Kiwiology

Lets lean her forward so she can vomit into the floor and not obstruct her airway; if it's absolutely flowing out and she is obviously has an airway needing intervention then lets suction her airway. Once the airway is taken care of, how is the rest of nana looking (re my above)

Side effects may include 4 years in jail and loosing your medical license If symptoms persist, consult your Parole Officer I can't get my head around these drug shortages - we don't have any down here and most of our drugs came from the same drug companies Check their medical notes, see if Morton or Davey was their anaesthetist. Might also look under pre-operative evaluation - "like's sour mash whiskey" Not sure which ASA grading that one falls into myself

Being a Commonwealth nation I was under the impression Canada was a bit more like us or the UK where it's quite difficult if not downright impossible to sue people? Perhaps I was wrong! Mind you I also originally thought Kuezbekistan was part of the Canada

Bloody hell I thought barbiturates fell out of fashion thirty to forty years ago Whats next mate; thiopentone? open drop ether? In-hospital preference here seems to be midazolam or propofol; mmm num nums that propofol is good shiz

In the interest of full disclosure There’s a place I liked to go Chris and Andy and Joy and Jo were quite welcoming Sleep on the couch and cook dinner Sounds like rain, bet you it’ll be a 29 Broke my parole to have a good time Sit at the red light 324 goes northbound alternating between red and white lights To where I know not nor care Seems like de je vu I am sure I have been here before Sometimes all we can do is stand up tall Seems like I’m just going to watch myself fall Air goes in and out, blood goes round and round Might make it through but it doesn’t really feel like living Watch the city glow, made a wish, kind of ended with fireworks Long dirt road, that white line just keeps getting longer Not much else to do but walk the white line until you cannot stand no more If you find me by the roadside I guess you’ve only got me to blame Yeah, it was a 29, on the Northwestern off ramp Ferris wheel goes up Rain comes down Sure wish that stage had stuck like glue Kind of like the roller coaster Free fall out into nothing Promised never to leave All I wanted to do is fly away Will you set me free so I can fly away? I could walk away and leave behind my family Instead I get buried alive in this legacy In for the long, hard ride Nowhere to hide it seems Watch to see how high I could climb Oh well, pat on the back It’s a funny old world Some get nothing, some seem to get it all Apparently if you do something long enough you get good at it Is 20 years long enough? What if you don’t get good at it? Then you take your number and stand in line Watch to see how you climbed Oh well, pat on the back I hear they hate me now Accidents and accusations Missed perceptions paralyse my mind The peaceful quiet you created for me Kept the world at bay Standing still with the scenery flying by Answers only make more questions I hear they hate me now Just like I hate you But my parents just seemed to sleep right through But I’m far from sleeping Still holding on tight As the flames climb high into the night No time left to start again Already worked my way through college Looking for that little white house Don’t think I’m going home any time soon Go and talk to Oscar 9 Talked forever Talked forever Never did figure out if it was Murdoch or Moody Or it is was Sneezy or Loopy or Grumpy It was probably Colonel Mustard Hot night tonight Walking the white line that just keeps getting longer Till the time that I cannot stand no more Seems there aint no end in sight Walking down the road till it all fades into the night I know I’ve seen better days If you see me coming home you know I’ll soon be gone But nobody is home I’ve always gone alone I seem a bit uneasy But I’ve only got myself to blame Put a 25 on 118, 75, 56, 324 and 201 Give him a 26, a 4, and a 10 Then another 4 that really was a 25, a 7, another 10, a 19, a 17, another 10, a 21, a 6, and a 29 The 33 and the 8 were for good measure; on a 1 with a 2 from an 8 got him up to 96 Follow it up with a 13, a 6, another 10, another 10 that was a 26, another 30 and another 21 To wrap up, a 29 and a 10 Put these numbers together you still get zero Seemed like a good idea to make the 25 an ICO Well that didn't quite work, more IC No. I’m much too young to feel this damn old But that’s what happens when you travel at twice the speed of life And I've only got myself to blame

If it does not say on the face sheet or ambulance necessity form and you need a reason or diagnosis or something then ask the Nurse or the Doctor. Thanks for reminding me of the cockroaches in my old apartment, you prunk

But, but, but I'm unprofessional and I'm still here! There is not going to be a sentence written in huge big letters that says "we called the ambulance because ...." because you're an after thought to the Physician, you're probably only being called because you're more medically trained than Pranoosh the Cabbie who has a Masters Degree in structural engineering or some crazy shit and its not medically appropriate to transfer somebody who is thrombolysed and heparinised or loaded up on fluid, insulin and potassium in their auntie's car or in the back of a cab. Now, lay the back seats of my Jeep down and shove 'em n there, viola, pop on some red neck music, smooth ride bro, smooth, not, they'd probably try to escape. Start looking through the medical notes that are sent with the patient; the front bit of paper should be the admitting note or transfer sheet or something; look for something under the heading or column of "Imp" (impression) "Dx" (diagnosis), problem list or issues. If you receive a verbal handover from the Physician or Nurse, you could always ask them too. Tell you what, I'll handle the hard medical stuff and you can drive Big Al?

