rat115

The sneaky little rat's on top now. ROFL

That's just what I told her.

Thanks. I pretty much thought that it looked pretty normal. One of the gals on our crew was stressing, but she doesn't have internet so she couldn't post. I talked with her today and over night the symptoms stopped. I do know that she's normally hypotensive. Besides the fact that her BP was up in the normal range, I couldn't see anything that worried me. AZCEP---I wish that I were allowed to play with the settings on the LP-12, but I'm not. Something about being a basic. Oh, well. Get me someplace that I can go to school and I'll be more than happy to rectify that. 8)

:oops: Sorry guys, my bad. Pt is complaining of discomfort and tingling =in her arms and pain in her neck. No history of heart problems. No meds. 35 year old female smoker. She does have a history of really bad migraines, but not much else.

Ok, I'm curious what you would think of these strips. They were taken about 4 hours apart on the same person.

I understand exactly what you're talking about when the pt looks at you and askes were a specific person is. I normally get the "who are you and how long have you lived here?" becuase I've only been in town two and a half years. It's funny and frustrating at the same time. Here, we don't have the fire dept. called out unless there is something to do with chemicals, an accident, or we call for lift assistace and no one else on the EMS crew 10-4. We normally have one of the PD show up to check out the scene unless they are really busy and it doesn't sound like they are needed. I have had scenes where someone on the fire crew was driving by and knew the person, so they dropped in to help. I have no problem with that, and it helps keep the pt happier.

Darn it! The folks I bought the car from took them off before they would let me have it....including the wig wags. (And no, I'm not joking about that.) TPBM believes in ghosts.

LOL! My kids would have said that they didn't want just half of either one. :thumbright: to your daughter for maturity.

:toothy8: Busted on the fried green tomatoes. Although, Oprah hasn't been on my TV since I moved here. (No cable or satelite). TPBM plays on their crew's baseball or softball team.

ROFL.....Darn, the cable on my cam wouldn't stretch all the way to the bathroom. TPBM.....knows where itku2er and medinine hid the body. :twisted:

We have about 20 folks on our volly service not counting however many students there are at a time. We have a schedule that we sign up on for the upcoming month. We are required to sign up for 144 hours on call a month. We can sign up for a full 12-hour shift or if there is a reason that we can not do that half of the shift. (0600-1200 for example.) There are a few who work odd hours and some that have young children so the other half of those shifts are normally easily covered. We are required as part of our 144 hours that we take 3 weekend shifts. They can be all in one weekend or spread out. Then, if something comes up and we are unable to work our shift, we are supposed to find someone to cover our shift and either trade shifts or take one that was not signed up for. The one exception to finding someone is if it's an emergency, and we're required to get hold of the director and let him know what's up in an emergency so he can get someone else to cover.

I agree that this is a great topic to be brought up. It's something that all EMS, fire and LEO have to deal with. Just last week, I went on a call for a female pt who had had a seizure. We arrived on scene to find the pt was just coming around to the point that she could talk to us. (And I found that the family is part of my church community.) My partner on the call was very focused on the pt and tended to only speek to the family when he needed information. I started asking questions while he was treating her and I was helping him. He was so preoccupied about getting her into the ambulance that he didn't realize that he had not put the cot into the load position and started to get rude with me on scene. I swapped places with him so that he could see that there was a problem. Then, I asked him to move the cot back from the ambulance and tried putting the cot into load since at that time I wasn't sure what the exact problem was. I then quietly told him what the problem was by saying that "the cot wasn't all the way into the load position." The family was standing there the entire time. I double checked if they were going to ride in the ambulance or take their vehicle. When we arrived at the hospital and were gettign off of the elevator to the ER, the pt started into a grand mal. We got her into a room and onto a bed. Got the treatment started with the nurses and docs. The mother was very upset. I moved back because there were so many people around the bed that we were about to step all over eachother and went over and talked to the mom. I gave her something to focus on besides being scared for her developmentally delayed (28 y/o) daughter. I asked her about the past history of her seizures more in depth and other information about recent behavior and changes in the pt's life. I was able to get some extra information AND keep the mom calm. I've noticed that in the area that I work in rapport is very important. I think sometimes it's more so here than it may be in the city where you know that you're not going to know the people who are on the ambulance. Being a small town, you know a lot of the families and pts. Those that you don't know will ask who you are, how long you've been in town, who you're related to and any of a dozen other questions to feel that they know you. Then, you know that there's a high chance that you're going to see the pt again somewhere around town.

Dust--- Stay safe over there and come back quickly (or as quickly as the military will let you).

I'm with you there. I think it would have better served Olympus' purpose to show their product in a positive light. I think that the use of "theft" to catch people's attention is not a good thing period, AND, as it was noted, I did get a number of people's attention. At the same time, how many people who are not involved in EMS, fire or police realise how important it is to have quality cameras in the field to show the doctors in the ER exactly what the patient that was just brought in actually went through?

