tniuqs

Firstly yes you do. How long ? Whats the time frame, any fetal heart beat rate ? any decels ? Cephalic presentation ? Footling presentation ? Any CPD ie Cephalo-pelvic disproportion ? Prima gravida ? go LOL.

Nope in fact a smarter medic, PEPID has proved with out shadow of a doubt that peds and neonatals benifit with the use of PDA .... re: underdosage and over dosage .... want the link to the studies ? Thing is if the plastic brain fails ... get the pencil out, got you still gotta know the basic math. cheers but really how often does this occur ... like really?

hypoallergenic LMFAO.

Ok I missed this point ... you use a trumpet tube on all siezing patients ? what if there a head injury and basal skull fracture .... ever seen an xray of plastic in a brain ?

http://ecam.oxfordjournals.org/cgi/content/full/nen042 http://www.ehponline.org/members/2001/supp...icant-full.html interesting read. pfft tiger penis only works for tigers Micheal DUH ! And if I were you Arizonaffcep and seeing as they have pulled quick clot .... get a patent. cheers

Maybe just a silly notion, and the mental excises is fine granted ... but The scenario a 4 kg kid is most likely a newborn, why would you be starting a 7 mcg/kg/min drip in the first place .... thats an MDs type order, without a pump hmmm and like in an ICU or transport team situation. As a Paramedic in the field one must have exhausted fluid challenge first, then go to tropes ... point being unless you have an art line in-situ one would start at lower starting dosage and titrate to effect and not to many art line cut downs done in the field in my neck of the woods... and indwelling umbilical art lines are really not common practice in most services .... well just saying thats my real life way of thinking. Besides delivering Dopamine other than a central line is rather difficult ... are we talking scalp vein here or IO? just saying is all.

WTF Turnip ? LMAO. cheers

I like the way you think, in the majority of cases self limiting even jacksonian. At the bls level support any attempts to breath and support, oxygenation being paramount, watch the duck valve on BVM. ALS benzos, the consider ETI, sux, benzos plus narcs, consider cause .... ,ie ETOH ... then Thiamine prior to D50, little think called http://en.wikipedia.org/wiki/Wernicke-Korsakoff_syndrome cheers

Good Poll Bushy my OZ friend. cheers BUT have or do you use Diprovan/ Propofol ?

AS Mobey has stated Entonox is about the only analgesia available to BLS providers here in AB Canada. I have heard through other websites the use of penthrane in OZ ..... could you provide more info, I have heard that some side effects can be rather detrimental, well have heard, and new to us. MS can drop BP. Fentanyl rocks on. Dilaudid we do not use here. cheers

Yes agreed, have witnessed this penny "effect" with Vietnamese and the Chinese as well, the copper in NA culture is revered as a cure for well for arthritis, and some swear but it. Has anyone witnessed the color change in whiteish Opal (chinese thing) ..... I have but only anicdotally with P02s and SPO2. Question being is NA medicine ignorant of thousands of years of the "barefoot" doctor (I wrote a paper on acupuncture btw ) or is there something valid to these concepts, actually we do use trace elements like Mag Sulphate, although disputed in may research papers for asthma treatment. AND we do know through clinical investigation than some derivatives of ginseng do (re: NA scientific medical based evidence boost the immune system) ie COLD FX dang phizer lost a lot of cash with that vioxx. Gold injections have also been trialed for arthritic conditions ... is it possible that NA medicine is on the wrong track ignoring thousands of years ... ps tiger penis does not work please trust me ... lol. Finally an interesting topic to debate. There maybe hope for U crotch .... Time will tell. cheers

Would be happy to take that one on too ... Why do we need stepping stones OMG Im sounding like dustdevil ! ... point in fact "I am a med student" "I am a this or that student" ... means nodda to me sorry, the patches I wear have lots of blood, puke, crap, and urine on them. But being an RN Grad or student ... you DO have to be supervised in one form or another ? And please correct me if I am wrong, thing is Scuba we the seniors here do respect you ... you back your posts with a great knowledge base and evidence based medicine. Not trying to be hurtful or anything but being a student quals for nothing any education is great but untill all is said and done ....... BTW RNs here can not work on Car until they have registration as at least EMT in AB ... a safeguard put in place over 15 years ago, no disrespect just specialised fields. cheers