A quick microbiology review tells us that Norovirus is spread by aerosol droplets so on goes the N95 Daffy Duck special Is Nana one the infected peoples? How long has she been vomiting? Hours? days? What's her history like? Any hepatic problems, ulcers, AAAs, diabetes, gallstones, abdo surgery etc? What started it? Has she eaten anything different? What have her symptoms been? What has she been vomiting up i.e. normal stomach contents, chunky bits or nasty, foul smelling malena? During the time she has been vomiting has she been holding down fluids and if so, can we have a look at her fluid chart (if she has one) How crook does Nana seem to be? Physical exam? Hydration status, abdominal examination, general impression? I'm thinking we'll put in a drip give her a litre of fluid and take her to the hospital, with appropriate notification if she has the norovirus

That was Once Were Warriors bro

At least it's not that tired bloody sheep joke Eh ... I dno mate, that's mighty wishful thinking on your part

Good on you Richard, its very important we are all on the same page because there are many interchangable and unique medical acronyms that are unique to various parts of the world

His writings are very interesting; including his two books which are set a good 10-15 years ago now A well pieced together perspective of early-mid 1990s US EMS

It's very simple, about December of last year I had a total mental breakdown

I should fully disclose that I've never been fired, nor have I stolen anything from my ex-girlfriends (one of whom is now a Lesbian living in Switzerland) but I have had a really nice stethoscope go missing when we split, and when Brentolli dies I want his iPad. Oh and I should also disclose the Great Nation of Indiana is the greatest place on earth full of the most lovely people and no I'm not taking the piss, it's just totally Hoosierriffic. Hmm, looks like some bloke trapped under a tractor; Ambulance, Lifeline airborne, be overhead in about eight-to-ten minutes

Taking the piss is having a joke, don't try to use knowledge I gave you to weasel out of making a dickhead of yourself I might have to slap you round the head with a jandal like those big Pacific Islander momma's in South Auckland do

I am going to play Devils advocate here Needles; how do you know the Doctor who wrote that report was not an extremely tired House Surgeon on the last minutes of his shift before going home having just worked 12 or 14 hours only to come back in some hours and do it all again, which would make it his six or seventh consecutive night of working? The piddly little bit of a narrative on your PRF and some check boxes pales in comparison to an actual medical note or progress entry that a Physician will write. Documentation often the last thing the Doctor will write on a patient, and it may be written hours after-the-fact; and unlike you who has one one patient at a time a Doctor, particularly a House Surgeon or Registrar in the Emergency Department will have many patients, sometimes up to a half dozen or more at any one time, they have to assess them, formulate a diagnosis and treatment plan, keep the Consultant off their back, arrange admissions with the acute House Officer/ Registrar and do eleventy billion other things ... then they have to write it all up. You really don't have base of knowledge or experience to criticise this time mate. If you're interested, I know the House Surgeon who is covering night shift at the ED two blocks from my house would love you to go down there and write up all her medical notes.

I think the doctor is saying that she will be discontinued from IV antibiotics the following day and considered for discharge Perhaps just not in such a succinct manner

It's going to take you 30 years to develop a debilitating back injury or have a mental breakdown? Such optimism

I should introduce you to my dad when he gets out of jail for being a meth cook; he is known as "that guy in the wheelchair who gets people fucking wasted on drainpipe sized joints" I don't really like my Dad .... hmm

I am going to learn a new language this year; I am already fluent in English, Kiwi-speak, Redneck-speak, Aviation-speak and Medical-speak Unfortunately none of the last four are considered applicable for "do you speak another language?" - curses! I'm deciding between Mandarin Chinese (for practical use, lots of Asians around the place) and German (personal interest/ancestry/efficiency gains during Blitzkrieg ze Kiwi)

Drinking, smoking, gambling, watching TV, playing games, sports, whatever your hobby or vice happens to be I'm not going to judge you for it One of my friends is rather overweight and loves his fast food, I'm trying to help him see that change will be positive, but I don't sit there and preach to him or think "damn tubbo loose some weight!" because he's going to look at me and go "damn skinny honkey eat some food and fatten up!"

Good on you mate I agree with your intentions, we have a bit of a drinking problem in NZ and it's sad to see people destroy themselves or their families and communities with alcohol misuse or how ending up in hospital on a Friday night is just "accepted" as part of the fun of getting grossly intoxicated.

My faith in Canada just died a bit eh, need me a Tims to console a bit I'd say he may have well ended up on the liver list, that amount of paracetamol is bad hepatojuju At least he was partaking in some form of physical activity y'know, Health Canada would probably give him a for that The smoking and hyperlipidaemia and HTN and such not so much, too much Tim's!

You know I think he is serious I will be sure to have some apple juice or something at our BBQ for ch, he can make sure you dont choke on your own vomit after you become unconscious from alcohol poisoning; I'll probably be too busy distracting the cops or liquor warden or something y'know

Excellent post Dwayne and I am inclined to agree with you somewhat. It has been well known that most civilisations in history have had some way of getting wasted or altering their conscious state. Unfortunately a section of modern society manages to do it to excess and to their detriment. It's interesting you want to get wasted on LSD, I've heard that's a pretty funky ride. Strap yourself in bro. No flash photography please. Be sure to exit through the gift shop.