Kiwiology

That's like asking what is a white man's dialogue in a Spike Lee movie Something like your got your head up your arse ow!

He was before my time it seems I always miss the good bits; like when that bloke at Pizza Hut in London had a seizure, the Met and LAS were just leaving as we arrived to pick up lunch. Hey I wonder what happened to his order, probably could have nicked it, damn ....

We do not want to be giving fluid to these patients before hospital unless profoundly shocked; what the Anaesthetist does in hospital is of great interest to me but not my concern right up in the now at the road side Yes there will be some compensation, why is why initially a patient with uncontrolled haemmorhage will appear grossly normal upon physical examination i,e, compensated shock The compensation mechanism will be quickly overwhelmed by massive exsanguination and the patient will decompensate; it is these decompensated patients we want to give only a little fluid to so cerebral perfusion is maintained. Remember that arms, legs, gut, bowel and other bits and pieces (and Kiwi's too) can go many hours without adequate blood supply before they get truly irreversibly ischaemic; the brain cannot. Underworlder, shit make me sound bad mate, you've been talking to my ex wife again haven't you Good to know, I will remember that at our BBQ The days of two big drips are long gone my friend, if the pole shifts and he starts to haemmorhage the best treatment is to tightly pack wound with very very firm, direct pressure, put up one bag of fluid and let it run, oh and step on the gas Venous bleeding is not much of a problem veins are under very low pressure ~10mmHg, arteries are the problem (unless of course you nunnger your vena cava or something then you're a bit rooted bro)

Thats funny I'm not too up on the non-MI causes of ST elevation but I know pericarditis is one of them. ST elevation in non-specific leads or not in a pattern typical of an MI (e.g. II, III and aVF) or without reciprocal changes is not an MI or so I am told

Well I thought about it I'll give this jagoff bottom feeding suction eel piece of shit a chance to fess up and tell me why he did what he did or I'm getting the TN DOH after him Pretty sure they wouldn't take too nicely to an EMT-IV impersonating a Paramedic or to somebody attempting to get an RN license having impersonated an NP.

I do not like the new magic box telly type thing they put in the ambo, never has the winning lotto numbers or nothing on it!

I dno mate it's just a thing I saw on the internet so started doing it lol Ew I bloody hate heart blocks but even I can recognise a first degree AV block I buy these little pills from a Nigerian pharmacy online, been a couple days and it's not wearing off ... hmm best nick up to A&E and get that looked at Red base, November 100, be indisposed next few hours Seeing as how they'll shut our yellow box down while I am in ED to avoid you being shipped out to another complex I've arranged for you to ride the motorbike, aren't I nice? (we have the Motorcycle Response Unit here and you could not pay me to be on it!) Oh and you know I was just taking the piss, but it turns out November 100 is from Deptford (south complex), ew, looks like Charlie 100 or Charlie 400 is more appropriate given where I was when I was in London

You're just jealous Canadaspeakz is not the subject of threads An uncontrolled haemorrhage happens when bleeding occurs from a hole in a large blood vessel or a high pressure bed of big vessels such as the placenta. This includes: • penetrating trunk and neck trauma • leaking abdominal aortic aneurysm • all penetrating wounds • pregnancy related haemorrhage If the nature of injury or the disease process suggests that there is hole in a pipe then it’s likely to be uncontrolled haemorrhage. Why don’t we want to give fluids to these patients? There are two primary reasons. Firstly, these patients have a hole in a pressurised pipe. When the pressure is high the flow out of the hole will be higher than when the pressure is low. By allowing the patient to have a low BP we reduce the pressure in the pipe and hence flow out the hole. The second thing that fluid replacement does is dilute clotting factors making it more difficult for clotting to occur. By restricting fluid there is less dilution. We also know that wild swings in blood pressure interfere with the clotting process and disrupt the formation of a clot. By restricting fluid therapy and tolerating the lower pressure, we prevent this see-sawing of the blood pressure. The evidence is clear that patients with uncontrolled haemorrhage do better with little or no fluid. We aim to give just enough fluid to perfuse the patients’ brain. We do not give fluids to these patients unless they have no radial pulse, an un-recordable blood pressure or a falling conscious state. Uncontrolled haemorrhage is treated by operation. Where possible the patient should be transported to a centre which has a 24/7 surgical capacity. Only give IV fluid if profoundly shocked e.g. no radial pulse or un-recordable blood pressure. Give adults one litre of 0.9% NaCl as a bolus and children 20 ml/kg of 0.9% NaCl as a bolus. It is clear that giving fluids to patients with uncontrolled haemorrhage can worsen the outcome for that patient. As with most things in medicine it is not always black and white. If you are uncertain about what type of shock you are dealing with it is best to follow the controlled haemorrhage procedure, keeping volumes as low as practical.

