Arctickat

Welcome to the forums Woaini and Dilaudid.

I don't see anything significant in C1-3, C4-6 on the other hand appear to be compressing the cord.

I believe the implication to the OP was that because the jackass was also a neighbour, that said jackass felt he had the authority to speak for the family because he knew the deceased better by virtue of living near him.

Welcome, join in the conversations or start one of your own. We look forward to getting to know you better.

errr, excuse me? Did you mean that they should be stopping CPR to give ACLS, because that's what it says here.

hmm, I'm using Rosetta Stone now, and I have it all loaded onto my computer. I could send you my stuff, it's all 5 levels, but I can't guarantee that it would work for you and you definitely can't access the on-line tutor. How about a smart phone translator app? You speak English, it speaks Spanish, they speak Spanish, it speaks English. Not a perfect solution, but it's a start.

I have a hard copy of the document on the way, it should be in my hands by Tuesday. I can then fax, scan, or mail it to you.

Congrats!!

Thanks gang, this is all very very helpful

Assessment of coma and impaired consciousness. A practical scale. Check PMs.

I used to have an '77 chevy ambulance with a 454 under the hood. One time I was in a gas station lot and as we were leaving I noticed the light was green. My route had me turn right out of the parking lot, then an immediate left at the intersection. Without realising the power I had under the hood I floored the pedal to make the light and layed a rubber patch around both corners. Whoops. I aways wanted to fix that one up with mags and side pipes. lol.

The chest wall is very elastic and the relaxed position for the wall is with the lungs deflated. Think of an elastic band wrapped around a plastic bag. If you inflate the bag the rubber band will expand, but once you stop inflating, the elastic band forces the air out of the bag until there is just a little air left in it. (retained dead space air) Now, wrap 12 elastic bands around the bag. (ribs) If you break three of the elastics(flail segment) you can see there is more air left behind in the bag when the other elastics constrict it. This results in a reduction in air movement into the lungs. By using your hand to splint the flail segment you are returning the elastics to the chest wall and assisting in the exhalation of the air from the lungs.

The mouthpiece isn't a co-worker, he/she is an insensitive asshole. Funerals, wakes, or visitations are for the living, the dead don't care who attends. Now, I do disagree if you wore your uniform, because this is a very personal event, not a business one. I think your coworker needs to be informed that you were affected by this patient too and that you developed a relationship with her that had a profound effect on you. The family has gone out of their way to express her sentiments and you have the right to attend any event you wish.

I tend to do what I can to massage their uncomfortable spots. The reason they're having the discomfort is because of the beginnings of a pressure ulcer. http://www.ncbi.nlm..../v018p00051.pdf Masking that discomfort with pain meds does nothing to reduce or relieve the damage being caused by the board. Providing a return of capillary blood flow in the affected areas is what is required. Since my patients can be strapped to a board for as long as 6 - 7 hours I do everything I can to alleviate the pressure on contact points.

Welcome to the forums, feel free to participate or start another conversation of your own. Can we swap recipes?

Problem is that much of the research is copyright protected and one must pay a fee to access it. Posting that content on the City would open up a whole world of pain for Admin.....again.

Prior to placing the patient onto the board I cover it with a 4x folded flannel sheet to provide some padding. In my primary ambulance I use the criss cross straps over the shoulder to the opposite hips, then again from the hips to the opposite feet. One last strap across the hips.

Hmm, you mean I was taught incorrectly? Grrrrrrr.

I use these.

COPD is a catch all for a respiratory obstructive disease. Air is trapped in the lungs on a chronic basis. That's why they have normally low sats. During the acute phase the air trapped by secretions or emphysema can not be exhaled as easily, therefore the patient in the acute phase has lungs that are so full of air that he can not inhale any more. Asthma is a restrictive disease, during the acute phase the bronchioles become inflamed and restrict air entry into the alveolae,

We're not looking at initiation, yet, but for transport of a patient who has already started recieving the infusion prior to transport to the trauma centre. Protocol wouldn't matter though, initiation or transport only is fine.

A friend of mine a few years back was driving his brand new '87 Freightliner East of Jasper Alberta on Highway 16 when a bull moose walked out onto the highway. My friend, not realising it was rutting season, lays on the air horn. Bull moose considers this a challenge and lowers his rack charging straight into 80,000 pounds of chrome and steel hurtling towards him at 110 kph. My buddy already had his brakes on and actually slowed to the point that when the moose collided with the truck his antlers went through the grille and penetrated the radiator. Stepping back from the cloud of steam the moose shakes the remaining bits of chrome from his antlers, snorts at the truck and saunters across the road as planned. Moose - 1 Semi Truck - 0

Wolfman echos my thoughts. This paramedic died doing something he loved. Rather than consider it insensitive for the rock wall to be erected, I would consider it a tribute to his memory and the passion he enjoyed....especially if the FDNY would have mentioned it as such.

Excellent, I have a 1955 International tow truck and a 1999 type II Ford. I'm thinking of taking the drive train our of the ambulance and putting it into the tow truck. 7.3 litre International Diesel in the tow truck might be kinda cool.

Anyone got a protocol on coloid solutions such as pentaspan/pentastarch? I'm going to submit one for inter facility transports.