BushyFromOz

i saw this on Good Morning America this morning (yeah, i was up in the middle of the night) I mean why was this thing in the air anyway?? Earlier in the story, the MCA the patient was involved in happened because of heavy rain and low visibility, and its the middle of the night. I dont understand why a helicopter was saent to this job, based on the story anyway. And can someone tell me, what exactly is a "Shock Trauma Center" ???, or is it just another fancy name? Cheers GMA Story

Wow, LOT of ASSumptions in this statement

very little dusty, and i could have pushed another 15mg of morph, but being wary of bombing the pt's B/P anymore, i chose instead to keep her head stable and cover her eyes up better, this seemed to control her pain more effectively. Pain dropped from 7/10 to 6/10 immediately after the morph, though they did say that it didn't worry them as much, so there was bit of relief. Perhaps fentanyl would have been a better option if i had it?

Cheers, exactly what i was after, thanks Exactly my thoughts, the pt was so stiff in the neck they were unwilling to flex it enough to illicit the response due to pain (if it was going to happen at all) For interest, ob/presentations was: started as back pain that radiated to head, followed by severe nause/vomiting for 12 hours. ended up as 7/10 frontal lobe headache, intense photophobia, neck stiffness, PERL, Temp 38.8, B/P 80/60, HR 105, nerologically intact but with hyperasthesia to the backs of both hands and had a histoy of meningitis in the past, so without brudzinski i was very happy with a meningitis and sepsis. They bought themselves 1g of ceftriaxone, 5mg of morph, 3L saline and 20 or so litres of diesel in a hurry.

I ran a pt who was septic with meningitis a few days ago. Signs and symptoms were text book meningits with the esxception of petechial haemorrhgae. What i'd like to know, is how common is brudzinskis signs in these pt's? The pt did flex their neck a bit but stopped due to pain, and i didn't seen any hip flexion when the pt moved their neck, perhaps the test was unsucessful because the felxion was not great enouigh to illicit an response? Anyway, info would be helpful, my mate google isn't helping much Cheers

Wow!!! Gee and to think, i get impressed when i can find a box of panadol in the glovebox of my car!

What kind of arrogant fuckwit are you? Why would you even reply like that? Of all the shit thats hapened down her ein the last 2 weeks, little things like this to tend to make a diference to some. Thanks for the story Cmk

WTF!! like.... WTF!!

Yeah, this would be myplan of action. Blood loss aside, his number are still ok relatively speaking. I COULD jam a whole 20ml/kg in him, but seeing his number are alright and hes not obtunded, i give a little bolus and then reassess. Im not sure i would give this guy 2 larg bore IV's though, but thast just reading from the forum, may be different if was looking at the guy., Im curious though, i saw earlier a couple of posts earlier about this being a chrinc slow bleed as evidenced by malena. Either way its sitting in the guys intestine and not circulating. Whats the diference between having blood mixed with shit in your bowel and having it on the dash of you truck?? why would he not already be shocked before he painted the inside of his rig??

Dude, what the firicken hell are you on about? What your source? Or is this some BS you heard on the grapevine?

Dude, what the firicken hell are you on about? What your source? Or is this some BS you heard on the grapevine?

i would say given the evidence on this webpage, that these two blokes are well and truely in the shit :shock:

While not one to mince words, i think its fair to say that you are a wanker.

smells kinda smokey....

i hope they provide councelling for whoever gives you a sponge bath

Whats the difference between menstraul fluid and sand?? You cant gargle sand...... :shock:

"Khe Sahn" by Cold Chisel

these topics ask for simple answers od dynamic situations. The best i can say is that my clinical approach (the way to run thorugh things in my head) on scene determines weather i work on scene, work while moving to the truck or load and go. Theres so many variables as to what decision i would make that i cant see how anyone can have a hard and fast rule.

Cripes, I'm pissed and it has almostr no impact on me!!! I wonder if nancy caroline would be ticked off, seems these guys are taking a lot of credit for "modern ems" as being a firefighters invention.

we use a set of driving standard that was devloped by a consultative company on behalf of several ambulance services. An over view of the "course" is found here Driver Competancy Standards For Ambulance Services This is just the "theory" part, the actual presentation to unductees consists of units 1-4 consisting of only non-emerg categories and driving practice is based on slow speed maneuvreing such as reversing, parking etc etc. BIG emphasis is placed on stable platform driving, learning vehicle blind spots, scanning ahead, maintaining crash avoidance space and safe braking as well as the safety features built into the various types of vehicle we will be using. 6 months is spent on the road practicing the non emerg "low risk driving", and there is an absolute 6 month ban on students doing any emerg driving. After 6 months,the 5th module is presented dealing with decision making in regards to where to place vehicles on the road (both stationary and driving) and negotiate congested intersections (i.e everyone stops before you enter it, or at least acknawledges your presence) All of this is done under the name of "quick low risk" and is barely any different than normal "low risk" driving. After this, we are supposed to do X number (escapes me at this time) of emerg drives and then be signed off by a driving standards facilitator who witness's your emerge driving. All of this is kept in a driving standards log book. there is also a requirement that you undertake familiarisations with vehicles that you have not yet been trainined on before using them, and this is signed by a driving instructor. There is also a 6th unit i have not had to do dealing with 4x4 ambulances Bit of a mouthful but it gives a general idea of it.

had a reply but will take photos tomorrow at work, pics better than a thousand words apparently

"The Adventure" = Angels And Airwaves

"there is" by Box Car racer

I took it as meaning 3 stacked shocks in a witness arrest.

Oh yeah, imot saying give meds and dont traction. Im saying i hope theres no one here who would tration them out and then decide they need chemical relief. I know its not on some skill sets but at least try to find someone who could provide it.