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Got into a chat recently with another EMT and once everything had shaken out, I realized that I wasn't actually sure whether nitro had been definitely associated with positive outcomes in well-powered research. The gold standard here might be aspirin -- having an MI, take ASA, the data shows more live tissue and better survival to discharge. Does this sort of evidence exist supporting similar use of nitrates? Or is it just "one of those things" that in reality is done mainly as palliative care? I recognize the theoretical mechanism here, but that it makes sense doesn't mean that it works. And this is not an academic issue, since it is potentially important to deciding priorities when rendering care. Anyone know of any studies?

Wouldn't work for our "victims". We have the "lock up itis" where a mope fakes injury or illness, as if a trip to an ER will somehow get him released from custody. The police remind the perp that this will merely delay their processing and probably cost them another night in jail because of the delay. They don't care. It's not like most of them need to worry about losing time at work. LOL

The study seems to indicate worse outcomes and the second looks useful but has no abstract http://www.ncbi.nlm.nih.gov/pubmed/18288597?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=59 http://www.ncbi.nlm.nih.gov/pubmed/18347964?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=57 http://www.ncbi.nlm.nih.gov/pubmed/19681463?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=11 http://www.ncbi.nlm.nih.gov/pubmed/19445779?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=19 http://www.ncbi.nlm.nih.gov/pubmed/19681461?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=12 http://www.ncbi.nlm.nih.gov/pubmed/19445778?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=20 Now I could be wrong but I don't really think GTN has a role in myocardial infarction in the context of sublingual application in ambulance practice.

A man was arrested after running over his neighbors cat. Seems that when he hit the cat it severed the tail. He did his best at reattaching the tail and that's were his trouble started. Unfortunately it's illegal to retail pussy in Montana

You can take my toe socks from my cold dead hands...

We have a product called bioshield which dissolves the pepper oil. You spray it on the affected area, including the eyeballs, and blot it off with a towel. When I go back to work on Sat., I'll look at a bottle and see if there is contact info for the company. We've been using it for years with good results. The police mostly use the taser now, and we have to respond to remove the barbs.

I often come here for opinions and resources to compare to the endless noise I sometimes find when searching Google. I don't get what's so wrong with this thread? Dwayne Edited for grammar. No significant change in context.