b.anderson

I found this University of Queensland article about the use of UHT (ultra-high-temperature processing) milk for the preservation of teeth: http://www.uq.edu.au/news/index.html?article=1413

I was taught to put teeth in saline with a 4x4 or two surrounding it. So water, or ice water would likely do the trick as well. Glucose gel in my opinion would damage the teeth more than preserve it for reattachment, and I can't see how isopropyl alcohol will help preserve them. I'm not sure of milk, I'd be concerned about the sugars in it that may damage the teeth. I would have answered, ice water.

I'll be one to admit that I assumed Kiwi was indeed in some way formally attached to pre-hospital care. I go by the phrase "trust, but verify." Of course, I don't know Kiwi all that well, besides a few exchanged words in chat (If I remember correctly). I can't recall a post where I saw him expressly identify as someone who had formal EMS credentials. To me, it doesn't make much of a difference. I personally (with no offense to anyone--I'm sure you can understand) would verify anything I solely learned from the Internet, professional forum or otherwise before applying it to a real patient. That's just common sense in my books. As for the original threads topic and Kiwi's accusations of such, I can't really comment. I wasn't able to follow it all that well. In my mind, he's just a guy that doesn't realize some of the negative implications of posting his real world identification on the Internet. In any event and in following with what I originally said, I'd verify (via an instructor, medical director, preceptor or otherwise--that's not to imply that I have the latter two yet) what I learned here before using it in the real world. So having or not having real world credentials is merely a plus and not a necessity to me in terms of learning valuable information.

I'd ask myself, "Will this article of clothing prevent me from assessing this pt?" and "Will this article of clothing prevent me from rendering proper care and treatment?" If the answer is yes to either of those, then the clothing in question should come off.

Personally, I was taught to use the trap squeeze method. I think even if the plantar reflex was an acceptable method to illicit a response to painful stimuli, I'd assume after shouting at the patient a few times and then going to remove their shoes/socks to use that method would simply be more redundant and complicated than it needs to be. I am however considering the idea that the plantar reflex may be useful, but perhaps further down the list of assessments, perhaps when checking the patients CMS/PMS in their feet? I have limited knowledge of the plantar reflex (I'll use this as some motivation to learn more) so quite honestly I'm not sure the information gained would be useful during pre-hospital care, though perhaps it would be a useful tidbit for the receiving ED -- I'm not sure how emergent it is to have that information though.

I've had a similar experience, though it came from the female students more-so (the younger majority of students). For the first week of EMR, we were allowed to choose our own groups. This allowed ample time to get comfortable with each other and those who were shy could practice within their comfort zone for a while. The following weeks our practice groups of three were randomized (students selected a colored bouncy ball from a box which coordinated with two others). The randomization gave us a chance to work with others (and learn how others approach certain tasks), and for many get outside their comfort zone. In my opinion, the notion of having to allow students the option of "opting out" of contact with certain classmates based on gender is counterproductive. You can't opt out of dealing with certain genders in the real world, and if it's anywhere you should be learning how to deal with those whom you are uncomfortable with it's in the classroom. I have to disagree that instructors should have to give students an incentive to conduct themselves properly and professionally. Telling students that they can (metaphorically) have a cookie each time they act their age (or at least the level of maturity the profession requires) is also counterproductive. Additionally, letting students treat others in the class as a walking box of cookies, for if and when they act professionally with that student would in my mind leave the wrong impression. I believe there to be a line between telling a student they completed a good assessment (or task), and giving them points or prizes for completing a good assessment (or task) on a particular person or gender. I think students should be given a reasonable amount of time to work within their comfort zone, and work outside of it when their able. That said if it begins to continually effect the rest of the class a discussion would be in order, either with the particular student or the class as a whole.

I haven't heard of it until now. This seems like a step backwards in terms of sharing scientific research and a step forward for the government to make some more money. Shouldn't the people paying (the taxpayers) for the research be able to access the information with relative ease? I'd be interested to hear the opinions of some of the more politically-minded individuals here. My grasp on politics is admittedly low.

While I'm not sure about ILS scenarios, I can't imagine it would be much different. If I'm not able to find a particular scenario I try to create my own. I consider a particular injury/illness and go through what would be commonly seen. Hx, vitals, head-to-toe, etc. I ask myself questions, "What range would this patients vital signs be in for this injury/illness?" "What would I likely find on examination?" "Why would I find that?" "What's my treatment plan?" "Why have I chosen that as my treatment plan?" It's probably not for everyone, but I always found it useful to go in reverse. It helps me to understand the why, and not just the what. This forum also has a good scenarios section, http://www.emtcity.com/forum/35-scenarios/ -- I haven't personally participated yet, but I do plan on it. I've found many of the topics to be useful, some of them to be more obscure that I've never even thought of before. Good luck on test!

I believed this for the first paragraph. Weapons of math instruction, nice.

I noticed the image shown, from what I can see doesn't have much in the way of obvious amounts of stretching, and I can't see any highly visible veins. I've noticed that obvious stretching and visible veins to be common when I've seen images of patients with ascites. I can only assume it's caused by the rapid distension of the abdomen and pressure against the skin. It seems this case was more progressive, possibly with the localized accumulation of fat and possibly in addition to mild to moderate ascites. Maybe? I've seen one person before, whom had a quite similar shaped abdomen but a little smaller in size, with his naval protruding. He didn't appear to have any other immediate health problems as he was wandering around the beach. I have no idea what it was caused by however. I'm interested to see what some other ideas are, in addition to those already posted.

That's the first I've heard of those. Very simple and neat design. Never thought the day would come when glasses were powered with oil.

Seth, I don't personally discourage you from taking on the project you have described. Though if you're looking for help when researching this topic, I'd recommend answering the questions (even those that are negative) that are asked. Ignoring them or replying with a purportedly satirical response won't earn you that much respect, which in turn won't earn you much help either. Think of it this way: how would you feel if I came onto a journalistic forum (if there is such out there--which in making a bold assumption, I'm sure there is) and claimed I wanted to benefit budding journalists get started with their career. Then when asked questions about my project or my own integrity I ignored them or skipped around it using a satirical response. Would you sit back and think, "I respect this person and would like to help them" or would you think, "this person is asking me for help on their own project and doesn't respect my profession enough to warrant me with a legitimate answer"? That's what I thought about when I saw a few of your recent posts. I can't speak for anyone else. If you're here to learn (just as I, and a lot of others presumably are) then I support you. If you're here for your own personal gain then I do not support you. I'd be more apt to helping (albeit I can only speak of things in BC, Canada) you with your project as I'm well aware it's difficult to get a grasp of all the information that's available without conversing with others at the very least. The gist: respect others and get respect in return (maybe some helpful tips along the way, too). I say this from the perspective of someone who respects the other, more intelligent minds here (because my general intelligence, and knowledge of EMS is likely a lot less than a lot of others here). That's my opinion at least.