Happiness

OK I have just realized YOU ARE ALL WACKER'S, good thing you all make those flight suits look good.......as for the cloth's cutters I alway have a good pair of shear's just incase an emergency haircut is needed

Sorry to hear about your troubles Rat it sucks to have knee pain for sure. I dont have any advise on the knee but to follow Dr's orders and rest it as much as you can... Now with the kids and it being the second marriage, I to have had to go through the step parent issue's with the kids not helping, my advise is to let him deal with it. Most men will only take so much and then will demand that they start to help or he will make their life miserable, oh ya make sure you have a pair of good ear plugs when this happens.... Good luck and get well soon

You know I looked back at my post and I have to appolgise for my reply. My questions were ligit but I didnt need to sound so snotty, I'm on cold meds and thats the only excuse that I have. PCP just be aware that the Ambulance is your area and now matter who is in the back you the pt is just as much your responsibility as the nurses. Enjoy learning about the job as there is much more to know and again sorry about the snotty reply Happy PS Squint is a good source of information even if he is alittle crast about it

So I decided to just read the original post. Why would a nurse upgrade YOUR ambulance to code 3 if you felt that it was needed then that is your call. But once you decide to do that you cant down grade. Why wasn't this pt on O2 from the beginning as she should have been Was this equipment yours or the hospitals, if not yours then not your problem but it would be in your best interest to make sure anything going into your ambulance works properly. You are a PCP and can administer Nitro, In your post you havent said what the vitals were or if the pt was pale and sweaty so it would be hard to say whether going code 3 would have been of any benift. Happy

Hehehe how did you get that story about me......well of to fire an engineer

Ever since Dwyane did this post there have been many things that I have come across in the forums that have been happening in my patients. The reason that I am refering to this senario is because I just had a Pt that had alot of these presentations and Im sure that he had what ever this guy had. 70 yr old Male Hx of Non Hodkins lymphomia just came out of remission and finished a bought of chemo Pt is wheel chair bound due to deteriation of t3 and has numbness nipple line down. Pt is able with the aid of a walker to make it to move around the house Came to hospital with the following symtoms Low grade fever generl weakness BP 140/80 pulse 60 No SOB Sore red blotches elbows to hands and knees to soles of the feet. Was medivaced to query endocardioitis He came home today (look at my status)a very happy man. His treatment is pregnazone.................and is very rare, Dr's may see it once a year Try to take stabs at what this gentleman has as above is all the info that I can give you. I will give you the answer and I will post what I can find on Google in a few days

Well at least she honest

In my training as old as it is we were always told only to use the Sagar for mid Tib/Fib closed fractures. To be honest this is an area that I never really gave alot of thought to, just did what I was told. I have had one open femur fracture and that was only a few months ago. 19 yr old riding his dirt bike, he hit a rock and slammed onto another rock. He tried to get up but down he went. Before we got there is riding buddy had removed his riding boot and checked for pedals. When we finally got him off the beach into the ambulance and I got his cloths cut off (about 5min tops had my vff with me)I noticed one little drop of blood on his thigh, I looked harder and there was no open fracture to be seen, I then looked at the size of his thigh and it was three times the size of the other one. As it turned out after the xrays he did have an open fracture, the part of bone that actually went through the skin was the size of needle and it had gone through the skin and maybe while I was packaging him up it went back inside.(if that makes any sense) So even though I am not allowed to use this piece of equipment for a open fractured femur or any other fractured femur I don't think I would. And here is my reasoning why, #1 in this case anyways he is on a beach lots and lots of dirt as with other scenes it could be a potential infection entry point and #2 with the thigh strap it the swelling is going to cause a blood flow issue and potential necrosis. I have seen higher level medics us the sagar on hip and femur fractures but it was a bit of a pain to get all the straps and the tension to work properly. To the original poster When you have a question like this try to think outside of the box, do a good rule in, rule out for potential risks and benifits and take Dwaynes advise (he is a smart cookie) and you should do fine.

