chbare

It's important to realise that something known as pseudo PEA can exist where you may still have ventricular contraction and limited systolic pressures with foreword blood flow in an apparently "dead" patient. True PEA mandates complete electrical-mechanical dissociation. Unfortunately, differentiating between the two typically requires the ability to perform cardiac sonography.

I mean this in as sincere context as possible. What I find amazing is the human ability to make some sort of sense out of arbitrary and subjective concepts that can often be understood and explained using evidence and logic. It's interesting that in spite of all the true mysteries and absolutely amazing concepts that are quantifiable and consistently make reliable predictions about the world, we continue to look for dare I say some sort of mystical or supernatural connection. Even going so far as to blatantly make up false data in order to make the picture work. This is absolutely fascinating and I wonder what the evolutionary context for such thinking is? Even as sceptical as I am, it seems I desperately desire such concepts to be true and have to actively work at maintaining my rationality. Even so, I've occasionally fallen victim to the magnificent facades I find in my email and posted on social networks. Edit: Again, this facet of the human experience is fascinating and an important part of human experience. I am in no way directing my statements at anybody and this is certainly not a personal attack.

http://www.snopes.com/history/american/lincoln-kennedy.asp

In each situation, the patient is experiencing a potentially life threatening issue and making an informed decision. Regardless of the circumstances, both patients are making decisions that many not be in their best interest depending on the context and how ones defines "best interest." In any event, both people are making informed decisions to refuse treatment.

Some years ago I had a patient with chest pain in the ER. Wide mediastinum on the portable chest. After a trip to the CT scanner, we had a diagnosis of an aortic dissection. After being told what was going on, the patient just wanted his/her sons to take him/her home. Several people tried their best to explain the risks, but in the end the patient signed out AMA and went home to their death. You have to respect the autonomy of a well informed, competent patient and let them make their decision. Sometimes, we as health care providers, get it in our minds that we know what is best for people. That's a slippery slope, but I'm not sure I always know what's best for me let alone a well informed, competent person making a decision about their healthcare.

However, I have to say that fantasies about fighting a theoretical future government probably should not get in the way of sensible policies. Yet again, what constitutes sensible policy continue to be the biggest hurdle IMHO.

I didn't see people living in caves. Not that I have any notion to involve myself in such activity, but it has been shown time and time again that an insurgency can be effective even when faced with a well equipped and well trained military. I worked with many "regular" folks who were part of the Mujahideen. In fact our cook was one such person, who basically, as a peasant, took up arms against a superior military and we all know how that turned out.

Yes and no Dwayne. Government has had spectacular success and failure. In chbare's perfect world, we would all live in an anarcho-capitalistic society where the "government" would be exceptionally limited and private interactions between people would be the rule with the principles of liberty, individual sovereignty and the non-aggression axiom would be the standard operating procedure. However, that is not the case and I have to admit, I am not sure what is really best for me on most days let alone what is best for everybody else. I do know that the founding fathers put in the ability to amend the constitution and the supreme court has the ability to interpret the constitution. Therefore, what we consider fundamental "rights" can and have changed as our society evolves. At the end of the day I think a majority of people want something done with the gun issue, but what should be done is the $60,000 question. I think what a woman wants to do with her body is a medical decision between her and her physician. I think consenting adults regardless of their gender or gender identification should be able to enter into pretty much whatever living arrangement they want (including marriage). I also believe that the criminalisation of drugs has been a failed, harmful policy. I saw relatively ill equipped people in Afghanistan best the modern military organisations of NATO all day long.

Asys, the actions of the federal government regarding guns has led to a complete disaster where I live. The cartels are even better armed, the people of Mexico have suffered even more and a border patrol agent's family is devastated. I cannot help but be very skeptical about our government regulating new laws when they have made grave errors using current policies. I don't know brother. Unfortunately, we simply cannot say definitely, therefore I foresee our nation defining the second amendment and perhaps additional Supreme Court decisions occurring over the next several years. I'm keen to interpret as broadly as possible, but I have to admit a certain amount of ignorance in the constitutional scholar department.

Dwayne, can you agree that perhaps our current system and culture could use some sort of changing? I'm a 2nd amendment supporter, but I think reasonable interventions such as mandatory background checks and comprehensive training requirements can probably be agreed upon? Clearly, an outright ban will have people drawing lines, but I would like to see some sort of common ground.

It's reasonable to believe our founding fathers, who had just finished a war against their own government were in fact fearful of governmental tyranny and did want citizens to be able to rise up against said tyranny. However, as stated earlier the complexity of the weapons that are currently available may not have been anticipated at that time. Then again, some of our founders were well ahead of their time in some ways.

I assume you take subjects such as chemistry and anatomy and physiology. Both subjects require basic quantatitive literacy.

Ultrascope knockoff. http://www.amazon.com/gp/aw/d/B0038I7WFM Cheap, under $20.00 on Amazon Prime, one head fits most, durable and did I mention cheap? My knockoff is lime green with a yellow diaphragm decal.

Our EMS department requires an 80%, respiratory and nursing require 75%. The rest of the college follows a 90-80-70 scale. I have mixed feelings about it. One thing that does happen is that students typically take a hit to their GPA. You can have a good A-B student potentially have a dramatic fall in their GPA. This can be an issue later on when these students look at applying to other programmes where GPA can be competitive. I've know more than a few EMS and respiratory folks go onto PA school following their initial community college experiences. I'm not against high standards; however, I'm also an advocate for consistent grading schemes.

Do you keep the bags at home or only use them when you are at work?

However, if the OTC meds are for personal use only as stated in the post, then who cares if you are the one deciding to use outdated medications for your self?

The college is my primary employer and the other EMS services I work at typically only have me moonlighting a day here and a day there. I am not sure any of these places would respond positively if I approached them asking for money because I am really interested in heavy metal chemistry and toxicology and want to do a MS where I have a chance of studying heavy metals in detail.

I believe Indiana is moving to AEMT however. The state is certainly pushing the transition course from intermediate to AEMT.

Yeah, I could probably work a deal with a health care facility or network if I was looking at a MS in nursing. Unfortunately, the degree is not nursing related in any sense other than it involves pharmacology. The college that employes me allows me to take 6 credits a semester free but I teach and work during class hours so I simply cannot take advantage of these free courses. This programme involves a fair amount of online time and I have a good working relationship with my college's chemistry stock room and biology department, so lab work can be completed. I just cannot take traditional classes without leaving my job.

All three can be considered types of herniation. However, the severity of signs and symptoms vary significantly. Somebody with a large extrusion may have minor issues while another person with relatively minor protrusion may have severe pain and neurological deficits. I have a large herniation along with spinal stenosis and my symptoms are very mild compared to some people. It's also not uncommon for people with unremarkable MRI's to experience significant signs and symptoms. Lower back pain and disc abnormalities are very common and many people go on and recover with or without surgery. Individual mileage may vary unfortunately.

I may end up taking out a loan, but with all the hype about $$$ for STEM degrees, I figure I would ask.

I would like to throw this out to you folks who have post bac, graduate and post grad degrees and certificates. Do you have any tips or information about paying the tuition. The degree that I am starting this spring is considered a STEM (Pharmaceutical science with a specific concentration.) degree so I have looked at some of the STEM options and because I am an instructor, I am looking at the possibility of educator scholarships. I see the DOD offers a SMART scholarship to STEM degrees, but you have to give your life away to the DOD and I am fairly content with my position. In any event, I appreciate the input.

Extrusion is also considered a type of herniation so I'm not sure how you are interpreting the terminology.

Didn't you already start a thread on this topic a while back?

http://youtu.be/UCM7oG9UGKc