hammerpcp

LMAO.....I hope they never let you hear the end of that one. :wink:

At the risk of putting my other foot in my mouth..........I have a few questions/concerns. Firstly to my understanding, when Naloxone is administered it is titrated slowly to the point of desired clinical effect, namely reversal of respiratory depression. I also thought that this was a fairly reliable response. Meaning that if you administer it in this fashion rather then 2mg all at once the chances of inducing any significant withdrawal symptoms are close to nil. If the afore mentioned is true, then the risk-benefit balance is heavily weighed on the benefit side of things, which supports the administration of Naloxone by PCP+'s in areas where there is high prevalence of narcotic use (like Brat). Also, from what I have read, again I don't have much first hand experience with this drug, the incidence of seizure post Naloxone admin is rare. And the risk can be minimized by gradual administration as well. It also sounds like adverse cardiac effects have been known to occur for the most part in individuals who have preexisting cardiac conditions, or have been receiving cardio toxic drugs during surgery etc. In this case the Naloxone is used in or post OR. I am having difficulty finding information, research or anecdotal, that clearly states the occurrence rate and severity of the adverse reactions, so it is very difficult to weigh the risks versus benefits of this drug accurately. If any one has any data please share, it may win you this debate. Another thing to consider is the adequacy of the BLS treatment/management of respiratory depression/arrest. How efficient is BVM ventilation when the pt is not intubated? And one must also consider the potential complications of this, e.g.: vomiting; aspiration; gastric insufflation; inadequate oxygenation; hypoxia/hypoxemia. Ventilating a pt via BVM with an oropharyngeal adjunct is not equivalent to the pt breathing spontaneously on their own. In conclusion.........Am I dumb?

Clearly I should have read your post in its entirety :tard:. I hate to admit it but you're right :oops: Peace?

I sure as hell hope it wasn't an RN who said that. This was a stupid action, rather then a stupid saying. I learned a good lesson though. The pt was lying on the sidewalk and I was driving. I pulled the truck up and parked next to the pt. My partner and I got out, grabbed the equipment and started assessment etc. BTW we always leave the truck running on emergency calls, and the tail pipe is out the side rather then the rear of the vehicle. Needless to say we almost got gassed out by the diesel fumes blowing right at us. I won't ever do that again. I now consider at least four things when I deciding where to park at a scene, safety, access, egress, and fumes.

I just noticed the other day (I know, my powers of observation are astounding :roll: ) that our ambulances do have a motto decaled on the side.... "Protect and Promote quality of life and public safety". 8)

Exactly.

Of course you are. Don't be ridiculous. :roll:

Nope. Sorry your wrong. On the first point i will concede that it could be considered an issue of semantics. However, opiod withdrawal is not life threatening. alcohol yes, Barbs yes, heroin no.

Please correct me if I am wrong ( a rare, but nevertheless possible occurence) but the S & S you listed above are not actually side effects of Narcan but symptoms of opiate withdrawal. An unpleasant but not life threatening condition.

It's true. :oops: That's why I haven't been getting much sleep lately. :coffee:

I heard that if you dream about puppies you really want to be pregnant...think there's any truth to that? I wonder what it means if you dream about the men on EMT CITY? :shock:

One key thing that we are missing here, is is this even really a problem? First off how frequently are paramedics even accused of inappropriate sexual behaviour towards Pt's? I know that here, the biggest problem of this nature is coworkers acting sexually inappropriately to one another, or in my experience it is often the pt that acts inappropriately towards me. In 4+ years i have never heard of even an accusation made by a pt that they were sexually harassed/molested etc. by their health care provider. While in school there was an incident of a student (female) acting sexually inappropriately towards their male preceptor. Again, this is a different situation. Another thing to consider if paramedics are accused of this kind of behaviour is, is it substantiated? I mean to say, that if you have unusually high incidence of accusations of sexual misconduct in your work place, you must consider that most accusations are true and based on actual events. I am going to assume, for the sake of this discussion, that the original poster is concerned about false accusations. Another thing to consider is why are we concerned with false accusations of sexually inappropriate conduct on the part of the health care provider arising from psych Pt's? Is this a factually based concern? Do psych Pt's have a higher incidence of falsely accusing paramedics of harassment/molestation/etc.? Again, I have never seen any research done on the subject and even anecdotally don't find this to be any more of a concern then with any other pt. Basically, my point is that in the grand scheme of things, as far as risk assessment goes, is this even a concern that should be anywhere near the top of the list? As far as double standards go I am failing to see the relevance of that to this discussion. Yes their is a double standard, but that is the reality of the situation. Women do make accusations much more frequently then men. But this is quite simply explained. Women are victimized much more frequently then men. I don't see the relevance of your complaint AK. Living as a white male in the United states you are part of the most privileged group of people on the planet.

I think you just made this..

This is great! I always knew that sarcasm was an indicator of higher mental function (hence the involvement of the more recently evolved parts of the brain). Is there a correlation between large foreheads=large frontal lobes=extreme sarcastic tendencies? :wink:

OMG! I hope no one was looking over my shoulder when I opened that! The librarian is already giving me dirty looks.

I work for quite a progressive service and they supply all the medics with these... They are amazing... they not only take incoming and outgoing calls, they also repair broken bones, diagnose rare illnesses, track down alien life forms, and when set to stun are an effective psych pt deterrent. If your company is interested in purchasing a similar product more information can be found at Zaine medical equipment

I always knew that innocent little girl thing was an act with you. You big hoe bag SooC. :wink:

First off i am glad to hear that Doug is finally hanging up the non-latex gloves. I hope the cirrhosis doesn't finish him of to quickly. All the best! VS, How the f_ck do you figure that being a female gives you any advantage? You didn't honestly think I would let that comment slide did you?

I recommend Algonquin. Not because I know anything about it, but because I know something about the other two.

Maybe it was an interuterin parasite?

What kind of fundraiser? Is the trading of sexual favours for money involved? If so, that is a terrific shirt!

Just to be contrary.....I think I like it. It may be completely inaccurate, but it puts us in the public eye. LMAO..... this reminds me of a couple calls I had where the family or bystanders on scene were like "this is like Third Watch". Funny how they don't think of it as entertainment mimicking reality but the other way around. It's quite absurd really. But anyway, it is good to see, if nothing else, that the public is recognizing what we do as a separate profession to fire fighters and that they find it interesting enough to waste some time on watching. :bootyshake:

Ahhhh....I think you kind of missed the point there Ace.

Don't act all innocent like you never thought about it Rid..lol. I found a great web site during my foray into the dark underbellies of the world wide web Ridryder's How to Guide

LMAO....Brat, you will be pleased to know that just this year we have been granted the privilege of performing blood glucometry " on any pt with signs or symptoms that may be related to a glucose problem (hypo- or hyper-glycemia)". But don't worry......things haven't changed that much....the provincial protocols have changed so Spamilton didn't have to take any initiative of its own. :wink: