Happiness

I had thought of the drug senerio but for some reason I trailed off of that thought. While doing a CME essay many years ago on liquid GHB, I had attended an RCMP lecture on Extacy. Here is some info that was relayed to us. Extacy makes the body release all of its dopamine, which will give you the happy feeling, It takes I think approx 28 days for the body to replenish. People will continue to take the drug thinking that they will again get high but when the body dosn't have any dopamine left you dont, so there for the person takes more hence the OD. I dont know if it was asked but did the pt act stoned and if he wasn't I guess the previous explaination makes sense. The other problem with this drug is that the recipie is never the same. If you look at the pills they will indicate something that may be in the pill for example if it has a M or micky mouse caracter it may contain meth. As for GHB, I came across it while precepting and it presented as a narcotic. Gave narcan and had no results, so when we got to the hospital they also gave narcan again with no results. The urine tests came back positive for GHB. For my report I gave myself the question on why this drug presents as a narcotic when no narcotics are in the drug. The answer was basically it was because of the way the drug clamps onto the brain receptors. It always amazes me on how the human race can find so many ways to get high. Now on the news the kids are taking hand sanatizer and making alcohol out of it. Guess there will be a wave of very sick kids comming up.

Thats pretty funny

So if he is a roofer going to assume he has been on the roof and not originally in the house. If it was a air temp of 30 the temp on the roof is going to higher, as most of the peel and stick is black or if it is a torch on roof the tiger torch is going to make the temp higher. So with that being said if he was suffering from heat stroke and then went into a much cooler area of the house would he not go into shock kind of like what happens with the OD being thrown into the shower, which would also cause heart palpations. just a thought

What did he eat and drink for lunch. Did he eat his lunch on top of the roof?

The funniest thing has happened in this thread. The men are debating over something that most women really dont care about. Do I think women should have memberships, dont care In my world I think that both men and women have everyright to have a place to go to without the opposite sex. I have a few camping trips with the girls and the only time the men are allowed is at drop off and pick up. We like to call those trips alcoholidays. happy

Im going to agree with siatica. But there maybe other nerves involved. One thing that may help is an anti inflamitory like Toradol or IB Prophen. Its non narcotic and is good for getting the inflamation down. Once you get the inflamation under control the pain will subside. Heat is going to help with blood flow and cold is also going to help with inflamation. If your muscles are having spasams try a dose of Magnesium as it is the natural muscle relaxant and if you take it before bed will also help you sleep. The normal Adult dosage is 400mg per day but if you eat magnesium rich foods adjust accordingly. Lavender is also a good smell to have through out your house as it calms people there are oils out there you can put under your nose also. When I have a strained back I lay on a firm surface with a yoga mat, and place pillows under my knee's until the pressure is relieved. Get better soon, As a person who has fallen off alot of horses I know how much it can hurt, (once got a foot stuck in a stirup and dragged a very long way, hurt for months)

The 'Middle Wife' by an Anonymous 2nd grade teacher I've been teaching now for about fifteen years. I have two kids myself, but the best birth story I know is the one I saw in my own second grade classroom a few years back. When I was a kid, I loved show-and-tell.. So I always have a few sessions with my students. It helps them get over shyness and usually, show-and-tell is pretty tame. Kids bring in pet turtles, model airplanes, pictures of fish they catch, stuff like that. And I never, ever place any boundaries or limitations on them. If they want to lug it in to school and talk about it, they're welcome. Well, one day this little girl, Erica, a very bright, very outgoing kid, takes her turn and waddles up to the front of the class with a pillow stuffed under her sweater. She holds up a snapshot of an infant. 'This is Luke, my baby brother, and I'm going to tell you about his birthday..' 'First, Mom and Dad made him as a symbol of their love, and then Dad put a seed in my Mom's stomach, and Luke grew in there. He ate for nine months through an umbrella cord.' She's standing there with her hands on the pillow, and I'm trying not to laugh and wishing I had my camcorder with me. The kids are watching her in amazement. 'Then, about two Saturdays ago, my Mom starts saying and going, 'Oh,Oh,Oh, Oh!' Erica puts a hand behind her back and groans. 'She walked around the house for, like an hour, 'Oh, oh, oh!' (Now this kid is doing a hysterical duck walk and groaning.) 'My Dad called the middle wife. She delivers babies, but she doesn't have a sign on the car like the Domino's man. They got my Mom to lie down in bed like this.' (Then Erica lies down with her back against the wall.) 'And then, pop! My Mom had this bag of water she kept in there in case he got thirsty, and it just blew up and spilled all over the bed, like psshhheew!' (This kid has her legs spread with her little hands miming water flowing away. It was too much!) 'Then the middle wife starts saying 'push, push,' and 'breathe, breathe. They started counting, but never even got past ten. Then, all of a sudden, out comes my brother. He was covered in yucky stuff that they all said it was from Mom's play-center, (placenta) so there must be a lot of toys inside there. When he got out, the middle wife spanked him for crawling up in there.' Then Erica stood up, took a big theatrical bow and returned to her seat. I'm sure I applauded the loudest. Ever since then, when it's show-and-tell day, I bring my camcorder, just in case another ' Middle Wife' comes along.

The Veterinarian One Sunday, in counting the money in the weekly offering, the pastor of a small church found a pink envelope containing $1,000. It happened again the next week! The following Sunday, he watched as the offering was collected and saw an elderly woman put the distinctive pink envelope on the plate. This went on for weeks until the pastor, overcome by curiosity, approached her. "Ma'am, I couldn't help but notice that you put $1,000 a week in the collection plate," he stated. "Why, yes," she replied, "every week my son sends me money, and I give some of it to the church." The pastor replied, "That's wonderful. But $1,000 is a lot; are you sure you can afford this? How much does he send you?" The elderly woman answered, "$10,000 a week." The pastor was amazed. "Your son is very successful; what does he do for a living?" "He is a veterinarian," she answered. "That's an honorable profession, but I had no idea they made that much money," the pastor said.. "Where does he practice?" The woman answered proudly, "In Nevada ... He has two cat houses, one in Las Vegas and one in Reno"

The thing that always stands out for me when American EMT's are posting here is how they really have to have the thought of lawyers in mind. So you can be sued down there for not giving someone enough pain meds that is one of the saddest things I have ever heard

Well if anything could go wrong on Friday the 13th it did. Our receptionist now belives in it.........

honda civic ford ford chev ford still have jeep 3 fords thunderbird jag

The nurse said the Ambulance was here.................. and he said No its just us paramedics couldn't fit the Ambulance in the elevator

http://uwmedicine.washington.edu/Research/Clinical-Research/Translational-Research/ROC/Cardiac-Arrest/Pages/FAQ.aspx I cant remember if this study is complete or ongoing.

You have to pick your battles and I agree this one doesn't seem to be the battle. Take note of what happened, and good for you for not arguing in front of the pt. I hate those nurse on a sticks and I do all my BPs manually even in the hospital setting. So with that being said dont treat the machine, treat the pt like they all say.........................................

Did he take Ectasy

We have gotten away from Protocols and are now using Treatment Guidelines, Yahooooo I get to think outside of the box.