VERY Good point! The biggest issue north of the border is lack of solidarity, ie in BC Paramedic PCP will be offended when they come to AB and told that calling themselves "paramedic" is against the law as it it a protected title ... as will ONT which by far exceeds the amout of training hours of the EMT-A with gap training = to most EMT-I (and about time) ... The EMR level is ~ EMT-B in the US +/- dependant on the state training program and exams. Point is the term "NREMT-P" or "Paramedic" or "Medic" is synonymous with Advanced life support in the USA and this is where the confusion comes from. Hence my qualls are village idiots helper when easily I qualify as CCP ... and AB does not recognise that level ..... YET! Heck in industry in AB everyone is called "medic" EMR up ... pfft. whatever get over it, call me a bandaid ... differnet story .... ooooo! So on to the term "Doc" ... this is a term used but the USA, from past US Miltary history "medics" whatever level and a more or less acceptance and a right of passage in the US military model, being called squad "Doc" is a form of respect, and usually earned under fire. Funny when working with the US friends on a remote deployment(s) it used (past tense) would piss me off (I am not an MD I would say!) they would call me Doc ... then I learned ... dumb ass me for not recognizing, they were just being respectful. Live and learn I guess. cheers and somewhat off topic ... blame the rhum.

Just a stab at this one, but Epileptics frequently develop tolerance to their rx, and time for a trip to the MD fer sure. Ms Cowgirl, highly likely she already had a seizure from your history. My guess is that she is describing an "aura" (sp) to you, a smell, a taste, or a visual illusion or color sometimes. Dilated pupils = adrenergic response. The last patient I had similar to this senario had a Grand Mal within 10 minutes, required ALS intervention asap, line, O2, Monitor, Pulse Ox, versed x 3 .... and narrowly missed chewing on plastic ETT, sux was pulled up but did not have to use it .... lucky for him. cheers

Yes if another Helicopter Operation bids and underbids and does not recieve the AAA Rotary contract the Canadian Competitions act could be very well called into play ... THAT would be rather entertaining to say the least. Oh ps iMac, don't take a Knife to a Gunfight, or perhaps your smiley "wave ones ass" will make your point ...again pfft !

Turkey seconds are the best ! AK my brother from a different mother ... I will throw a few peas in my stew cause of you.

I guess not dust. sorry. ps bite me .. lMFAO.

agreed

Turnips dont have anger. There just veggies LMFAO

umm wendy, dont care what color you are, your sexual orientation or what ever. I would be honered to be called your your friend. period.

I sense sarcasm and disrespect here, as soon as you are challenged in any way. Got any stats to prove that blanket statement ... ever been to south side Chicago ? Is that not reverse discrimination hiring based on color, or sexual orientation maybe ? Obviously your talking the US here ? not too many hose monkeys here have a degree in anything. pointless to debate, and OJ didnt do it either ! pfft. Ever hear of the NAACP they actually resinded entrance to universitys based on affirmitive action because that actually defined racism . Crotch ... this one I do agree with this statement: First off I do NOT even believe you are Black/ AA/ negro .... your just an argumentative bser. Now this does raise my ire ... when will other nationalities immigrating to Canada or aborigionals STOP blaming things our forefathers did, and why am I as a "Canukistanian" being held responsible for history, so when does it end ? Fact is you are perpetuating it. Really, quite obvious that you are a very poor historian as well .... ever hear of how the Irish, or Ukranians or Japanese or Chinese were treated ..... when they first landed in North America you hear them bitching ? But heres the Conclusion ..... WTF has this got to do with a EMS professional discussion forum based on information sharing you have FAILED so bad, you have embarressed yourself beyond belief. You have single handed pissed off the Majority of senior posters and ones with far greater experiance than yourself so heres a little radio riddle. Foxtrot, Uniform, Charlie, Kilo ... Oscar Oscar Foxtrot. cheers

Ok so lets recap a useless and generally negative discussion with statistics that are based on yet another foolish non scientific poll. Yoo hoo crotchitymedic1986, are you getting the message ? no cheer

AK: I kinda wonder if he is ... the key point here is nothing is said about "diversity" a true canadianism. This topic (and most of the other polls) could be debated at infanitum ... there will always be racism, sexism +++ just the way it is. The quality of these "polls" and the mindless drivel is bringing a lot of people down, instead of promoting our profession. Just speaking my mind, we are only as strong as our weakest link, I think we have found that missing link. cheers

Yea Docharris: I guess your right maybe I was too hard on him/her/it .... was just born that way I guess, shucks now I feel like a biggot or something .... sniff sniff.