ccmedoc

Ya had to be there....trust me

Yeah, I know. I was being facetious....Thanks for the hep though.. Its still funny :wink:

Yeah, I know. I was being facetious....Thanks for the hep though.. Its still funny :wink:

Would you look at all those mnemonics.... :shock: :oops: I'm soooooo sorry....

Little more Hx??? Did they try other routes??

I was just wondering how, if the fire dept. clear you basic, can they dictate where you go. Do they contract with hospitals, or are they just pushing you around.? Isn't it up to the patient????

I don't know why this struck me as funny, is that a medical term??

JP...Is a fire paramedic dispatched to every call, or do you have the option to transport without them clearing you..I'm just curious, and may have missed it somewhere else.

Hehehehehe....NOW I'm glad I asked..

Frighteningly appropriate though, wouldn't you agree??

OK I'll bite.....WTF is "I DREAM" :?

:shock: :shock: WTF?

I think the most important part of these tests is to read the question and understand the question. Sounds mundane and a "no brainer", but individuals don't use their basic test taking skills, or have any :? ( this is a generalization and I mean no disrespect). In my experience with the NREMT tests, it is ABC to the end. If an intervention is not mentioned in the question, it must be the most basic answer. Knowledge is key, especially in the special considerations areas. Maybe consider a test taking class that concentrates on how to separate a question into the important parts. Identify the stem, what kind of question it is; as a true response, flase response, comparative response, or priority response. Identify the distractors, and how to eliminate choices. I think the test taking skills are going to be as important as base knowledge in these CBT testing sessions. You only get one chance, and it is hard to answer a questiion the first time, if you don't really know what it is asking. Although I believe a large number of instructors do their students a disservice by teaching to the skills portion and not offering enough base education or information, I also think an additional test taking portion should be added. This could be done online through a number of test taking specialists, using drills and examples... If you were to take the NCLEX...you had better get with the test taking classes... These classes are part of the nursing curriculum in most universities now, though. Just my opinion and get 'em next time.

How about reading this instead..... http://www.emtcity.com/phpBB2/viewtopic.php?t=11170

#-o ....Whatever..... :banghead:

You can feel a bit sad, but my god (or deity of choice) man, get over it. How long have you been in EMS, if you don't mind me asking?? FYI: spellcheck is in bottom right corner of reply box

I've taken the NR medic test twice in three years. Once to see if anything had changed due to miserable pass rate, and once for my recert. One was written, one was CBT. NO mnemonics I can remember. I think it is the instructors that are in love with them. You don't use them that much after you get out anyhow. Concentrate on WHY you would look for these things.

Probably very close to what you are imagining.. :shock: When someone loses some of their stomach, or makes it smaller, and too much food is ingested, some of the undigested food is "dumped" into the small intestine. This is also called rapid gastric emptying, and when the undigested food is dumped in rapidly, it causes cramps, nausea, vomiting, belching, sweating, diarrhea, etc. You get the picture? :? Although it does not only affect gastric patients, as it is often a problem with PUD also. It is often called, as I said, rapid gastric emptying or dumping syndrome. This is a simple explanation, but will do for now. Look at some of the gastric bypass sites, and I am sure it will be mentioned somewhere..enjoy :wink:

AMLS?

Some of them can easily take 45 min. Although superior for tracking, some of the paperless pcr programs are crap, ours would be one of them..the ZOLL program. There are a couple of companies around the surrounding counties just starting out with this program, but I don't know how they do their charting. Paper charting was much faster and, for the most part, easier.IMHO

It appears a bit one-sided at the moment...He's toyin' with her.. Must be a slow day

I couldn't agree more. Now days it is just an update and tries to keep everyone on the same page. This is far from a base educational experience, and cardiology is something that should be well understood before taking it. They certainly don't teach it here anymore.. I think it was brought into EMS for that reason. Continuity of care. If everyone runs a code, or cardiac event in a similar way, quicker transfer of care can ensue with minimal communication obstacles.. I think I remember hearing that many moons ago when it became mandatory for medics in our areas..or I made it up :?

You should clearly seek counseling and possible lap-band placement. The band is not adjusted by the patient, in my experience, and is closely monitored by the bariatric team, or NP. The balloon is connected to a port in the abdomen, and saline is administered or removed to tighten or loosen the band. Absolutely not something to mess around with without the necessary education. Just a side note, the last study I read puts the mortality rate from gastric bypass (general term) at about 2% at 30 days. Thats 1 in 50 individuals die within 30 days of surgery.. The rate goes to almost 3% at 90 days, and 5% at a year. This was a meta-analysis from 2006, I can possibly look it up if you would like. The general opinion is that the numbers may be lower or higher, depending on surgeon experience and training, so please...give this some serious thought... ...Just my opinion edit: The bypass is far from easy..FYI

This should absolutely happen every time. If not for safety, then for not looking like a bunch of monkeys. It is more professional to approach the patient and the scene in general as a team. I can't believe that you must give this any thought to begin with..:shock:

Did you think about lap-band. Gastric Bypass is very aggressive and, having been associated with a bariatric center before (I worked in one for a couple of months), I would recommend seeking easier remedies. Not only is the M/M very high, it is hard on your family, emotionally. Have you been to the counseling yet? And to answer the question..I know of a few individuals with the lap band, with differing results..no one That has had bypass has made it back to the field...Just my observations.