ERDoc
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Everything posted by ERDoc
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Can you convince her to look down at her bellybutton?
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For bad emergence reactions we typically use benzos. I've only seen one bad emergence reaction and benzos worked great.
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Yes, it can cause psychiatric like symptoms in about 12% of the pts.
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I think the doses that Kiwi is using it in is much less than you would see in an infusion. It's just enough to take the pain away but not cause altered sensorium.
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As long as the benzo is for anxiolysis or muscle spasms you can give it. If you are giving it for pain control in addition to the narcotics it is considered procedural sedation and brings about the required paperwork.
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No dick at all, it's a legitimate question about the differences in treatments. I don't know of very may places in the US that use it for pain control. It has been reserved for sedation. I'm not sure if it comes from FDA approval issues or hospital policy. We pretty much load people up with narcs until respiratory arrest or hypotension.
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Dilaudid, morphine or fentanyl
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I think you will see it being bad for all providers, EMS, hospitals, private practice, etc. The only ones to benefit will be the insurance companies. I'd be curious to see what would happen if the gov't decided that equal access to the courts was a human right and therefore they will regulate the price that lawyers will be reimbursed.
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Your review on this CPR-feedback device
ERDoc replied to Secouriste's topic in Equiqment and Apparatus
The device doesn't do the compressions. It tells the provider about the quality of CPR. I don't think that it is such a bad thing. In the real world we get tired or distracted so why not have something that ensures quality. When I first started putting in central lines, we would do blind IJ sticks using landmarks. Now the standard of care is to do it under US guidance. Does it mean we weren't trained to do our job correctly? No, it just adds another layer of safety and quality. -
We only use it for procedural sedation.
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I think it is called the Gofastinator. So, has anyone beside me been on opiophile.org? The forums will make you vomit or vote in favor of euthanasia.
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It was 2 semesters and a semester of physical chemistry. You just step on the gas to make it go, right?
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Your review on this CPR-feedback device
ERDoc replied to Secouriste's topic in Equiqment and Apparatus
I think it would be more effective if it delivered an electrical shock to the provider when they weren't performing proper CPR. Otherwise it looks like it might be good for post-resuscitation review. -
Don't be so rough on HSAs. It is a completely different beast from an FSA. The money in the HSA carries over year to year and it is portable if you are planning on switch jobs. It's basically a savings account for you that your job has no control over. It can also be used as a retirement investment.
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I'd try my submarine but it's only a diesel. Now if I had one of those new-fangled nuculear powered ones that would be a different story.
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That sounds more like an FSA. An HSA allows you to roll the money over.
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Do you know if your HSA has an investment option with it?
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Since we are talking medical insurance here, I was curious if anyone uses an HSA.
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I'm curious if it would go well with a jet fuel chaser. Any volunteers? Disclaimer:I am not advocating someone actually doing this. If you do, it is entirely your stupid decision and you are responsible for the outcome.
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I totally agree. Obama could cure cancer and discover/prove that god exists and the republicans would still be against him. The problem is that too many people with a interest in the game have had an influence in the monster it has become. I can't say I have a solution but maybe this will be a starting point to something better. I'd still like to see more people have some skin in it though, maybe something like mandatory HSAs.
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Yeah, who would have thought that mixing codeine with gasoline, paint thinner, iodine, kitchen and bathroom cleaner, hydrochloric acid and/or red phosphorus from matches and then injecting it into your body would be a bad idea?
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I haven't seen it since most people in this area probably couldn't afford it and most people cook their own meth.
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You are probably right Ruff. Let's also not forget that none of this is about healthcare reform and is all about health insurance reform. The only effect it will have on healthcare is that we will be required to do more and get paid less. I don't think any of it will truly change anything until you start putting some of the responsibility on patients and not just the providers/employers/insurers. (I can't believe I just stuck up for insurers there, I feel sick to my stomach).
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The same things happens at every level. I took my EM boards about a year or two after the big ACLS revisions in 2006. The exams were not updated to we had to answer the questions on the written based on the old guidelines and the oral based on the new ones.
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It's interesting how economies interact. Due to the attention of the opiate epidemic, less scripts are being written overall and there are crackdowns on pill pushers. This has driven the price of heroin up as there is more demand. Heroin has gotten so expensive that an alternative had to be found. Everyone say hello to Krokodil.