DFIB

This is only one of the dangers that migrant workers face when trying to stay under the radar. I really wish that the government would resolve this problem.

We titrate for effect according to SPO2.

But he could crap himself to death before she found the right smell! Once she found it she could burn them at the same time! Confusing as heck!

I received a True Health pamphlet in the mail yesterday, promoting some kind of super-duper roto-rooter colon cleanse, The pamphlet headlined; Poop every day! NO strain! NO pain! NO kidding! and Wiping,wiping and still smearing? Here's what your toilet paper is saying about your health ... It is a hoot! , So, this gets me thinking that if a person suffers from constipation that distended their colon (you know like John Wayne and his 40 lbs of poop), and were suddenly evacuated, a considerable empty space would be created in the abdomen that might decompensate the BP, and possibly contribute to a vagal reaction.

"Maturity comes not with age but with the acceptance of responsibility"

Here is the page for the NREMT testing and certification http://www.nremt.org/ This is the Page for the Texas Department of State Health Services for state licensing http://www.dshs.state.tx.us/emstraumasystems/certinfo.shtm I hope this is the kind of info you are looking fo and that it is helpful.

No we do not require any sort of government registration.

I don't think my service would be much use for you although I did look.

Twenty minutes suffering with an high caliber gun shot wound is an eternity. I am not sure what could have been done differently but an "all available units converge call" might have helped. The witnesses talk about ex military and bystanders as the persons that helped them get through their injuries.

Another sicko with an ax to grind! Can he earn the death penalty for these crimes?

Among all of the EMS forums that I can participate in EMTCITY distinguishes itself in a lot of ways. I keep coming back to this one because I find the most stimulating and thought provoking post by it's members. I obviously have not participated in all of the available forums, but usually do not find their participants not to be serious about their post. The most attractive thing to me about The City is the sense of community that has been created among a bunch of people that for the most part have only had electronic communication. Many of the members know each other personally but most do not. Beyond being an interesting sociological phenomenon it is really, really cool. @celticcare Thank you supporting our friend with your OP. @ Everyone else: Go ahead and show a great kid some support and a big smile!

I am at a loss. What does she fertilize her garden with? She might some undiagnosed intestinal condition or an intolerance to certain foods, or a bacterial infection that would cause the lumen of her gut to flood with liquid. If it was quick enough her body wold not have time to compensate (possibly). Not all diarrhea producing bacteria have time to cause fever before they are defecated out. If we saddle any of these conditions with anti-hypertensive medications and diuretics, could they cause these symptoms? I am going to dwell on this and think some more while I kick it down the road and see what some of the providers above a my basic level can come up with.

I was in East Texas last week and heard the radio news warning listeners to "Beware of storm chasers" on the road.

Her MAP is 60 which would indicate hypoperfusion. What is she taking to control her BP? When did she lat take her BP meds? How much diuretic has she had today? Does she present turgor? Has ever had a copro for ova and paracites? Mucus in the feces? What color are the feces? Is the smell abnormal? What has is her per oral intake for the last 24 hrs. and where was the food prepared? Temperature? EDIT: Can she stand to check orthostatic pressure changes?

In a perfect world things would be different. May her family find peace.

In essence we could say that this patient has a narrowing pulse pressure that would indeed point toward decompensation. Is this a correct statement? EDIT: Would we not think she is at least slightly vasoconstricted?

I know that training indigenous locals can be a real challenge but if you give them a check off list of things to look for, you will probably have to ride their butts to get them to comply, they can begin to follow it. They will start with the one that they can relate to. If one has a family member with a stroke he will be interested in the Cincinatti, or once they figure out how pupils contract and that thy should be equal they will be proud of their new knowledge and begin to use it. They will screw up a lot and default to the "I don't want to be bothered with calling" attitude. You can slowly begin to introduce some change to them. Something as simple as them recognizing that a patient can't remember their name could make a huge difference. Let us know how it goes for you. I wish you success.

I am proud for you and a little envious. You are where I want to be. Good job. Congratulations!

I guess we will wait and see if someone knows? Any EMS lawyers that want to chime in?

So now EMT's can be heroes too! Wow!

Getting leverage, you could be my future teacher! You are very welcome!

I most definitely agree. That last post was kinda of a one issue disorganized post. Are you going to move us forward? I will love to read it!

I think compensation for the work is the key point. One ceases so be protected under the Good Samaritan the moment they have the expectation of compensation although being certified might come into play as well. I simply don't know. Then again if you are getting paid to render first aid without a certification; Wouldn't one be practicing medicine without a license?

The relationship between compensated and decompensated shock is that where the first ends the other begins. Isn't that simple? I am about to defeat my own argument but will try not to. I think you are absolutely correct in asserting that a patient is decompensating when they have diminishing BP, Tachycardia and tachypnea and the other symptoms that accompany this clinical picture. I would not consider her decompensated until she reaches the threshold of orthostatic pressure changes, BP bellow the threshold, altered Mental Status, dry mucosa and the other signs and symptoms of decompensated shock. I don't think we are falling into a game of semantics. This is why I called it compensated shock. In order to get decompensation the patient would have to be decompensating even though they are considered in compensated shock. You know I think you might have a point. So why do we call it compensated shock if they are obviously decompensating? By definition compensated shock is non-progressive and decompensated shock is progressive. So why are the thresholds there? I would think that the thresholds exist to mark the stage where perfusion drops to an unacceptable level. I bet that makes no sense at all to anyone but me. I am not real sure that I get it either. Darn.

I have come to a simple conclusion regarding the death of a patient. People die. Sometimes they die in front of us. Once I understood this simple concept dealing with death has become much simpler.