR ALL INTENTS AND IMPRESSIONS HER BP WNL WHICH BASICALLY RULES OUT LUCANA AND WITH HER EYES PERRLE R/O PONTINE AND DID YOU SEEK ANY ADDITIONAL HISTORY PERTINENT LIKE EAR INFECTIONS SINUS INFECTIONS OR ANY OTHER TYPE OF BRAIN DISORDER LOU GERIG, MYASTHINIA GRAVIS ETC. THIS WILL HELP YOU IN YOUR QUEST HER ECG WAS NSR AND NO POSSIBILITY OF STOKES ADAM. IT SEEMS LIKE A STOKES ADAM WITH A UNDERLYING POSS MI DIN'T SAY ANYTHING ABOUT DIABETES. GERIATRIC MEDICINCE IS A BRANCH ALL IN ITS OWN AND REPEAT EXPOSURE AND GOING OVER YOUR ALS REPORT WITH YOUR MD WILL HELP IN HONING YOUR SKILLS. a FLUID CHALLENGE TO R/O SOMETHING IS NOT PRUDENT IN THIS SITUATION. CAPT MITCHELL STERN, AS, MPH, EMT-4, NCEMT-4 (RET)

tHE CHALLENGE IN ANY SEDATION PROCEDURE IS MAINTAINING A AIRWAY AND EXCELLENT PERFUSION. BACK WHEN I WAS A MEDIC FROM 1977-1996 (PROMOTION) WE ALWAYS SEDATED BAD PULMONARY EDEMA PATIENTS . DUE TO THE HYPOXIC INDEX, REMEMBER IT ONLY TAKES 5% DE SATURATED BLOOD TO CAUSE ISCHEMEA AND CYANOSIS. YOU CAN HANDLE A PATIENT WITH LESS AGITITAION BUT THE RAMIFICATIONS ARE THESE.NO1. MANY ELDERLY PATIENTS ARE NOT WEENED OFF THE RESPIRATORS SOON ENOUGH AND USALLY DIE FROM SOME PNUEMOCOCCI VIOLATION. NO 2, WHEN INTUBATING A PATIENT THAT IS HYPOXIC FROM HEROIN OVERDOSE I HAVE SEEN SOME OF THESE PATIENTS LIERALLY PULL OUT A VOCAL CORD FROM NOT RELIEVING THE 10CC IN THE CUFF. BESIDES WE HAD ONLY MORPHINE WHICH CREATES VENOUS POOLING WHICH HELPS WITH REDUCING PRELOAD AND REDUCES THE HIGH PULMONARY PRESSURES; THE CONVERSE SIDE IS THE RESPIRATORY COMPONENT WHICH CAUSES HYPOVENTILATION WHICH NEEDS TO MAINATINED WITH A PULSE OXIMODOR. MIDAZOLAM IS A BY PRODUCT OF DIAZAPAM A BENZODIAZEPINE WHICH ACTS ON THE BRAIN FOR ANIETY AND MANY PEOPLE SEEM TO HAVE A ALLERGENIC RESPONSE TO IT. OF COURSE THERE IS NO REASON WHATSOEVER TO SEDATE A TRAUMA PATIENT AND MASK THE % OF BLOOD LOSS. WHAT MAKES A GOOD PARAMEDIC IS THE ABILITY TO BE INTIMATLY FAMILIAR WITH THE MEDS AND THEIR EFFECTIVENESS AND A MASTER DIAGNOSTICIAN.

Oh sure.. cause it only takes about 120 hours to provide emergency medical care and we all know getting cross trained fire/police dudes there in 5 minutes is much better than getting ACLS there in 8. I mean, all those guys do is start IVs right? And as police and fire stuff requires ongoing education, training and practice, its a good thing that EMS crap is so easy.