A freind of mine bought the one pathophysiology for dummies. She luved it, I havnt seen the book myself but it may be worth a peek

Hehehehe Mother is always right

I was thinking of substituting the name Kenny with Dwyane on some of these > LITTLE KENNY ON MATH (Part 1) > > A teacher asks her class, 'If there are 5 birds sitting on a fence, and you shoot one of them, how many will be left?' > She calls on little Kenny. > He replies, 'None, they will all fly away with the first gunshot.' > > The teacher replies, 'The correct answer is 4, but I like your thinking.' > > Then little Kenny says, 'I have a question for YOU Miss Rogers'. > > There are 3 women sitting on a bench having ice cream: > One is delicately licking the sides of the triple scoop of ice cream. > The second is gobbling down the top and sucking on the cone. > The third is biting off the top of the ice cream. > Which one is married?' > > The teacher, blushing a great deal, replied, 'Well, I suppose the one that's gobbled down the top and sucked the cone.' > > To which Little Kenny replies, 'The correct answer is 'The one with the wedding-ring on, 'but I like your thinking.' > > > > > LITTLE KENNY ON MATH (Part 2) > > > > > Little Kenny returns from school and says he got an 'F' in arithmetic. > > 'Why'? asks the father. > > 'The teacher asked 'How much is 2 x 3', so I said 6', replies Kenny. > > 'But that's right' says his father. > > 'Yeah, but then she asked me, 'How much is 3 x 2' > > 'What's the fuckin' difference?' asks the father. > > 'That's what I said' replied Kenny. > > > > > LITTLE KENNY ON ENGLISH > > > > > Little Kenny goes to school, and the teacher says, 'Today we are going to learn multi-syllable words in our class. Does anybody have an example of a multi-syllable word?' > > Kenny says 'Mas-tur-bate..' > > Miss Rogers smiles and says, 'Wow, Kenny, that's a real mouthful.' > > Little Kenny says, 'No, Miss Rogers, you're thinking of a blow-job..' > > > > > LITTLE KENNY ON GRAMMAR > > > > > Little Kenny was sitting in the class one day. > All of a sudden, he needed to go to the bathroom... > He yelled out, 'Miss Jones, I need to go take a piss!!' > > The teacher replied, 'Now Kenny, that is NOT the proper word to use in this situation. The correct word you want to is, 'I need to Urinate'. Please use the word 'ur-i-nate' in a sentence correctly, and I will allow you to go.' > > Little Kenny thinks for a bit, and then says, 'YOUR'E AN EIGHT, but if you had bigger tits, you'd be aTEN' > > > > > LITTLE KENNY ON GRAMMAR (Part 2) > > > > > One day, during lessons on proper grammar, the teacher asked for a show of hands from those who could use the word 'beautiful' in the same sentence twice. > > First, she called on little Suzie, who responded with, 'My father bought my mother a beautiful dress, and she looked beautiful in it.' > 'Very good, Suzie,' replied the teacher.. > > She then called on little Michael. > 'My mommy planned a beautiful banquet, and it turned out beautifully.' > > She said, 'Excellent, Michael, excellent.' > Then the teacher reluctantly called on little Kenny. > > 'Last night at the dinner table, my sister told my father that she was pregnant, and he said 'Beautiful, just fuckin' beautiful'. > > > > > LITTLE KENNY ON GETTING OLDER > > > > > Little Kenny was sitting on a park bench, munching on one candy bar after another. > > After the 6th bar, a man on the bench across from him said, > 'Son, you know eating all that candy isn't good for you. It will give you acne, rot your teeth, and make you fat.' > > Little Kenny replied, 'My grandfather lived to be 107 years old.' > > The man asked, 'Did your grandfather eat 6 candy bars at a time'? > > Little Kenny answered, 'No, he just minded his own fuckin' business..

One thing that newbies should learn right off the bat is that "Just because the nurse is not looking or talking to you, doesn't mean they are not listening to you." This took me a long time to figure out. If you want respect from the ER crew make sure you are willing to give respect and vice versa. Remember if the ER crew are doing something different than what you would do, they probably have different protocols and proceedures. And if you have a question about what they are doing ASK, you may learn something. Try to have meetings with all involved so that in the case of a real emergency you already know what is expected from you and what you expect from them And my last note Remember in the end it is the Pt. that is the most important aspect of the call so dont fight or argue in front of them, (you may have to learn how to get your point across in other manners) You can use any of this if you want. Im sure you will get alot of great respones from the older more experienced guys and gals on the site. Good luck

Sorry about the beginning I had thought it delete, it was a quick copy paste