scubanurse

Welcome!

Maybe one of the docs here can chime in but I don't know of a single provider at any level who truly gets desensitized to death. If so, come to Denver, look me up and I'll take you to work with me sometime at a high risk NICU/OB floor. I've spent the last few days at the clinical site and we have lost 3 babies. One was a 39 week still born who had been dead in utero for at least a week. She thought baby sloshing in amneotic fluid was movement so wasn't concerned. The other was a 25 weeker who passed, and the third I can't even talk about. If that's your attitude towards patients dying, I'll just have to put you on ignore because that callous comment was just not ok with me.

Nemo also means "no one" in latin...

Not technically in EMS anymore, but I was for a few years.

They're technically semilunar valves due to their shape...either way is correct. They're technically semilunar valves due to their shape...either way is correct.

Nope! I sleep-type.

Just have to say it on this one. Your grammar may be the one thing that does get you.

Whoa, deep breath... Course compass does this frequently. Relax... why is this such an urgency?

Hey now, he said he was an Intermediate... I'm also having a lot of problems with this call. Why would someone who has been down for an unknown length of time have a clenched jaw... I've seen this in head trauma but relaxes promptly with the loss of a pulse. Can someone explain a physiologic condition (other than rigor) that would cause this? I've never heard of a jurisdiction that does not have a DOA protocol... if this was rigor did you just mess with a potential crime scene? Why would you just for the hell of it try a NTT without your medic partner there, stopping CPR and effective ventilations? There is just stuff that isn't adding up... did you document you placed the NTT? What has your medical director said of all this?

I have carabou, elk, and some deer from last season in our freezer right now. I will not buy meat from the store when I have a man to go kill it, gut it and cut it up personally. I don't know what kind of beef I'm getting from the store, but I can tell you the region our elk meat is from and when exactly it was killed and how. I like that. Elk is amazing though and one of my favorites.

excel? Are you looking to just track yours or multiple peoples? I've always just made my own database with excel.

And the power is out at the stadium....

Yes and yes. This shouldn't even be a question... If they can do the job then there is no issue.

Colorado is a wonderful state. Lots of national parks to do day hiking, and plenty of other activities depending on the time of year.

My bad then. I was going off what our lecture and maternal/fetal textbook said... Thanks

Just curious what about the change in 12-lead printout makes you uneasy? a 12 lead is still a 12 lead?

My concern with this is how much air is getting into the stomach. If we are doing effective ventilations, we could still be filling to stomach with air. The more air that enters the stomach the more it will push up on the diaphragm decreasing the space for the heart to fill completely. Similar concept as when a pregnant woman arrests. If baby is above the belly button there is a perimortem c-section performed to increase the efficacy of the chest compressions. If intubation can be done successfully, or any other advanced airway for that matter, without stopping chest compressions wouldn't it still be prudent to secure the airway?

It's interesting. I could be wrong, I scanned the paper and I'm pretty tired right now, but I didn't see much data as to whether or not the intubation was successful on the first attempt, how long it took to intubate, and proficiency of the prehospital provider. This would hold a lot more weight if they were anesthesiologists in the field intubating or less if they were paramedics with barebones experience. But then, maybe that variable is irrelevant. That was just what first popped in my brain after looking at the data.

N/V/D doesn't fit though.

OK so early on in my career, dispatched for the working code in a very nice neighborhood in a multi-million dollar home. Go in with my equipment, and see a guy high as a kite doing CPR on his very much alive wife/gf. I look around and notice there are guns strategically placed throughout the house. I find an excuse to back out, but that very easily could have ended badly. Point is, not every situation that is dangerous is obvious. You get exposed to a lot even when you have the best scene safety skills. You should care if a drug user or drunk dies. While I am all for securing a scene first, if the patient died because I was waiting around, I can't lie and say I wouldn't be affected.

sounds like you're doing a good job then If you like the heart definitely try to check out the CAP lab in December... I too love cardiology and it was really neat getting to examine the cadaver hearts and look at the EKGs to help understand why blockages in certain arteries cause problems etc.

crazy southerners!