JPINFV

You're forgetting probably the most terrifying [from the outside looking in at least]. The loss of ability to consolidate new memories via lesion of the mammillary bodies. Essentially, you can remember what you did 5 seconds ago, but you can't remember what you did 5 minutes ago. Thiamine is also used in a bunch of cellular reactions (cofactor for dehydrongenase].

/me takes down some notes.

I think the big reason why challenges about smoking have stood is that there is a real cost to the employer in the form of increased health insurance costs. Similarly, why would someone's personal life be necessarily out of bounds? Would it be wrong to not hire someone because they have a habit that the employer feels affects their employees job performance? I would put that down to being similar to the "Do you have a reliable means of transportation" question (which is especially important if an area doesn't have a strong mass transit system).

http://www.emedicine.com/med/topic589.htm Essentially Dumping Syndrome occurs when too much underdigested food reaches the intestine. It is especially problematic when dealing with sugar rich foods and alcohol. The syndrome itself isn't life threatening, but the person definably not going to feel too hot. In general, it self-resolves in about an hour. The link does a better description of the signs/symptoms than I can.

You mean a medical director of a large service that is actually involved in QI past signing his name? Unpossible! [i heartily support that product and/or service]

My mom went through gastric bypass [she has not been involved with EMS in anyway besides being a patient a few times]. One problem I do see is that ingestion of any sugar following the surgery [for a few years at least] is going to put you out of service for at least an hour. It doesn't take much for a patient to develop dumping syndrome either. Edit: Quick question, does anyone know if gastric bypass is being taught as a contraindication for oral glucose in diabetics?

Sorry for the poor quality, but it was the best one I could find that was in English [there's a high quality German one though].

Well, to be fair, providing universal healthcare isn't part of the powers granted to the federal government either. You can't be a strict constructionist only when it suits your needs.

I've heard of AEIOUTIPS, but never used it. The only one that I have ever really used was OPQRST, but that became second nature rather quickly anyways. My pet peeve mnemonic is DCAPBTLS. If you need an aid for things to look for on a trauma, then your assessment really needs work [because, you know, you're just going to note a puncture or bleeding, or deformity].

I wanna do it all See Niagara falls Fight city hall

Thanks, I figured I was missing something and oversimplifying it a bit.

Are you questioning the quality of the medics' care or is this a simple territory/money dispute? Federal park=federal land=federal government can play by their own rules.

A dear or elk in Los Angeles? I wanna see that car accident. Besides, 3am on a freeway, just about every car on the road is doing 80-100. /never hit 100 in an ambulance. Hit 100 a few times in my POV on the 5 freeway driving between Orange County and San Diego.

Do you have a problem if a military base runs their own ambulance and transports patients from a military base to a local hospital?

So I'm studying for my next A/P exam and one of the points was that NO is used for pulmonary vascular control. This got me thinking (danger Will Robinson, danger), could NO be useful in patients suffering from pulmonary edema? By causing vasodialation, pulmonary blood pressure would drop, lowering the pressure forcing fluid into the lungs. In addition, it would be a local affect so it shouldn't compromise systemic blood pressure if the patient is hypotensive. Now I'm sure that I'm missing a rather large piece of the puzzle (difficult drug to manage, it doesn't quite work that way, but thanks for playing, etc), but I have found some interesting studies [its amazing how random side thoughts crowd out any motivation to study]. On the other hand, if you decrease pulmonary blood pressure, it might interfere with treatments like CPAP [PA increases with CPAP which would be bad if PA increases past PV, thus preventing flow through the capillaries], which would defeat the purpose of CPAP, a proven treatment option. Review article: NO works for the short term, but it doesn't show any changes in mortality. Evidence is of poor quality anyways. Research Study: It works, but we only tested it on 8 patients (with 8 controls) So, would NO be a possible prehospital treatment option? Would it be a possible treatment for frontier/remote BLS units with long distant transports when used in conjunction with online medical control [note: this is not a "I want more toys" argument. Short transport/paramedic response times wouldn't necessitate this as an option. Yes, any pulmonary edema call should have medics, but let's stay in present day reality]?

The ironic thing is that the IFT basics deal, on average, with sicker patients than 911 crews, and, if the basic is sharp, will pick up more medicine [reading H/Ps on discharges, lab values, etc. Those lovely little "Lets call for a non-emergent transport instead of calling 911" calls] than 911 basics. Of course, the flip side is that you will most likely see more morons who don't give a flying flip working for IFTs. Those basics drag down the reputation of everyone else working there.

Why pay when you can, in general, have free medical care from volunteers [i'd wager that well over half of all flights of decent size [not the 10 person boon dock flights] have at least an RN, MD, or EMT-P on board. Heck, even my pathology professor [he did primary care before moving to path] has shared a few in flight emergency stories with the class.

Why is anyone running with L/S on on the freeway anyways, especially if people are passing you?

The company I worked for was BLS with an RN/RT CCT program. They were too cheap to provide the units with jump bags, but they had some for mass casualty responses [ambulance strike teams] and I believe the main 911 backup unit had one [it was the only unit with a KED as well]. O2 bag was attached to the frame of the cot with basic wound care supplies and a NRB and NC. "Patient fell, transport to ER for eval" calls sometimes had c-spine supplies taken in, but that was dependent on the crew. We brought in a steth and BP cuff for ER calls, but not for non-emergent transports [discharges, etc]. CCT calls required the approprate equipment [RT=vent and tubing, RN= monitor. The monitor was mounted to the gurney by means of a C-clamp, so there was no need to remove the monitor to transfer the patient to the gurney]. The monitor had first line drugs on a pouch on the top of it with additional supplies carried in the ambulance.

Dr. Quinn? [spoil:b0e05a9709]Medicine Woman[/spoil:b0e05a9709]

Not mine, but still funny: [web:26a7979a6e]http://forums.studentdoctor.net/image.php?u=78390&dateline=1150604482[/web:26a7979a6e]

When did this become about compressed air?

Ok, come on people. Take a valium and stop flogging the messenger. I agree, acronyms like this are asinine, but she isn't teaching them. Discussion could/should/has happened about situations like this, but it really doesn't belong in this thread [a request for help] nor is the OP the one that deserves the flogging over this.

I swear, if I hear about Graves disease one more time I'm going to scream. It was in at least 3 classes last semester.

On a trivial side note, train engineers kill an average of 3 people over their career. /more you know.