Recent content by Akulahawk

  1. Akulahawk

    Shortness of breath

    In light of recent threads, and to encourage study by the OP of all these threads, I'm closing this and related threads.
  2. Akulahawk

    Pleural effusion

    On that note, I'm closing this, and related threads.
  3. Akulahawk

    Supplemental oxygen

    I'm closing this, and related threads.
  4. Akulahawk

    Supplemental oxygen

    You've asked quite a number of questions that should all be covered in class or thorough your reading assignments. We're not going to answer these questions for you.
  5. Akulahawk

    Pleural effusion

    That's an excellent question. While I know what I might do, my scope of practice is very highly likely different from what yours is going to be. Ask your instructor and/or read your textbook. We're not going to answer your question for you. This is stuff you should be getting in class or through...
  6. Akulahawk

    Shortness of breath

    Assessment and treat according to what your protocols/guidelines state. Difficulty breathing/Shortness of Breath can be difficult to deal with because the underlying cause can be quite varied. Even anxiety can be a cause of this.
  7. Akulahawk

    How about that

    yes. given that it's been nearly 20 years and that I've not heard of any litigation... I'm kind of surprised about that.
  8. Akulahawk

    How about that

    Yes, this was a real thing. It was RLS for EVERYTHING. When that happened, the system was running so low in availability, the system required all ambulances to respond, transport, and do post moves all RLS just to minimize the time that the system had NO available units. They were acutely aware...
  9. Akulahawk

    the 100% directionless thread

    My wife is currently binge-watching "Young Sheldon" (no, I'm not into either BBT or YS) but one of the episodes ended with a couple characters doing bowel prep together. Suddenly I was struck with a vicious thought. Make that stuff actually tasty (and ensure it's non-toxic) and make sure it...
  10. Akulahawk

    How about that

    Apparently we all are... I've rarely heard of such a patient brought emergently to the ED outside of a system-level order requiring ALL ambulance movements (dispatch, transports, post move-ups) being done emergently.
  11. Akulahawk

    Sedation Deaths

    I have seen ketamine fail, Ativan fail, Geodon fail in these patients. These patients are not always high on some medication, but for whatever reason they present in delirium. Sometimes with these patients, the best course of action is RSI. Excited delirium patients are at risk for death simply...
  12. Akulahawk

    How about that

    Code 1 is "routine" Code 2 is urgent but no lights/sirens. Obey all traffic laws. Code 3 is lights/sirens, drive with due regard for safety of others and don't throw the people in the back around... Code 1 is basically that you're doing round-trips to/from medical appointments, dialysis, etc...
  13. Akulahawk

    How about that

    Slightly altered (maybe), following commands, and treating with the sweet tea and improvement in BG level? I wouldn't take that one Code 3 to the hospital. Your medic and driver should have made a safer decision unless protocol by their EMS agency requires Code 3 travel for patients who are/were...
  14. Akulahawk

    How about that

    Was the patient alert/oriented or was the patient acutely altered? Was the BG level verified by a separate fingerstick reading? If the patient is acutely altered and can't take PO dextrose (or perhaps that very sweet tea), I can see/rationalize load & go with a code 3 transport if the crew is...
  15. Akulahawk

    Appendicitis.... Cardiac issue

    I doubt the 2 year old was taking Viagra for erectile dysfunction. Take a look at what Viagra/Sildenafil can also be used to treat. Should give you some insight as to what underlying problem the kid has.
Top