mobey

Agreed here. If I can tell your a "flaming homosexual" as soon as you enter the room, your prolly not going to get the job. Not because your gay, but because you are an attention whore, and attention whores are synonymous with causing drama.

For really basic introductory stuff.... Youtube

There it is.... the end of the thread. Poor me I get discriminated against because of my weight. Oh no... I am not overweight, I am very underweight! At 6'3 and 145lb, I cannot enter a room for more than 15min without someone making a "skinny" joke (Which I then follow with a fat joke at thier expence, immediatly followed by an invitation to continue poking fun at eachother's weight - or drop the subject. Funny how overweight people get so offended yet underweight have to endure a lifetime of punishment) OK, a little rant there My point is, although I am underweight, I act as society expects me too. I do NOT walk around in shirts that are too short to show off my tiny waist, nor do I continually bring up how small my appetite is, or that the average adult can put thier hands around my abdomen and touch thier fingers! I do what it takes to "fit in", no I do not hide my body with huge clothing or anything like that... yes I do take my shirt off at the beach. But if I do not want people to "be offended" and I use that term loosly, by my weight, I do not demand they agnowledge it on a daily basis. Put the person first. Are you a Gay Paramedic, of a Paramedic whom is gay?

Good since it is not a disease at all! Don't worry it is hard to offend us! You are however doing a good job of showing your ignorance. ADD/ADHD has been a medical diagnosis since the 1930's. That point aside, how the hell can you say it was not a problem in the past? Were you there? WAS it a perhaps a problem that was swept under the carpet? AIDS was not internationally recognized as a true diagnosis until the early 80's, do you really think that was the first case? No... ADHD is not "overstimulation", your thinking of cocaine. It is not poor diet or high sugar either, we call that diabetes. Get a clue You want to have a discussion about how our diet and media influence mankind, I am all for it (just ask me about growth hormones in meat). But you ma'am do NOT get to discredit or minimize a true medical diagnosis that makes life extremely difficult for hundreds of thounsands of people in an attempt to feed your own complex.

Very nice Quake! Which one are you anyway? Grey shirts make me miss SIAST!

I guess my hindsight led me astray. When her fingers went numb, I thought.... well that is wierd, lots of possibilities - ALS, MS, tumor etc. Then when her weakness started I thought "OK Must be MS or tumor. When she was diagnosed I thought to myself "Well duhh, young person... gradual weakness/parastesia.... of course GBS" perhaps it was not so obvious after all, and I can stop kicking myself.

This is GBS. I agree the numb tongue is not a common beginning symptom, but that is how it manifested in this patient. This pt was intubated for 1 night, and has since been showing daily improvement slowly regaining neurological function. It is planned she will be transfered to a rehab clinic this week and hopes to be home later in the month. BTW; The neurologist pronounces it Jullian Bar-eh..... I have always pronounced it as Gee-on Bar-eh Anyone know which is proper?

Good brainstorming guys! The answer has been mentioned. let me finish the painting. 24 hrs after the numb tongue, she noted weakness in her arms. She became unable to pick up her young child. About 12 hrs later she layed down for a nap, and upon awakening was unable to get out of bed due to weakness in the legs. Approx 5 hrs later, she lost feeling in her bladder & abd. She called for help and was taken to the local University hospital where she eventually stopped breathing and was put on the ventilator. Yes Squint... she is VERY blonde!

Her exercise has been the same. The herbal supplements is whatever is supplied in the isagenix program. No huge amounts/deficiencies of anything. It is in all fingers, and now that you dig a little deeper, seems to be in her big toes too as she has noticed herself shuffling her feet lately because her numb big toes has made walking difficult. Yes, she awoke with the numb fingers, and today the numb tongue. Nothing makes it better or worse. Radiate? numbness? Tnuiqs: Sorry buddy, not this time. Although someday I hope... just so we can discuss it!

Super healthy girl, from a super healthy family. Uncle has internal defib since age 35. Grandparent are in thier 90's. Parents are healthy. Patient: Non smoker mother of 2. No recent illness, surgery, or childbirths. Social drinker. Very active - Yoga instructor, marathon runner. No meds. Recently started Isagenix, which is a weightloss supplement. She is not using it to lose weight, just adding to her healthy lifestyle.

