JPINFV

^ Err, the purpose of this thread is to help remove it from a county's protocol.

Dust, I do believe that the answer ye seek is located above the flag, yet below the join date.

The problem is by not understanding HOW trendelenburg works, the partner doesn't understand why the two positions are mutually exclusive. Hence cookbook teaching [see x, do A because A couteracts X, but we won't tell you why].

Wow, that's some good advise. So, what do you do in this situation? Well, you do what you're supposed to do. I guess EMT class can be done in a day then. /me shrugs and gives up.

^Ah, symptoms of cookbook teaching [you don't need to know WHY this works, just that it does. So just do what I tell you to do].

When I learned to set up a 5 lead in the hospital, the mnemonic used was "White on right, smoke over fire, clouds over grass, and chocolate is close to the heart."

http://www.emtcity.com/phpBB2/viewtopic.php?t=2875 There are a handful of studies posted in there. PM me if you need access to any full studies [scienceDirect, for example, only lets visitors look at the abstract] and I'll see what I can do.

I'm just saying...

Link to a lecture slide showing curves for no DPG, normal levels, and high altitude levels.

I'll bite for an obscure biochem reason. Low levels of 2,3bisphosphoglycerate could cause a "false high" reading by shifting the oxygen binding curve to the left and making it harder for oxyhemoglobin to release oxygen.* [*note: 1. This is an educated guess based off of theory only. 2. I imagine that, based off of the effect, that this would be fatal in most cases where it would matter, hence becoming essentially a non-issue].

Yep, because Gov. Blanco and "Chocolate City" Mayor Nagin handled the situation perfectly. In fact, if it wasn't for Bush's stupidity, the only result that would have happened from the hurricane would have been some rain and a purdy rainbow. I'm honestly starting to think that Bush is going to replace Hitler in terms of Godwin's Law.

Ok, I found what I was talking about above. The type of cannula is called an "oxymizer." It's more geared for long term use and essentially uses a bag near the prongs to provide a higher concentration of O2 on inspiration at a lower flow level. http://www.pulmolab.com/respiratory/oxy_co.../oxymizers.html [Top cannula is the adult version and the bottom one is the pediatric version] That said, there are also "high flow" [up to 15 LPM] nasal cannulas on the market. http://www.phc-online.com/Nasal_Cannula_p/...1600hf-7-25.htm

2 things. First, while it's true that most emergency rooms, as a unit, are a losing venture, a large number of patients seen on the services that do make a profit makes their initial presentation to the emergency room. Saying that emergency rooms do not make a profit where the rest of the hospital does is like saying that the marketing department of a cooperation should be disbanded because they are supported with funding brought in by the sales department. Second, I have seen advertisements for two hospitals emergency departments [Tustin Hospital and Tri-City Regional Medical Center].

I can't find it online, but I do remember seeing nasal cannulas with a little bag right under the prongs that were meant to reduce the amount of room air inspired. They weren't used for every patient, but I do remember seeing a handful of patients using them in the hospital. I'll see if I can find a web page for them later today.

Not a chance. What I learned was 1-6LPM for nasal cannula, 6-10LPM for simple masks [which, ironically, seems to be in common use and mislabeled as a NRB (ex: not all of the vents on the mask are covered with a valve, or I'm missing something here)], and 10-15LPM for a NRB.

Ok, now this concerns me. Please tell me that you didn't force cars through an intersection against a red light.

2 large bore IVs, RSI, above knee amputation, aeromed. Go big or go home.

^ Well, I guess if the carotid arteries were both blocked below the carotid bodies then that would happen. That said, if that was the problem then I'd expect there to be a little more going on then hypertension and decoloration.

Ya don't say...

Define "through the roof." True, it's a judgment call, but it would take a really large change for me to decide to turn my ambulance around. For the record, that decision would have nothing to do with what my company would have wanted me to do. 1. L/S would probably make your patient more anxious. Why would you do something that would make the situation worse, especially since the current studies show a remarkable lack of time actually saved by transporting L/S? [note: L/S do save time. That amount, though, is rarely enough to change an outcome] 2. If your partner needs to use L/S to drive with little problem, then your partner sucks at driving. I must digress, MOST people suck at driving [i'm looking especially at you, Boston drivers] That's a nice straw man argument there. As stated before, then everyone should be transported by an ambulance since, at any given time, there is a chance that they could drop dead. Furthermore, that would be an argument to reject the EMT-Basic level in favor of a level that would be able to actually do something for the patient. Huh?

What, exactly, do you use to support that claim? My undergrad, where I spent the last 4 years of my life, wasn't exactly the place where all the students shared the same skin color, religion, or opinions. You know, I almost miss the constant fighting between the Jewish and Muslim student groups.

Hmm. I've seen those things all over the place growing up. Maybe it's one of the few things that the People's Republic of California have gotten right.