akroeze

I use head tilt/chin lift for that

I thought our mandated 8 minute response time (I generally make it in 5-6 for the majority) from home when on-call was a long time. People coming from 20 miles away must take forever!

I did a really quick search (what more can you expect at 0250?) and found this: We carried out a prospective study to determine the association between immobilization in the immediate postinjury period and the development of pressure ulcers in spinal cord-injured patients following their admission to Charity Hospital, New Orleans. Of 39 patients consecutively admitted to the hospital, 23 (59%) developed a grade one ulcer within 30 days, mostly in the sacral region (57%), the peak time of onset being day 4 postinjury (6/23 cases). In partial support of an earlier retrospective study (Linares HA, Mawson AR, Suarez E, Biundo JJ Jr: Association between pressure sores and immobilization in the immediate post-injury period. Orthopedics 1987;10:571-573), duration of unrelieved pressure prior to ward admission was significantly associated with ulcers developing within the first eight days of injury (P = 0.04), but not with ulcers developing during the entire 30-day observation period (P = 0.09). Time on the spinal board was also significantly associated with ulcers developing within 8 days (P = 0.01), but not with ulcers developing within 30 days (P = 0.09). An unexpected finding was the significant inverse association between systolic blood pressure and the development of ulcers both within 8 days (P = 0.03) and within 30 days (P = 0.02), suggesting that reduced tissue perfusion increases the spinal cord-injured patient's susceptibility to pressure ulcers. http://www.ncbi.nlm.nih.gov/entrez/query.f...l=pubmed_docsum

As professionals we need to look at total patient care. Patient care does not end with what we do, and we need to think beyond us.

I agree that it makes sense... I just know that I wouldn't be able to get away with doing that here. But everywhere is different.

Do you not have to still secure them to the LSB?

Do you have any specific responses to arguements? That is how debating works.... you disprove the other person's points.

I admit to not reading every single post but one of my first thoughts was absence seizure.

We don't have NIBP, so I would say manual BPs is one of our MOST used pieces of equipment.

They don't exist in our trucks

I routinely see linen marked from services as far away as Toronto (roughly 12 hours away).

Does anyone else find it odd that according to the numbers the article gives, he stole 10.416666666666666666666666666667 puffers from the second place

Very nice, where was this shot?

Is the size of your truck in order to compensate?

Why? How does this benefit your community?

Did your service initially contribute 'x' amount of each item of linen to the system? As long as your service doesn't now have more than that amount then there is no stealing, you are simply exchanging. But if you go in and drop off a patient with one sheet and take 3 that is stealing.

This is what I was trying to figure out.

I don't understand overstocking either, my service has a standard vehicle check list with quantities of every item in the truck. They are sufficient for me to do my job.... I don't need more, if I did they would require more.

uhmmmm.... nothing? My company actually provides me with adequate supplies to do my job :shock:

Riding the rail is very dangerous in my opinion (I have no evidence to back this up, just supposition): 1) The weight distribution is thrown way off so it is easier for it to tip 2) How smooth are the entries to the hospital? Don't you have bumps to go over when going inside and things like that? 3) If it's just you and your partner.... are they moving the stretcher by themself??

I prefer to lower the stretcher to a comfortable level to do compressions while walking beside the stretcher

The manufacturer of the KED recommends crisscross normally, same side in groin injury and no leg straps in suspected pelvice # So the question is, could a good lawyer nail someone for doing it same side with no contraindications to crisscross? Just being paranoid

So we have a student and we were going over the KED using the official equipment instructions for strapping. The instrcutions state that leg straps are to go under the leg, cross between the legs and attach in the female end on the opposite side. I was trained (and all the medics where I trained used) attaching on the SAME side. What were you folks trained to do/what do you do? Please.... let's save the "KED is useless" comments. That's not the purpose of this.

If you really want them, go to your local business store. They should sell blank cards. Use Word to make a card and print it yourself

Yes, we have the super sweet new monitor We were (still are?) the largest deployment of them in North America. As far as the settings, the monitor automatically attempts to find the "best" size Calibration wise, there isn't one for that reason (constant changing size)