Well I too am a disturbed human being apparently and little old Nana's tell me how much they like me I'll think about it

Hey baby want to go back to my place? Um, it's an out house with a UN flag .... smooth bro, smooth, not

I wish I had a degree in Kiwiology, I just have these three other useless degrees .... bloody hell Actually if you had a degree in Kiwiology you could understand me when I speak for Kiwispeak 101 is required; pretty choice bro not even nunngered up to buggery or stink ow no ghost chips, beached or weet bix required chur

Well it's funny you mention that .... um, never mind

Dwayne you piece of shit I think you just let slip that whole BP Gulf of Mexico thing was your fault ... Also I notice this bloke hasn't been back to go "ZOMG bro you're so full of shit I never said that" ... he has probably run off with his head between his legs feeling like a dick for getting snapped

Sounds a bit nunngered mate, I know exactly the solution for this BASICS have the best drugs!

I know you are still learning so I am enthusiastic to improve your knowledge Can you please detail what you know of haemostasis, hypovolaemic shock and the principle of fluid resuscitation in trauma? We'll take it from there

Stop smoking crank mate, it's making you say things that embarrass yourself It was Dr Eugene Nagel and Jim Hirschman from Miami who wanted to expand on Pantridge's original results in Belfast. He is on record as using the Miami Fire Department because they were "already there" and he had no spare Cardiologists to staff the MCCU . That is how the Fire Department became involved in EMS. Oh, and as for advancement, the IAFC EMS Section is on record as opposing EMS education increases and the need to affiliate with a College or University. That's why the US is 10-20 years behind the rest of the world EMS wise in a good many respects, not exclusively but they do not help

The US is in a state of flux from well now until about 2017 (sort of like how you blokes are phasing out Technicians in favour of ECA) to three levels from eleventy gazdillion different ones across the 50 states EMT will be about a 150-200 hour course and will have oxygen, OPA/NPA, AED, aspirin and glucose Advanced EMT will be maybe another 100-200 hours ontop and can put in a drip, LMA, administer entonox, salbutamol, D50W, GTN, IM adrenaline and naloxone Paramedic is above that In the US vocational education (like the old IHCD Awards) will still be acceptable, no higher education or university is required. This comes from a document called the EMS Agenda for the Future which was has been in development for nearly 20 years (1994-2008) and unfortunately they have achieved little, in the same or less time Ireland, the UK, Canada, AU, SA and NZ have become several light years ahead of the US. It deeply saddens me. Hmm, I think I ate too much of that specimen, I'm off to have a kip, red base, November 100 will be assessing the pillow for some time

Such a person does not exist, I was taking the piss you muppet, surely you should have realised I was taking the piss

Jealousy? stop smoking crack mate it is making you spew verbal excrement and embarrass yourself The Fire Service and Ambulance here are both well respected careers but I don't like the Fire Service still, sit around doing nothing sucking up money and making themselves look good; the Fire Service are the only people who class a failure (a destroyed burnt down building) as a success because they put it out, Ambulance does not class a cardiac arrest patient who stays dead as a successful job even tho we worked on him!

Mike I know you're not a liar mate,I didn't say you were The IHCD Module K I was taking the piss over, taking the piss is something I do often and liberally If you have the IHCD Technician or Paramedic manuals do feel free to send me what you have, we've just killed off the old Intermediate Care and Paramedic Awards here in favour of Uni (sort of like what you are doing with the DipHE/FdSC for Paramedic even tho I can't figure of the difference between a DipHE and an FdSc) Hmm, it looks like a go, I think something is going down at the fish and chip shop, best get down there and convey a specimen back to complex on blue lights for appropriate investigations, namely salt and ketchup ... red base November 100 responding

Replace that tobacco with a triple bacon cheese burger and you've got me made mate!

Yes of course, I am at heart a conservative, pro-gun ownership Christian Republican, it's what we do

Hey at least my country didn't try to take over the world ... twice in fact

I love to cook and can clean and do laundry, I don't understand how I am still single? My ex wife will probably tell you it is because I am a horrible person with a rotten soul who deserves to be tortured or something

By "non member" Dwayne means as non-subscriber like person who gave Admin money to support his blow habit ... either white powder up the nose or down below from cheap hookers you decide Oh and Dwayne doesn't like either, he likes being tied up ... but then again so do I, just no whips and chains and shit