This will be Very easy to some, if you are one of those please save the Dx till later. This is not one of my patients, but rather a friend of mine. 24 y/o female. great health, physicaly fit. States she has lost feeling in her fingers about 2 days ago, and this AM she awoke with a numb tongue. Vitals 126/72 P67, Temp normal, BGL normal, Spo2 99%

Adults living with ADHD are not like children. You do not get to use it as an excuse for being disruptive, or lacking concentration. A HUGE portion of living with ADD/ADHD as an adult is impulse control. There are massiva amounts of information and workshops on how to deal with adult ADHD, in extreme cases you may need medicated even if only temporarily to help you through school. Here are some things that DO work * Silly puddy/stress ball * Scrap paper to doodle on * Chewing gum * Get plenty of sleep (helps with attention) * Set timelines & allow yourself "release" time. That is to say "From 1pm to 2:30 I need to concentrate on books, at 2:30 I will jog for 5min" * Be cognitive of the disorder. Realize when you are running out of breath just talking.... you have probably been rambling. * As opposed to what others are saying, stay away from video games as they are stimulating an over stimulated brain

Damn... When I saw the title, and author of this thread I was certain it was going to be about Detroit.

Sorry my friend you are in for some baaad news. I suggest calling BCAS. But I can guarantee you, ems is not a career in BC till you have paid your dues to BCAS. That includes sitting at a station in nowhere forest, making less than minimum wage, and less than part time hrs.

Whay are we discussing pt's in respiratory distress? or kids with suspected menengitis? Are these really our target patients for treat and release? Once again, Crotchity takes it too an extreme untill everyone agrees with him. Too bad he can't comprehend anyone elses viewpoint.

You can't hear it, but I started a slow clap. I am lighting up each and every practitioner that whines too me, and ask them to outline to me how they have supported an association in this province, or what years they attended the AGM. The glazed over look os always the same.

So because of what you now admit as one experience with an "ALS first" medic, that gives you the right to generalize all medics under that umbrella and give shitty advice to people just entering this profession?

I cut this from Dr. Bledsoe's myth. I am actually wondering if this is a valid statement? I know the education in the U.S. is shorter than some other countries, but is that a direct reflection of the practitioners not "wanting" the extra education? or is it the schools not offering it? It takes 4 years to get a EMS Degree here in Canada, if I come to the U.S., do I have the option of getting the same duration of schooling? If I have no access to the increased education, is it fair to generalize in this manner stating that I do not want the education? PS; Of course I support Bledsoe, and love his dedication to our profession. Just don't want bad publicity we do not deserve.

I believe they are thinking WPW (Wolfe Parkinson White). Just a refresher, it is an "Extra" electrical pathway in the heart. The simplest way to explain it, is a tiny pathway that connects the Atria to the Ventricles outside the normal pathways. What happends is the electrical current leaves ventricles and sneaks through the extra pathway causing the atria to depolarize again, which sends another electrical signal tho the ventricles and the cycle continues. The other type is basically within the AV node, to be honest I have not read up on this stuff for a looong time, so I will be doing that now. I seem to remember a electrical signal cycling around and around the AV node due to electrical pathway malformations within the AV node itself. Anywhoo.... I have had a few pt's with WPW, they have all gotten abalation, and live a normal life. Anecdotal I do realize...

just a point of clarification; Had this childs cancer metastisized? Was this terminal? That is not my understanding at this time. When it is terminal, I am actually a Dr. Jack Kevorkian movement supporter. I am just not sure this is the same thing....

We use Ketamine. I would give more info, but the OP did not respond when I asked him what exactly he wanted. I am not going to type out our whole protocols

+1

As we have all said before.... Bye bye! Don't let the door hit ya

Naa, I was just messing around making dwayne laugh waiting for this thread to die. How about you? Anything productive to add to the forums?

3 Rules of glucagon administration as I tell my students. 1) Don't shake the vial when reconstituting (But if you do it foams up something fierce. Just set it down and don't look at it foe a minute or two and it will go back to liquid state) 2)Once administered, start moving the pt. it will take a full 3-5 min to take any effect. 3) Use it when it is necessary BTW; Cudos to dwayne for never running into a hypoglycemic pt that you cannot start a line on. You are obvioustly stronger at IV's than me! Fricken diabetics and thier small vasculature Ya Dwayne.... learn more about the pharmacy! Did you know they have a special on arthritis ointment? Bet not Do you even know where they keep the get well soon cards?? How about the medical terminology for dummies book? So in the words of a great influential leader in my life "Take care then, Bye bye now" free + to whoever guesses my reference!