thrutheashes
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Everything posted by thrutheashes
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Back in consort for work over new years. Oh well better than working Christmas. Just wish it was closer to home
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When to believe the pulse oxymeter, when not?
thrutheashes replied to Bernhard's topic in General EMS Discussion
That is the point I was attempting to make, but missed the mark. Thanks for someing it up so well. thrutheashes -
When to believe the pulse oxymeter, when not?
thrutheashes replied to Bernhard's topic in General EMS Discussion
fair enough! -
When to believe the pulse oxymeter, when not?
thrutheashes replied to Bernhard's topic in General EMS Discussion
My treatment would vary based on pt. particulars, but as presented I'd go low flow o2 and see if the sat were to go up. That said, as long as color,resps, v/s are stable I would not go any more aggressive than low flow. Conversely, I have someone who has sats reading high, yet they are struggling for breath, showing cyanosis, I am going to treat more aggresively. I'm not trying to say that the tools are irrelevant. I will always side with pt. safety. But sometimes you have to rely on what you see, not what the gizmo's tell you. -
When to believe the pulse oxymeter, when not?
thrutheashes replied to Bernhard's topic in General EMS Discussion
Hey, contrary to what the lifepack says, if I'm chatting with someone, and I can palpate a pulse, I'm going to have a hard time believing the patient is in asystole if it's showing on the monitor. Just saying. Our tools are nice, they help us do our job, however it is possible to be too reliant on them. That's all I'm saying. The tools are half of it. The practioner's experience and intuition are the other half. such as the case in the op's original post. Does this SPO2 reading make sense? Does BGL reading make sense with patient presentation? Or what if your equipment dies and you have to assess the old fashioned hands on way, using auscultation, palpation, and vision? I've seen newer EMS practioner's who, quite frankly, don't have the problem solving abilities to assess without those toys. The toys are nice, but not without the basic understanding behind them. -
When to believe the pulse oxymeter, when not?
thrutheashes replied to Bernhard's topic in General EMS Discussion
This topic takes me back to something that I have believed for quite some time. As providers we need to rely loess on our toys, and rely more on our training, education, and instincts. The old mantra says "treat the patient, not the equipment" and I believe that 100%. We as a profession need to put EMPHASIS on our assessments, and use our technology as a backup, and not the other way around. I know it's an easy trap to fall into , and I've been there myself, though it is something Iconsistently try to work on. -
Awesome rules to live by.
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go flames go!
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so.... our cat has "anxiety issues" and the only real treatment is "removing the stressor" or anti-anxiety food, and/or meds from the vet. huh?? How do they figure this crap out? cat psychiatrists?
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HAD TO STEAL THIS ONE!! Thanks Nicole! Forget Rednecks... Here is what Jeff Foxworthy has to say about Canadians, during a recent appearance at Caesars in Windsor : If someone in a Home Depot store Offers you assistance and they don't work there, You may live in Canada . If you've worn shorts and a parka at the same time, You may live in Canada . If you've had a lengthy telephone conversation With someone who dialed a wrong number,..................... You may live in Canada . If 'Vacation'...
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crap, stupid power is out. Grrr
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Right now I'm watching the Flames game and shaking my head in dusgust. They are getting beat on by the worst team in the league. FEASTER IF YOU WANT A POST SEASON MAKE SOME FREAKING CHANGES ALREADY BECAUSE THIS IS FRIGGING STUPID!!!
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Oh you're a paramedic? You drive an ambulance right? NO, I stay with you while the firefighters cut the vehicle from around us. When the firefighters pull you from the fire I'm the one who places an advanced airway so you can breath again. I give your child the medications they require to survive an asthma attack. I give you drugs to treat your heart attack so you can make it home to your family.... I often don't see my bed all night becaue I am risking my life racing to another call regardle...
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Seeing as I have found myself in a similiar situation lately, I feel I have something to add here. As the op presents, I would likely stage myself, however there is a multitude of information missing. MY partners and I have always run by the two person rule, which is we either both agree to go into a scene, or we don't go in. If we are told to stage, we stage for police. No questions. Otherwise it is our discretion. We read the scene the best we can, make our decisions accordingly, and if we have any "bad feelings" we stay out. I know not everyone will agree with this line of thinking. But that's ok. We rely on our instincts and try not to do something stupid, while helping someone in need.
. the flames are a good team.....some of the time.....
he is happy now 
