Kiwiology

As part of my degree we had to do a university level stats course; I'd be interested in getting ahold of the raw data and the end product to see what there methodology of calculation was. Probably some shonkey numbers in there.

Shouldn't have had kids

This is starting to go downhill and get funky; I'm into getting this guy a more advanced airway but if we can deliver him to the hospital faster than an Advanced Paramedic trained in rapid sequence intubation can locate us I am going to load him and transport.

lets give him 100ml of IV glucose and see if we can't perk him up a bit

Hmm ok lets get him on a board and collar, wait a minute and see if trismus lightens up and we can pop in an OPA otherwise drop in an NPA, do a quick RTA and get him in the bus

I am skeptical of the benefit of this training and have to question the intelect of the local media when they run a story on it and how wonderful the people think it is which will be translated by the readership as somehow making them superior providers; which, nothing against them but we know they will probably not be. I was talking with an ED RN on a flight to Phoenix yesterday and we both came to the consensus that it seems EMS In the US seems to be scared as a whole towards advancing education and doing away with the bare minimum. I don't know whether to blame the DOT/NHTSA, the fireys aka "big EMS" lobby or what but when an EMT gives you the glazed over look while you are talking about ACE inhibitors/RAAS it's probably not good even if he can tell you about rope rescue.

I know a guy called Bobby Cosgrojo he lives in Denver, thats creepy

I like the evil Santa Claus analogy

Glad I'm not a celebrity huh means I will be living for a while longer Man I wish BIlly Mays had made President; he'd have might-puttied all the terrorists together and we wouldn't have to worry about them!

Congrats to you both I wish you many, many happy years and a wonderful, truly fufilling life together. May the Lord be gracious onto you and offer the two of you peace and happiness both now and forever.

Dude thats hella funny

Man whatchoo talkin bout

Dude, no, get the hell away from me and don't come back anybody who drinks six beers then drives is somebody i do not wish to know , associate with or even have the unfortunate accident of knowing exists. My best friend got killed by a drunk driver; so don't even THINK of becoming an EMT; I dont care how much change and sorry ass kissing you think you have done but you have clearly shown you do not posess the maturity to work in this field

i agree

Looks kind of like author and Paramedic Pete Canning ... maybe he has been hitting the PCP again? Notice the resemblence?

So its fairly common for you guys to lock your trucks? We've had stuff nicked out them but it's fairly rare; we generally leave the back doors open to facilitate easy in/out of patients, equipment etc when at a job. I've known the officer that is driving to take the keys out and either stick them in his/her pocket or on one of those big, long homey ghetto style key chains. Most often they are left in the vehicle. If anybody auctually looked at our vehicles, they'd notice that contrary to popular belief nothing inside the vehicle is of any value to them; has zero resale value and if they want narcs, well, they are carried on the Officer's belt or in a pouch in his pocket which is usually again, on the end of a great big homie ghetto style keychain. Somebody made off with one of our ALS bags a while ago, the service had to put out a media note saying if you wanted narcs don't take anything in our bag because you might die

Get Lippincott's ECG Interpretation (a little brown book) from thier nursing series; it covers cardiac A&P, electrophysiology and 12 lead ECGs. Although 12 leads ARE more complex than a 3 lead I found it you learn 12 leads right off the bat that you don't have to learn 3, 4 or 5 leads seperatly as the same principles apply.

To get "certified" can take what, six months at quickie tech school for cook book firemedics who require a cert or it can take four years at a Bachelors program; or somewhere in between. "Training" never ends, as a medical professional you will always be learning new things and should see education as a lifelong processs. Unfortunatley too few medics I know auctually take an active interest in post certification education; don't be one of them. You need college level A&P, pharmacology and pathophysiology; the quick, cut down chapter in the Paramedic textbook is nowhere near good enough; I have A&P books that rival the length of my Paramedic book alone. Although you may very well end up wtih required texts, here are my suggestions for some light reading (and you can probably get a decent workout if you bench them) ... Marieb's human A&P Lippincott's ECG Interpretation (little brown book ... reads almost identical to Portable ECG Interpretation also by Lippincott) Bryant's Pharmacology

BUN: 4 mg/dL CO2 (carbon dioxide): 25 mmol/L Creatinine: 1.3 mg/dL Glucose: 110 mg/dL Serum chloride: 105 mmol/L Serum potassium: 4 mEq/L Serum sodium: 90mEq/L Serum osm 200 mOsm/Kg water CSF osm > serum (unable to find a normal range) Urine NA is 40 mEq/l Urine osm is 250 mOsm/Kg FENa .14% (0.14) UP Creat 150 (1.5 mg/dl) Preg neg BAC 0 ml/dl BGL 6 mmol/l or 108ml/dl If you would like the answer; it is below

Sinus rhythm with global ST elevation

I'd be interested in seeing where this goes.

Serum osm 200 mOsm/Kg water CSF osm > serum (unable to find a normal range) Urine NA is 40 mEq/l Urine osm is 250 mOsm/Kg FENa .14% (0.14) UP Creat 150 (1.5 mg/dl) Preg neg BAC 0 ml/dl BGL 6 mmol/l or 108ml/dl

If she has been in a super hot kitchen and is that hyperglycemic she is probably massively dehydrated; need to start some fluids so either do an intercept with ALS or take her to ED

OK I've looked into it more; all lytes, CBC, ABG, BUN and creat are WNL except what I put above The UA shows UrNa at 40 mEq/L

Foregive me I'm not too up on all those blood tests and this is starting to get a bit above my head so I will forego firing off a lot of "normal" values when they may infact not be normal and misleading everbody. The important stuff is below Serum osm 200 CSF osm > serum (unable to find a normal range) Urine NA is 40 Urine osm is 250 FENa .14 UP Creat 150 Preg neg BAC 0 BGL 6