Arctickat

Colbert's show wasn't a rerun last nite? Damn, I record him and Stewart, and The Daily Show was a rerun so I deleted them both.

Anyone follow the Boston EMS twitter feed? The oldest post is at the bottom. CNN interviewed the two EMTs who were posted at the finish line. Ready for a patient just past the Finish Line pic.twitter.com/XhGD0bVsgf This photo was taken about an hour before the bombs went off. Boston EMS ‏@BOSTON_EMS 23m EMT Stearns: "you like working the marathon. It's a celebration in the city" EMT Horne: "I remember hearing on the radio 'Hold your positions,' but we didn't do that. There was no way." Boston EMS ‏@BOSTON_EMS 31m CNN: "Did you guys hesitate at all?" "No. When we heard it on the radio, we were half way there." Boston EMS ‏@BOSTON_EMS 32m EMTs Stearns and Horne were in golfcart one block away when blasts occurred. Boston EMS ‏@BOSTON_EMS 34m EMT Horne: Finding out the patients we helped are still alive was a great feeling, and it helps Boston EMS ‏@BOSTON_EMS 39m Dep. Bosse: it didn't hit us until later what we had really been through. Boston EMS ‏@BOSTON_EMS 43m EMT Holgate was four storefronts down from the first blast. He and his partner ran toward it Boston EMS ‏@BOSTON_EMS 44m EMT Horne treated a patient at the scene that was the same age as her son. Boston EMS ‏@BOSTON_EMS 48m Staff were ordered to leave by police due to the possibility of more devices in the area. Staff didn't leave until last patient left Boston EMS ‏@BOSTON_EMS 50m EMT Rob Stearns: "it was surprising how many people stayed, how many people stayed and helped" Boston EMS ‏@BOSTON_EMS 59m @Boston_EMS's Deputy Sup. Bosse: "it was the city's worst day and the department's finest day" Boston EMS ‏@BOSTON_EMS 1h Staff are being interviewed by CNN about their experiences Monday. "Can anything prepare you for this?" "Not really."

We pay: $435 Annual Registration Fee Biennial Fees $175 PALS Recert $175 ACLS Recert $150 ITLS Recert $100 CPR-C Recert

Sigh, put on a uniform and you think you're the boss of everybody. /sarcasm

Mike has it.

Atta Girl

My son turned 18 yesterday and this kinda ruined his day, however, he's also interested in medicine, so had an interest in seeing the pictures. He showed me one of a man in a wheelchair with his legs blown off below the knees and all I told him is that I really don't want to see that stuff. One day I may have a professional interest, but I can't detach myself emotionally when I look at things like that so soon after the event. If I were a responder there it would be a different story, I'd have a job to do that needs to get done, but when I'm not professionally involved, I just can't. Edit: Thanks for the update on Elvis Ed.

Notice how the OP never returned?

Hmm, I read over the document, but it says nothing of a mandatory attendance to the AGM. It does, however, mention an alternative option to gaining the free credits one could acquire at the AGM.

Darn Cell phone autocorrect...eh?

Any past injury to that particular joint that might make it susceptible?

So, I follow Jimmie Johnson on Twitter and saw this exchange after he won the race today. Obviously this guy isn't a fan. It was so good I had to share it on Unfriendable.

Hmmm, medic intubates before the IV?

That's a long way off, nice of them to let you stew for so long. At least you'll have plenty of time for scenario practise.

We work 24 hour on call and frequently respond from home. During the night it's easier to get into a jumpsuit than it is the pants and shirt. However, during the day we wear pants and shirt.

Forecast is for 6 inches of snow starting tomorrow nite.

No rain here for months...but it snowed again yesterday.

Proven fact, lefties live shorter lives. http://www.omg-facts.com/Science/Left-handed-People-Seemingly-Die-6-To-9/51248

We're not allowed to call people trolls. but I troll when I fish.

Maybe we should go over and troll them?

So, last week I got called to do an interfacility run with a client in 3rd degree block. I arrived at that hospital, her pressure is 98/65 and they are pacing her at a rate of 60 beats per minute at 80 ma. Also running an IV bolus to maintain her BP. Doc is no where to be seen, never saw him for the 20 minutes I was there. I introduced myself to my client and checked her radial pulse. 35 bpm. I look at the nurse and asked her if they actually verified that they had mechanical capture. She said she told the doc the heart rate was slow, but he said it was fine. Then I asked why no vasopressors were hanging, doc didn't want any up. I got her into my unit an started an epi infusion but had to keep pacing, I got mechanical capture at 110 Ma. I arrived at the CCU 2 hours later and transfer my client over. CCU nurse #1 applies the monitoring electrodes and transfers the pacing electrodes to her machine. Then, with no ECG showing on the monitor, she cranks the Ma up to 200. "Whoa whoa whoa!!! I got mechanical capture at 110, you're defibrillating her!!" Nurse #1 turns it down but still couldn't get the ECG to show on the monitor, CCU nurse #2 comes to help and says "You have to have it set to paddles." Fortunately, my monitor was still connected, so I could see what was happening, but I was behind the 8 ball with this poor lady for my entire trip, trying to keep her adequately sedated, she used up all my versed. Needless to say, I had little patience for...well...I won't say it. I told them, "No, you can't monitor through the paddles when they are being used for pacing, you have an electrode off." I put it back on and showed her rhythm. Seriously, I dunno what scares me more, the incompetence of the doc, who I could forgive because he's small town and not exposed to this stuff much....or a highly trained and supposedly competent pair of CCU nurses who couldn't properly apply a TCP they've used in their department for years between them.

An update from Mari's Facebook.

Here's a list of Android Apps for inventory control. Sorry I can't provide ipad apps, but these are likely on the istore site as well. https://play.google.com/store/search?q=inventory+control&c=apps

To my physician overlords, I salute you!!

Hey, welcome to the City, thanks for joining and being an active participant, but what does Skyscape have to do with inventory control, it just looks like yet another drug reference guide.