spenac Posted January 6, 2009 Posted January 6, 2009 Seriously? Yes otherwise I would not have asked. Its treatment is in some paramedic protocals. It should be in all paramedic protocols. I do not want rapid transport for the answer I want details of what is wrong, possible causes and and in depth how to fix. The medical directors only restriction is do it if you have the balls to. Now somebody get started.
crotchitymedic1986 Posted January 6, 2009 Author Posted January 6, 2009 Well if you have a needle that is long enough, you would attach it to a syringe. Clean the xyphoid process area with betadine and alcohol. Insert the needle just beneath the xyphoid process, aiming it left towards the most distal corner of the scapula (straight line). Insert slowly, until you strike blood, then use syringe to suction off the blood. Obvioulsy, IV access, oxygen, sedation, and a cardiac monitor should be in use.
CTXMEDIC Posted January 6, 2009 Posted January 6, 2009 Yes otherwise I would not have asked. Its treatment is in some paramedic protocals. Dude. you have GOT to be kidding. we have a story of a crew nasally intubating a drunk and throwing a NRB on their face and you want to let some of these guys dart a heart in the back of a truck? OK. so you assess the patient. Gee, muffled heart tones, a BP in the toilet, narrowing pulse pressures...Lets dart him! You stick him (without putting another hole in his heart)and siphon some blood out of his sac, how long until that sac fills up again? 5 heartbeats? This patient needs a diesel drip, not a medicmill grad sticking a needle in his heart. this is hard enough to diagnose in a controlled ER let alone bangin down the road in a bambulance. Maybe we'll all get echo's next christmas.
spenac Posted January 6, 2009 Posted January 6, 2009 Well if you have a needle that is long enough, you would attach it to a syringe. Clean the xyphoid process area with betadine and alcohol. Insert the needle just beneath the xyphoid process, aiming it left towards the most distal corner of the scapula (straight line). Insert slowly, until you strike blood, then use syringe to suction off the blood. Obvioulsy, IV access, oxygen, sedation, and a cardiac monitor should be in use. But what is it and what causes it?
spenac Posted January 6, 2009 Posted January 6, 2009 Dude. you have GOT to be kidding. we have a story of a crew nasally intubating a drunk and throwing a NRB on their face and you want to let some of these guys dart a heart in the back of a truck? OK. so you assess the patient. Gee, muffled heart tones, a BP in the toilet, narrowing pulse pressures...Lets dart him! You stick him (without putting another hole in his heart)and siphon some blood out of his sac, how long until that sac fills up again? 5 heartbeats? This patient needs a diesel drip, not a medicmill grad sticking a needle in his heart. this is hard enough to diagnose in a controlled ER let alone bangin down the road in a bambulance. Maybe we'll all get echo's next christmas. Well if the medics can't do the job in the service they are fired. Stay on top or get out. This is a scenatrio for education not to debate the crappy education some get. Either actually help the educational discussion or please do not post. Many procedures allowed and performed in my service are not at other but it is helpful for all to be familiar.
p3medic Posted January 6, 2009 Posted January 6, 2009 Dude. you have GOT to be kidding. we have a story of a crew nasally intubating a drunk and throwing a NRB on their face and you want to let some of these guys dart a heart in the back of a truck? OK. so you assess the patient. Gee, muffled heart tones, a BP in the toilet, narrowing pulse pressures...Lets dart him! You stick him (without putting another hole in his heart)and siphon some blood out of his sac, how long until that sac fills up again? 5 heartbeats? This patient needs a diesel drip, not a medicmill grad sticking a needle in his heart. this is hard enough to diagnose in a controlled ER let alone bangin down the road in a bambulance. Maybe we'll all get echo's next christmas.
crotchitymedic1986 Posted January 7, 2009 Author Posted January 7, 2009 sorry you rookies werent around for intracardiac epi. You dont do it bouncing down the road either.
p3medic Posted January 7, 2009 Posted January 7, 2009 Nice try clown. You mentioned you'd get about 5 heart beats worth of relief, suggesting you are talking about BLOOD, not all fluids. Nice try at a cover up, but you FAIL. Want to try again?
spenac Posted January 7, 2009 Posted January 7, 2009 But what is it and what causes it? Just to get back on track. Look forward to details.
Recommended Posts