So since we were talking about pain meds and then to something else. The words You are a pt advocate have been mentioned. RWN as far as I can see you did what you had to do. We all want our pts to feel no pain but that is not always possible. But as for you older guys come on just because a 19 yr old newbies says to a nurse I think she needs more meds dosn't mean she is going to get them, and we all know that. As you all know I live on a rock and we have to fly out our phycs. I did one today and because the nurse didn't feel compfortable giving the pt another 2 mg of adivan IV, this pt almost didnt get out. Actually the ALS crew were on the verge of refusing him. I am told by my dispatcher, make sure your pt is snowed, but the drs say they need to rousable by voice. I do talk to the nurses and the Drs about this stuff but if they dont want to they dont. But to my defense I do have the ablity to say I am not taking this pt because the flight crew will refuse him. Now in these cases they (the hospital staff) should have to go on a plane and have a pt flip out in front of them so they understand the dangers that these call can create. My pt was in his 30's, about 6ft 4, and about 220 lbs. He is a non compliant perenoide schitzophrenic, that has been also an IV drug user in the past. He took himself to the hospital because he is hearing voices from the TV telling him to very violently kill his mother and then kill himself. Now really alot of read flags in this. This is what he had in a 2 hr time period. 2 mg of adivan and 5 mg of haldol IM, then an hr later they started an adivan regement a total of 6 mgs and 50 mg of gravol while I was there. This pt was still able to open his eyes and communicate. When he did become fussy on the stretcher I was able to settle him down and asked him simply to just go back to sleep. I seriously wanted one more dose of adivan but I didnt get my wish and this pt was almost returned, if he freaks in the plane the possiblity of an extra 4 people being killed is a big possiblity. I have been doing these types of medivacs for 15 years and I being a pt advocate have not been heard but I keep on trying, so RWN now you know you can ask but be aware you may not be heard and you will just have to carry on. In this you have to pick your battles.

Okay I'll speak up, and probably get slammed in the end. If I as a woman can play at the club but cant be a member I dont care. Its like alot things in life, its because I can't have it, is what makes me want it. I am not catholic but I have my favorite Irish friend is and every once in awhile I will participate in Lent only to support her, as I think she is the only one in town that does it. This year it was chocolate that we picked to not partake in. Now I dont particularily eat it everyday, and in reality its only once a month that I really crave it (other ladies will get that but since IM NOT ALLOWED it, I have spent the last forty day or so, wanting it so bad that I would cut off my right arm for a little piece of it. Thats my analogy of those types of things........... PS I gave of alcohol one year and when my family found out about the chocolate they bought me wine

OMG you two are real E-tards

The most important thing I can see in this is that you really need to work on the way you present yourself here. I didn't read this post orginally because of the "about flippen time" comment, sorry just rubbed me the wrong way When your in this business you must always be aware of your surroundings and those that are in it. You have to make sure those kids didn't get the feeling that you or your partner didn't do everything you could because he was a druggie. (not saying that is what happened). The way you presented this is you made a judgement on somebodys life style and the sooner you learn not to judge the better. My suggestion to the Druggies issue is that you do alittle research on why people become drug addicts in the first place. They dont wake up one morning and say "I want to be a druggies". There are many reasons they are and some of them are very layered and complex. The sooner you learn human nature also the better, because it will help you along the way and always remember that you will not always know both sides of a story so don't judge when you only see one. Good luck in you endevors Happy

Entonox is a choice. I dont know if it a good one for 3 hrs as it displaces O2, so you have to be aware of O2 levels. This is the only pain management that I have in my tool box. Years ago a pt was medivaced home from abd surgery said that they gave her a pillow to hug. This is suppose to help take the pressure off the area. She was pretty surprised that it did work for her. I dont understand why you would be angry at management, as it the fact that you are BLS and not able to administer the meds under your license right. If your ALS dont have pain meds in their tool box why are you going for it should it not be one of them. Happy

Thought I would start this Discussion. Yesterday I had a transfer for someone that has been diagnosed with Erdheim-chester Disease. I was told this was a fairly rare condition, I got alittle info from the nurse but not enough to probably ever remember it. Now I have to say when I was passing this pt off to the medivac crew and it was mentioned that she had this condition WOW this girl went on about it. What the hell are they teaching in the new paramedic course, maybe I should go again http://www.med.harvard.edu/JPNM/TF00_01/Oct3/WriteUp.html So here is a discription of the syndrom and i thought it would be educational for us all if everyone can post a rare condition they have come across in their career.

Really, I smelll another troll in our midsts hide the kitties. Your an idiot and have no business being in the ems world and no business here. GO AWAY Mobey take care