What got me here? That's a long story. I started out after high school wanting to study to get my DVM. I moved to CO and met my husband. I ended up putting him through school for his master's degree, and I got my m-o-m instead of my DVM. In 2002, my hubby injured his back and had to have surgery. While on disability, he got an offer for the job he's got now, so we moved. In 2004, he reinjured his back while we were over 40 minutes from a hospital over rough rural roads. His family refused my wanting to call an ambulance, so I took him to the er. Turned out that he had reinjured the disk he had had surgery on and fractured 2 vertibrea. That got me really thinking and I realized how much I knew and how much more I would like to know. I got the opprotunity to take the EMT-B course through the local community college, took the class and I really enjoy the challenges of the job.

o, I'm late coming into this one....I'd have done the c-spine, o2, immoilization of the leg, iv (But I would put the iv bolus since he's jaundiced for 500cc before lessening it to tko) and had the son find out the meds.... now..... Foxglove...What's the pt taking that for? Who started him on it? Does his cardiac doc know that he's taking it? How many a day? How long has he been taking this? Do we have the bottle of pills so they can be tested for purity and strength? (Foxglove is highly poisonus if it builds up and can be deadly.) I would be concerned about a possible drug interaction. "--Medicinal Action and Uses---Digitalis has been used from early times in heart cases. It increases the activity of all forms of muscle tissue, but more especially that of the heart and arterioles, the all-important property of the drug being its action on the circulation. The first consequence of its absorption is a contraction of the heart and arteries, causing a very high rise in the blood pressure. After the taking of a moderate dose, the pulse is markedly slowed. Digitalis also causes an irregular pulse to become regular. Added to the greater force of cardiac contraction is a permanent tonic contraction of the organ, so that its internal capacity is reduced, which is a beneficial effect in cases of cardiac dilatation, and it improves the nutrition of the heart by increasing the amount of blood. In ordinary conditions it takes about twelve hours or more before its effects on the heart muscle is appreciated, and it must thus always be combined with other remedies to tide the patient over this period and never prescribed in large doses at first, as some patients are unable to take it, the drug being apt to cause considerable digestive disturbances, varying in different cases. This action is probably due to the Digitonin, an undesirable constituent. The action of the drug on the kidneys is of importance only second to its action on the circulation. In small or moderate doses, it is a powerful diuretic and a valuable remedy in dropsy, especially when this is connected with affections of the heart. It has also been employed in the treatment of internal haemorrhage, in inflammatory diseases, in delirium tremens, in epilepsy, in acute mania and various other diseases, with real or supposed benefits. The action of Digitalis in all the forms in which it is administered should be carefully watched, and when given over a prolonged period it should be employed with caution, as it is liable to accumulate in the system and to manifest its presence all at once by its poisonous action, indicated by the pulse becoming irregular, the blood-pressure low and gastro-intestinal irritation setting in. The constant use of Digitalis, also, by increasing the activity of the heart, leads to hypertrophy of that organ." About getting moving.....Is there another ambulance that can help out? Is the pt's condition worsening to the point that I feel he needs to be flown and, if so, is there a medivac available?

well, I haven't had to call the ambulance for me. Back in December though, my eldest son decided to pull a stupid stunt and bounced his head off of the floor. He was refusing to move and in enough pain that he was laying on the floor silently crying. He was not feelinghis legs and feet correctly, so I called for help. Of course, this was a day that I was the crew on call and my director was driver. So, much fun explaining it because my son was already in an ankle brace for a sprained ankle. :oops: Fortunately, this being a small town, the doc knows how active this particular son is.

I've got family by marriage that can't take benadryl because it's a soy based medication and they are allergic to soy.

Hey, you gonna help us Americans get up there for the convention? If so, I'm in...

:thumbright: Cool video, Dust!

shhhh...you weren't supposed to know about that. Oh, ummm, I mean it's all my kids' fault. The person below me likes to eat dill pickles with ice cream.

PREGNANCY Q & A & more! Q: Should I have a baby after 35? A: No, 35 children is enough. Q: I'm two months pregnant now. When will my baby move? A: With any luck, right after he finishes college. Q: What is the most reliable method to determine a baby's sex? A: Childbirth. Q: My wife is five months pregnant and so moody that sometimes she's borderline irrational. A: So what's your question? Q: My childbirth instructor say s it's not pain I'll feel during labor, but pressure. Is she right? A: Yes, in the same way that a tornado might be called an air current. Q: When is the best time to get an epidural? A: Right after you find out you're pregnant. Q: Is there any reason I have to be in the delivery room while my wife is in labor? A: Not unless the word "alimony" means anything to you. Q: Is there anything I should avoid while recovering from childbirth? A: Yes, pregnancy. Q: Do I have to have a baby shower? A: Not if you change the baby's diaper very quickly. Q: Our baby was born last week. When will my wife begin to feel and act normal again? A: When the kids are in college. "ESTROGEN ISSUES" 10 WAYS TO KNOW IF YOU HAVE "ESTROGEN ISSUES" 1. Everyone around you has an attitude problem. 2. You're adding chocolate chips to your cheese omelet.. 3. The dryer has shrunk every last pair of your jeans. 4. Your husband is suddenly agreeing to everything you say. 5. You're using your cellular phone to dial up every bumper sticker that says: "How's my driving-call 1- 800-". 6. Everyone's head looks like an invitation to batting practice. 7. Everyone seems to have just landed here from "outer space". 9. You're sure that everyone is scheming to drive you crazy. 10. The ibuprofen bottle is empty and you bought it yesterday.. TOP TEN THINGS ONLY WOMEN UNDERSTAND 10. Cats' facial expressions. 9. The need for the same style of shoes in different colors. 8. Why bean sprouts aren't just weeds. 7. Fat clothes. 6. Taking a car trip without trying to beat your best time. 5. The difference between beige, ecru, cream, off-white, and eggshell. 4. Cutting your hair to make it grow. 3. Eyelash curlers. 2. The inaccuracy of every bathroom scale ever made. AND, the Number One Number One thing only women understand : 1. OTHER WOMEN WE ALL NEED a SMILE!!

Bramblerose Moss of Lake-by-Downs at your service. In elven, it's Eámanë Vardamir. 8)

:thumbright: Right one, Owley!

95% Dixie. Is General Lee your grandfather?! All this time in Colorado still hasn't taken the south out of me.