Kiwiology

Any medication has side effects it's as you say, a balance/tradeoff between the good, the bad and the alternate Certainly it is extremely popular for procedural sedation particularly in paediatric patients and for anaesthesia in "sick" people who have sepsis, hypotension etc

The typical dosage for analgesia is 0.5mg/kg IV or 1mg/kg IM/oral, or for induction 1.5mg/kg IV or 2-4mg/kg IM So somebody who is 60kg getting 300mg of ketamine wow they should be asleep pretty damn good, interestingly a case report from Australia recently said a patient was given 30mg/kg (instead of 3mg) with no adverse side effects, they just slept a little longer than expected Ketamine is a very safe and very desirable medicine, it does not have the hypotensive or hypoadrenal side effects of benzos/propofol or etomidate respectively and maintains airway and circulation very well

I confuze (*puts away valiums) ... great, now I haz to face stupid bastard reality, and am still confuze A very interesting case report thank you for sharing however are you trying to say that a n=1 case report with a clearly established pharmacodynamically reasonable drug-to-drug interaction somehow means ketamine is not as good? I do not for one second think you are trying to say that cos you has too much intellectigence for that

Gimme money bitch and I will, and thats Consultant Attending to you duh

Write it again tomorrow Brother after you've had some sleep and are able to defend your points, instead of just writing them...poorly. No disrespect intended, in fact, just the opposite, by removing your post.

The increased rate of myocardial infarction and sudden cardiac death for patients with a connective tissue disorder has got something to do with the dysfunctional connective tissue I think; there was a recent case here of a 12yom who died from cardiac arrest 2° to EDS

no problem here the patient or crew can request you stop, however the crew would do so only if it's interfering with pt management

If you don't quote me out of context sure But we all know it's a mish for you get off cos ur dick is so small

I'M TAKING TEH LITTLE PILLZ THE SIGHKAYATRYST GIVES ME! stop judging me

Extremely rare here When I was stuck at the airport for 6 days straight I thought about faking a seizure to get a hospital bed and a hot meal for the night but never did, I figured the San Francisco Fire Department had better things to do

You should appropriately expose your patient to examine them, it is very important to preserve their dignity, keep them warm, the wonders of the high tech ambo blanket or drawer sheet!

The basic 20 is that write what is relevant for the medical staff at the hospital, nobody cares two fucks about a bunch of rambling bullshit (although if that were really true, which it is BTW, nobody would ever read what in the bloody hell I say wait, shut up) Write the provisional diagnosis or primary problem if you are not confidently able to make a diagnosis rather than the chief complaint if your patient report form has a space for it (the NZ one does) e.g. "anteriolaterl MI with bradycardia and cardiogenic shock" is much more helpful than "chest pain and dizziness" If your patient report form has a space for dispatch code (MPDS or equivalent) then don't write "dispatched for XYZ"; if your patient report form has a space for the address ofthe incident then write it there rather than writing "dispatched to ..." If your patient report form has a space for the vital signs write then there rather than in the narrative it is very easy to quickly trend them if they are all in a block rather than buried in a big block of text And please for the love of Ganeesh the Indian Elephant God located in the Kwik E Mart employee lounge, do not write in a big block of text If your patient report form does not have the things I have mentioned it is a good idea to suggest a change to get them? Keep the narriative sect

I have made an observation that Americans always put in too much crap, keep it simple History of right knee surgery - transfer to XX hospital for rehab O/A 70 yo female pt in hospital bed, unable to stand O/E AOX3. no chest pain or SOB obs BP120/70, P70, RR16, SPO2 99%RA C/O Pain right knee at surgical incision 7/10 - xx mg yy analgesic given by RN 1/24 ago Transported to other hospital - no change during transport History of diabetes, today took insulin without eating lunch O/A pt seated on city easement with police; conscious and alert but disoriented O/E secondary survey normal, BP100/50, P100, RR20 BGL 20mg/dl One tube of insta-glucose po - LOC increased to AOx3 No chest pain, SOB, alcohol/drugs No change during transport Use the nine point plan PMHx Meds FMHx SHx Complaint O/A (upon arrival) O/E (upon examination) Treatment Disposition

At least she didn't get the tattoo that would have been a mission to get off ...

I cannot for the life of me understand the logic in allowing somebody to administer oral glucose or glucagon but not be able to take a blood sugar Administering glucagon will not do any harm to the patient that is for sure

Only that I am totally, without fail, the most awesome person in the entire world up in the right now Not really ....

Sounds great, would prevent dyscarboxaemia through hypo/hyperventilation which is potentially disastrous and extremely bad for the injured brain and an asthmatic patient

Talk about your loosing face, sure hope the vic wasn't Asian eh

Duh, anaesthetise, paralyse and intubate him ... Put him on some oxygen What is his medical history Respiratory exam? Where does he work?

yes that

I am going to open my own theme park called Hoosierland Attractions will include the Indy 500 ride and the Sugarland stage collapse motion simulator (fucking hell I was lucky to survive that one, seriously) Australia is an option to me for med, but I have to pay for it myself, so I need a spare hundred grand which I am unlikely to have in the forseeable future and even if I do get a hundred grand somehow ... I'd have to seriously reconsider the lifeonomics of being a House Surgeon at 33 or 34 then having to slog away through being a Reg with horrendous post-graduate exams, long hours and all that crap at a time when I would really love to be working on a family and paying off my first house and you know, not making any decent money and lifestyle until I am a Consultant, at 42, provided I get into ACEM or ANZCA first time and pass everything on the first go Oh well, hopefully people come to visit Hoosierland and give me lots of money ... rather than visit Mittenworld, who the hell would want to go there? Right? stupid Mittenworld, nobody would want to go there ... except some dumshit Emergentologist LOL love you bro

Bloody hell you cantz speel korrektly what is wrong with you? LOL I've written "denies" many times, e.g. pt denies SOB or just use the little "no" symbol instead if he is that anal about it

YES! here in New Zealand you get one, and only one chance to apply for Medicine, EVER Dude, I am none of those things, seriously

I can't, you only get one chance, I used it

Dude I know it was so wicked I almost got hard