BushyFromOz

Tintinalli is awesome, we have it in the branch at work and its referred to as the "red bible" Its so darn expensive though! I have a pared down version called "emergency emdicine - just the facts" which is pretty good how much are you paying for tintinalli over there?

Tintinalli is awesome, we have it in the branch at work and its referred to as the "red bible" Its so darn expensive though!

i actually thought this topic would get more replies than it has

Thats what the organization i work for needs... unfortunately its easier to just blame your employees for having a bad culture that apparently starts from the grass roots level

Sounds like there is a underlying issue with the organizations culture

Thanks mike. does anyone have experience with the mosby book?

In the topic... suggestions? Cheers

conrad murray...... Midazo-slam is our drug oif choice. 100mcg/kg to a max of 10mg and a total of 4 doses..... generally make for a compliant patient

I realised the mess up after i posted the question, but the edit function had dissappeared by then, but thanks for the heads up bro

i don't get the "tastier freedoms" comment.... you were in the military so more people could eat snacks or something?

Yeah. Nearly everything ive seen is in SI units, so either grams or mol/mmol, so the mEq really threw my head into a spin.I cant imagine why anyone here is using nanograms for troponin when nearly everything is done in mmol... must have got a discount on whatever machine the are using as it was one of those iSTAT type things. This is the problem with the text books i have, nearly all uUS based so using measurements that are i am unfamiliar with, its like having to use a shity socket set when all you have is metric but your nice sidchrome gear is in imperial

Well yeah, if you want... of course you could keep it yourself. Sorry kat, someone beat you to the punch. I feel kinda bad now

Believe it or not im just doing this for the hell of it. 2 things lead me down this confusing path, one was getting a patients troponin level a few days ago in ng/dL, the other was doing some work on action potentials and all principle cations and anions being given in mmol except calcium which was in mEq's - and i didn't have a clue what that was. The C02 + H20 thing was a reference to the hasselbach equation. The solution would be blood plasma and ive always know it to be a decomposition, the bicarb to carbonic and hydrogen i know is catalyzed by an carbonic anhydrase enzyme. I was just wondering if the bicarb to water / c02 was also a redox? Youve answered my main question in you first post anyway bro, much appreicated

Brilliant, i wonder how many people read that awesomeness. For some reason i knew chbare would be the guy who chimed in Sorry for al the questions, i can learn this stuff provided i re-write it in bush-a-nese... but if i ask this stuff at work people look at me like i have 2 heads, and seeley, stephens and tate is leaving me with more questions than answers. I get it though, mostly I understand the mEq/L relation to moles of electrons or hydrogen in redox and acid base What i dont get is which ion are involved in acid / base or redox reactions. I know what an acid, base, oxidisation and reduction reaction is but i dont understand if the mEq of a substance is related to hydriogen or redox So with the Ca++ example you gave, 1mmol of Ca++ is equal to 2mEq of Ca, but is this for 2mmol of hydrogen for 1mmol of Ca++ or 1 mmol of electrons? Is weather a it is a redox reaction dependent on the compound being broken / formed? H20 + C02would be a redox reaction?

whethar the conversions are right... i cant ask the next bit without this being right

crazy crazy crazy topic, i know (well not really) because it all comes back to my complete incompetence when it comes to hasselbachs acid/base equation, so feel free to correct my stupidity. Also, i was transporting a patient a few days ago who had a troponin measurement done in nanograms per decilitre for some reason so i am really bloody confused 1 mol of an elements is equal to the elements atomic weight 1 mol of a compound is equal to the sum of the atomic weight of the elements in the compound 1 mmol is 1 mol/ 1000 (or 10-3 if your into it) or 1 thousandth 1 umol is 1mol / 1000000 (or 10-6) or 1 millionth 1 nmol is 1mol / 1000000000 (or 10-9) or 1 billionth In solution it is expressed as a concentration of 1 mol of the compound per litre pf solution? so .9% saline is .9% of 1 gram (mol) of NaCl?? Hydrogen because of atomic weight of 1 (close enough) can be expressed in milligram, micrograms or nanograms I gave up on the mEq to mmol conversion because i get lost on why the mEq doubles when its missing electrons form the valence shell and makes no sense to me becuase it looks like you double to molecular weight to overcome the lack of 2 electrons which makes no sense to me. Phew... im tired.....

Terrificle I have a copy hot of the press... take yourselves out for a beer and ill pay you back next time i see you all

oh gawd, can we not do this again? :bonk: :bonk: :bonk: :bonk:

Youv'e done too much already, thanks for your effort bud. Scan would be good. I reallly appreciate your help guys

Thanks man I love this joint

thanks guys. I can find plenty of places where they want to slug you 30-50 bucks to get it but i was hoping someone may already have a legitimate "freeware" type copy, particularly given its age Thanks to the people who PM'd me, much appreciated

Hi kids I have exceptionally weak google fu at times and it seems this week is one of those weeks I have been trying to find a copy of jennett and teasedle's (??spelling) article on GCS published in the lancet in 1974. If anyone has an electronic copy or a link to a full text article they could PM me i would be very grateful. I have been looking for some time without success Thanks

See i dig that, but when i get to the differences between the obstruction from emphysema and the obstruction form asthma clearly there is a difference in the physiology. Damage to alveolar septal wall / acini / parenchyma in emphysema than asthma, so to me asthma and chronic bronchitis are far more similar than asthma and the "broad" name of COPD. Whihc brings me to the next crazy idea.... perhaps its emphysema that is the odd on out here

Thanks mate, much appreciated

HI Kids Check it, but my question is regarding the A- of the diagram above. Its giving me the concentration of A- in micromoles which i get, but the description of what te cations actually make up A- actually is, although it is the sum of intracellular cations that the plasma membrane is impermeable to, it doesn't tell me what they actually are. My best guess is protein monomers and phospolipids. My texts are vague on this Ay ideas? Surely thers a Chem guru in here?? cheers