chbare

Correlation versus causation intuition, fail. I may need to redux pirates and global warming if this failed logic continues.

Do you live in the United States? If so, it appears you may have some language issues. You may be better off taking developmental classes prior to starting paramedic school. While much of the curriculum is not particularly advanced in terms of using language, terminology and so on, you may be at a significant disadvantage. I am not trying to be hurtful; however, I would hate to see you set up to fail due to inadequate linguistic prowess.

A cardiac patient on multiple infusions is not stable. This is a critical patient that requires all of my attention. I'd call the crash in and continue with the transport. I'm sure I'll get flamed a bit, but I'm not a miracle worker and I'm already busy with a critical patient. Life can suck like that sometimes and we have to make hard calls. That is my call for better or worse. Edit: Call it as soon as I had radio contact.

A valid counter argument exists for going out and being the world's police force. Not to mention the monetary and economic arguments that go along with decade long wars.

Gastric intubation and decompression is a potentially helpful intervention for suspected diaphragmatic hernias. It may be of particular importance when considering gas laws and patient transport.

Regardless, atheistic doctrine was used as justification for some pretty bad stuff. True atheist or not, atheistic principles were the justification for certain actions that occurred within the Soviet Union. The same argument could also apply to the concept of a "true Christian." How does one define a true Christian and does it really matter in the context of my argument? I say not because regardless of the flavour of a specific religion, people are very good at cherry picking things to support their beliefs and actions. That is the basis of my entire thesis on this thread. People are just as good at using religious and non-religious justification for their actions.

Allow me to clarify: Societies based on grossly atheistic principles. Stalin's actions for example.

Humans often look to justify their actions. Some use a divine mechanism; however, there have been atheist societies that have also created a significant amount of human pain and suffering. This is nothing new and has been described in striking detail by the scholars of ancient civilisations. For example, we know Socrates, through his pupil Plato, had some interesting ways of looking at "evil." To distill it down a bit, he thought people were not inherently evil because they thought their actions were good or created "good" results. A bit more complicated than that, but this type of behaviour has clearly been with humanity for a while when we consider that Socrates, Plato and others made these observations/interpretations about 400 years before Christ even existed.

Better throw in classical mechanics, electricity and magnetism, organic chemistry and physical chemistry to top it off... I think we all agree that there exist profound deficiencies in EMS education within the United States, but I tend to agree with Fiznat that we need the question the practicality of telling somebody to read four years of material in preparation for a "typical" American paramedic programme. If the OP has a year or more before beginning, then I would suggest he/she take the year sequence of college anatomy and physiology that nurses and allied health students take. This, IMHO is probably the highest yield course one can take prior to paramedic school in the United States. Unfortunately, making somebody with EMT level training read upper level material and expecting them to make any sense of it is probably not going to be a high yield exercise in terms of preparation.

Of course, a nurse clearly would have made a significant difference with Dia. She would have seen her son Marry I reckon, if only a nurse had taken care of her...

No worries, nurses have that covered now. You can get both a "doctor" and a nurse all in one if you go with nursing. J/K BTW "I said doctor, not noctor. Saving the world from natural selection." Noctor, Doctor. Tomato, tomato.

No worries, nurses have that covered now. You can get both a "doctor" and a nurse all in one if you go with nursing. J/K BTW

The I/85 will either transition to AEMT or will reclassify to an EMT. They do not have a paramedic transition like the 99.

Had an almost carbon copy of this situation occur early in my career while third riding. The crew "stuffed" the patient on the floor as has been described earlier in this thread. Unfortunately, there was a minor incident during the transfer and one of the medics was injured, the patient ended up coming out alright however. The medic's injuries turned out to be worse than initially thought. He ended up loosing his job and was briefly disabled. Last I knew, he was working as a phlebotomist. If I have to alter the normal and approved mechanisms that ensure a safely, secured patient, I would choose not to transport given this situation.

I hope you enjoyed your short tenure on this site. You clearly have no idea what your talking about. Exactly how prevalent is child molestation among "straight" family members? If you actually knew, or cared to know, perhaps your attitude could potentially be salvageable.

I got you now mate. One thing you could do is look at publishing your data as a review of all your cases over a certain number of years.

I'm a little confused about the albuterol? If you are using 0.5%, you need to dilute because 0.5 ml will equal 2.5 mg. This is at or less than the dead volume of many small volume nebulisers. However, 0.083% albuterol has 2.5 mg in 3 ml.

Do you have good, peer reviewed, quantative data that your method is clearly superior? There are many variations of this theme and many pros and cons to each.

Rest in peace brother.

The Pplat may be a good approximation of static compliance, but does not represent airway resistance (Raw). In fact, the common formulae we use to calculate Raw uses the PIP. Since we are talking about flow, (change in flow = change in velocity = acceleration = dynamic state) and thus movement, an examination of the PIP is valid. To gain a better quantitative understanding of the flow relationship, make a simple model of the lung. Assume a straw is placed into a balloon. The measurement at the distal end of the straw can be called airway pressure or Paw. The measurement in the balloon would be the alveolar pressure or Palv. The straw it's self represents the airways or the conduit for gas movement, thus pressure here will be a function of the product of flow and resistance. However, the alveoli measurement would be a function of volume divided by compliance. Of course, you would have to add whatever PEEP you have in the system as well. Since we are interested in the Paw as it is a function of the PIP as it relates to flow, we can develop a formula to describe all of the concepts as they relate to Paw: Paw = Flow * Resistance + Volume/Compliance + PEEP As you can see, an increase in flow will lead to an increase in Paw.

What are the benefits of using manipulation every time?

Anterior laryngeal pressure is mandatory?

Yes, the doctor went with the crew. Yes, the lead paramedic testified that he was initially unaware of the patient's name. Neither the prosecution nor the defense called him out. I've actually taken care of a "famous" person in sports and didn't know until after the call, so I'm not going to call him out. However, during the call the crew did make the connection apparently. Also, on a side note, the evidence that was used was very interesting. A piece of scratch paper the medic used to write notes was extensively discussed while the proper chart was almost glossed over.

Actually, medical control did terminate and even called time of death, but the doctor on scene took over care and refused to terminate. Also, the responders were initially not aware that this patient was MJ. In addition, there were no family members in the room when the crew arrived.

No problem Dwayne: I noticed many people thought the paramedics handled the situation incorrectly because the patient was transported after being in arrest for an extended period of time on scene. This naturally led into conversations about working on scene and the fact that transport was not really indicated as the crew should have looked at terminating efforts. There were some pretty negative comments thrown around about the crew. Again, not necessarily on this site. Now that information is coming out, it seems circumstances beyond the EMS crew's ability to control occurred. I am not following the trial, but I listened to the paramedics testimony. They appeared professional and competent. It seems they suspected things were not right and it looks like they in fact were very aggressive about trying to obtain history and did a thorough patient assessment. They even called and received field termination orders but were overridden by the physician on scene who apparently felt a pulse in spite of all the evidence that pointed to the fact that MJ was clearly dead. Anyway, a good lesson in making premature judgements and assumptions. I'm not calling any one in particular out, but if the shoe fits... Island, you appear to have missed my point. It has nothing to do with what people think about MJ or his problems. My point is about some of the initial criticism of the crew who worked MJ. Edit for an additional point.