scubanurse

Aleve is naproxen and has different standards than ibuprophen.

You can always PM me if you just can't wait

That's all I'm going to do for tonight...hopefully more people come along tomorrow and we can brainstorm the differential for this gal

Meehhhhh? Sugar is ok, you tried narcan and got no response, O2 I'm cool with and thiamine is great Not sure how I feel about giving D50 though... Give me your rationale for it

PLEASE tell me you accidentally wrote that??? Actual EMT?!?!? So just because I never took a paycheck as a paramedic does that mean I was just a pretend medic? That I saved pretend lives???

On another note--this scenario can get as advanced as y'all want it to and we can follow her to the hospital if you want...

BGL: 90 Alcoholism: several empty whisky bottles in her shopping cart but does not smell much like alcohol on her breath ALS is on their way.

3 people in chat right now!!! Hurry up and join us!!! Let's get 5 people in there tonight!

Are you saying a 220lb (100kg) man can take 1,000mg OTC ibuprophen q6h? That would be WAY above the recommended 800mg q8h... and result in 4,000mg in a 24 hour period. Yeah they do... say you weigh 110lbs=45kg that would mean 454mg q6h...

My first thought was DOH! lol

Bahahahahaaha I'm staying out of the racism debate but dear lordy that just made me laugh...thank you for that Mari!

agreed.

Since I'm bored...here goes a scenario. I have all labs and all data you could probably possibly want pre-hospitally since I took care of this patient at some point during my nursing school time.... (i.e. no possible way of violating privacy since y'all have no clue where I did my clinical times and what time frame I did them in) Dispatch: BLS to one down in a city park, ALS available if you want it, urban city. Arrived on scene to find 32 YOF laying in grass with shopping cart near by. Ask away...I'm home a lot these days so I should get back pretty quickly.

PWB--partial weight bearing CAM- walking boot

I tried giving you some advice in chat earlier, but you took off. Good luck!

I can't be much help right now because of my own struggles, but I'm rooting for ya and hope all ends up well. Don't throw in the towel yet and heed Dwayne's advice...he's pretty smart sometimes.

I'll be hanging out in chat for a little bit... would be nice to have some company.

Welcome and thanks for serving in the National Guard!!

I did not make that assumption. I know very well that it will not always work, but an honest effort should be made first. I have seen some very violent and volatile situation diffused with effective communication skills. I understand your desire to maintain a safe environment in the back of the ambulance, but really, restraints shouldn't be a first option. I have seen some otherwise calm and collected patients become agitated and combative when placed in restraints. How would you feel if just because you had lost your temper, then calmed down and became compliant, just to be tied up "just in case". I would be pissed and do everything I could to get out of the restraints.

There is just so much wrong with this I don't even know what to say. One of the absolute key parts of therapeutic communication is honesty. Regardless if they are EDP or not, you NEVER lie to your patients! Your wording in this also makes me concerned that you really lack the skills to deal with psych patients, the bolded statement in particular. I strongly suggest you do research on therapeutic communication skills as they will help you communicate openly and honestly with the psych patients you encounter, while keeping them as calm as possible. Nothing positive comes from lying to patients. Unless the patient is super combative, the cop should ride out of view of the patient, this will help keep the situation calm and in control. Restraints should be a last resort and not just because they get "rowdy." There has to be a direct threat to you or the patient to place someone in restraints. They are indicated at times, but should be checked every 15 minutes and on long transports, you should change the position of the restraints at least every hour. Restraints have some very serious consequences if they are used improperly and should not be taken lightly.

Check Front Range Community College...they have a semester long course and you can use financial aid... Other than one semester long, I have no clue where you can go.

Not the PR you want after an incident like this...

Good luck to you!

They have July 14--Bastille Day though