mobey

What specifically do you want?

Gotta use the smiley's to show emotion, or else I don't know how to take you? At first glance I thought that may be sarcasm, in which case I would further explain...

Oh ash..... You are going to have a rough start here. First off based on the scenario you presented, I can only assume you have no idea what CHF is, nor do you have basic english skills. Your first hand anecdotal nonsense post means absolutly nothing! I would just love you to tell me if this was a witnessed arrest? Was the pt IDDM? Was this morning, or evening? Was anyone with the pt when they coded? Gawd... so many things wrong with your thinking.... 1) BGL &/or D50 are NOT BLS 2) Just because there was a low reading on the pt post cardiac arrest, does not mean that was the only underlying problem! 3) Paramedics do practice BLS, we just don't stop there. So to narrow minded individuals like you it looks like we aren't doing it at all. Take you're example. The Paramedic decided hypoglycemia was not the cause of the cardiac arrest, and instead continued down the H's & T's. Just who the hell are you to judge his critical thinking? Do you really believe your amp of D50 saved this person's life?? Give me a break! How much Epi was pushed? How about anti-arrythmics? Proper airway established? Give your head a shake... You have alot to learn. You have one of the poorest attitudes I have seen here in a loooong time, I only hope you will drop the arrogance and see the error in your thinking so you can grow into a true pre-hospital professional.

An Inverted uterus would have been caught on U/S I am quite sure. I agree the cervix SHOULD be closed, however this individual had just had intercourse, with semen present one must take into consideration that semen is a powerful prostaglandin (sp), which can dilate the cervix. I will not mention the ways that contractions are stimulated during sex and preticularily orgasm. This sounds like amniotic sac prolapse for sure, and I think all treatments were correct. This also does not mean certain death for the fetus. If this was placenta previa, there would be a large to moderate quantity of bright red blood, and if the placenta was in fact prolapsed, it would look like bright red tissue with texture - not a smooth sac.

Finally! I got mine in the mail today. Thanks again!

OK, since your clearly not going too show us you're boobs, I'll answer your question. The problem with going straight to medic school is the educational system is not set up for it. Let me explain. When you leave EMT school, you are expected to be `barely competent``. It is expected that you will be heading out to the world to gain experience and get comfortable with the following skills: History taking Touching people Talking too people Dealing with vomit/blood/urine/feces "out of the box" (or what we call "critical") thinking Because these skills are expected to be obtained through experience (not on your practicum as there is not enough time). They are an unwritten prerequisite for Paramedic school. That is the real problem, Paramedic schools are not designed to facilitate basic human interaction skills, those are expected to be there when you start. So my REAL answer is, it is individual based. If you have worked customer service or interacted with the public on a personal level in the past then you may already have those skills. So my suggestion would be to go start school. However, if you are like 90% of the students I have gotten lately, and have locked yourself in the basement for the last 10 yrs playing videogames and depriving yourself of public interaction, then chances are you have no human interaction skills and need to get out there to develop them. Paramedic practicum is not the place to develop those as your preceptor will fail you, and working as a medic is also a poor time too find out you are uncomfortable being in "personal" space. But whatever you choose don't ever let anyone convince you that you need to master EMT skills prior to entering Medic school. You only have to master life skills.

Chronic obstructive would indicate it is a continuous problem not an acute problem. That is too say, asthma is fully reversible and in some cases can be "outgrown". The literature classifies Asthma as COPD when the inflammation/spasm is present at all times and becomes a "chronic" problem, rather than just acute episodes. Really this is just semantics.... however, you would not expect the acute asthmatic to be a C02 retainer, so that may skew you're interpretation of blood gasses. If you are like me, you may not be quite so aggresive with treatments on the COPD'r compared to Asthmatic either.

I can't really comment about the in-hospital complications, as I have never had too care for a post Gucagon pt in-hospital before. However, anecdotally, my uncle is a fragile diabetic on sliding scale insulin says any competent diabetic should be able to adjust his/her dosages to accomodate. Anecdote though.... As far as your thoughts on Glucagon vs I.O. I am hardly interested in trying to tell you what is "right" or "wrong", but I will tell you my opinion. When I am making the decision to use Glucagon, it is on a hard IV start (after 2 attempts) or a combative pt. These are the factors between my 3 choices; Glucagon, IO, Multiple IV attempts. Which is safer for me? Which has less complications for the pt? Are thier other life threatening issues? I am pretty quick to go with Glucagon if I miss my IV's because of it's peripheral arteriole and venous dilation properties. Even if the Glucagon does not work 100%, suddenly there is veins! Although I do not see IO as a dangerously invasave procedure as some others do, I do see it as more invasive than venipuncture and IM injection, therefore I go Glucagon 1st. There is the idea of pt comfort too.... Waking up with a small IM wound is quite different than waking with a needle in your bone. When going IO I always have to use some form of analgesia and that is a step I can skip with IM. Just my opinion

Yes! I use it often. It is our 1st line in a combative hyopglycemic, or one we cannot get a line on. I have never had it fail, although it does take at least 5min to start working.

Dwayne: Sounds like you have an emotional involvement with your co-workers. I have been there before, and it did not gain me anything so I choose not to carry that on anymore. Of course I will give up a day or two to help someone in thier time of need.... I AM a nice guy after all. But an entire career? Hell no. The trouble with seniority is that most companies use it incorrectly. Seniority should not be based solely from hire date. Seniority should also be influenced by volunteer hrs (like fundraising/training whatever), participating in staff functions, formal disapline, and extra hrs worked. This way the team players rise in seniority, while the guys who are just there for the paycheck get left behind.

Rusholm. (pronounced "Rush home") The really funny part is that it intersects with Avenue P. "Medic 2, we require you to respond too Rusholm and P"

My co-workers are not my family. My family is my wife & kids. I do what is best for them/us Just because I am employed at the same workplace as other individuals, that does not make them any closer to me than anyone else.

With grammar so horrendous your post is unreadable! Also; What is this:

My Fav is chicken caccitore (sp?) I don't have an exact recipe, but basically take a pasta sauce (Ragu) Throw in green peppers, onion, mushrooms... whatever else you got Lots of garlic Take a whole fryer chicken and chunk it, throw it in the pot, and simmer from 1hr-4 hrs. The longer it simmers the more tender the chicken. If it gets too thin, add Tomatoe paste, too thick... add water. For a refreshing treat, I cut a pineapple into strips lengthwise, and throw them on the BBQ, as they grill continuously brush them with a mixture of honey and lemon juice. You just want grill marks and heated through. They are like frickin candy!

LMFAO!! I was attempting to grab a pic of Joan Rivers, and one of the Joker as played by Jack Nickleson for a side by side comparison. That is what I always think of when I see her. Unfortunatly, I tried a few times and the link failed, so I lost interest and gave up.

deleted

LMFAO..... That is pure comedy right there!! In all seriousness though.... you're claims are just words, without pics.

Not me, just wondering though, what else is included in yours that your adding Zantac? Do you already have steroids?

Damn..... didn't look at dates

Google is your friend. http://intranasal.net/glucagon/glucagonabstracts.htm http://www.ncbi.nlm.nih.gov/pubmed/8243872 http://care.diabetesjournals.org/content/12/9/604.abstract

First off let me say as a senior member here: Don't let the door hit ya! Secondly, because I do not believe you are truly leaving - You have yet to PROVE you are right, and we are wrong! You are just repeating the same uneducated garble over and over, and inserting insults in an attempt to make yourself look superior. Think about this for a minute: You are the ONLY person here with your point of view..... out of all the Medics reading and or responding, you are the ONLY individual that disagrees. Hmmm...... Could it be that your protocol and standard of care is below the norm? Your continuous swearing and namecalling will not be tolerated here. You may not be banned, but something tells me the members here will see to it you leave. When you are calmed down and ready to act like a professional, and have an intellegent debate, c'mon back!

Please... by all means.... say nothing!! EDIT: Perhaps you were refering to the article? sheesh, I hope not!

I'll admit I have not seen alot of penis's..... But is it just me, or is a guys package kind of ugly? Perhaps it is not on TV for that reason.

So there you have it. The rest of the arguing is just noise. JB is willing to work "outside" the box for family only because his ethical/moral stance is that only they deserve the very best. The rest of his patients get the basic cookbook medicine from a cookie-cutter medic. This argument will never go anywhere since this is 2 different styles of treatment trying to prove themselves right. One with law on thier side, one with morals on thier side. Here is some reading for ya JB, from the man who wrote the "cookbook". Cowboys in EMS

JB needs too be sedated with Versed only, just enough that he can't cry out or make any organized movement, then drill in an IO and infuse 50ml of hypertonic fluid. Then let him wake up and tell us he felt nothing and feels fine. Enough has been said, I only beg you JB - as you start your career in EMS and you get your first uncouncious patient, please please pay attention to the vital signs as you perform invasive maneuvers. Tachycardia and increasing BP are NOT compensatory mechanisms for unconsciousness...... I have a feeling this student already knows he is wrong, rest assured someday he will have the confidence to admit it, and change his perspective as to provide better care for his patients.