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Something tells me LVH is highly unlikely.

Let us look at nursing theory history HISTORY Nightingale (1860): To facilitate "the body’s reparative processes" by manipulating client’s environment Paplau 1952: Nursing is; therapeutic interpersonal process. Henderson 1955: The needs often called Henderson’s 14 basic needs Abdellah 1960...

Please stop this charade with your superiority over medics. Before making statements like that you need to clarify that you performed a nursing diagnosis which does not entail a medical diagnosis but adapting the medical diagnosis made by a physician to the patients limitations their...

You may be correct about the pathway, I need to review some of my lectures.

In the field is hard to assess. Hence why I asked if you running a pump and titrating it to MAP? Usually if it's gravity drip in the hands of medics and nice bumps in transport, I am certain the pressure would be amazing upon arrival, but there would be profound vassoconstriction.

http://www.sccm.org/Documents/SSC-Guidelines.pdf (1C); initial fluid challenge in patients with sepsis-induced tissue hypoperfusion and suspicion of hypovolemia to achieve a minimum of 30 mL/kg of crystalloids (more rapid administration and greater amounts of fluid may be needed in some...

I think it's much more simpler. Septic shock is a distributive shock (AKA warm shock in adults mostly ~70% gram negative LPS) due to massive release of nitric oxide severe dasodialtion occurs through the body, I would imagine alpha drug would be a better choice at the stage OP patient was.

Order chips and salsa and enjoy the show :cool: Later you QA/QI between each other all the mistakes the crew did?

12L more? Probably after 2nd bolus of 20ml/kg with that BP would be good idea to think about a pressor, unless the patient is 600lbs.

Well is certainly works, it's why they called it Levophed or leave 'em dead. Although "raising the bp" is not a measure of success, without knowing end organ perfusion status and urine output. You guys use IV pumps, or gravity drips?

Finish your EMT school first and obtain a job preferably working along side a medic. That is much better gauge of what is what especially when you still at that saving lives and rescuing the world stage. Plus this way you didn't "go all in" all the way toward medic to realize what the...

This case was presented by FDNY OLMC physician at a CME siting the reason for settlement was lack of defense due to no telemetry contact. Continuing to state all the cases that are pending all have one major theme in common which is lack in OLMC contact for RMA.

Here you go 18 million awarded in a lawsuit with no telemetry contact for RMA "The next day Mullings was beset by agonizing pain and numbness and called 911 twice. FDNY medics did not take her back to the hospital." Read more...

EMT or Medic in todays litigious society you paper work better contain everything in them some in full detail and it would not hurt to get medical control involvement for documentation purposes as well. At this level of the game you need to weigh the consequences of getting sued and would your...

1-Check self and partner for any life threats if present that is #1 treat asap. 2-Call dispatch inform of location and incident 3-If you or partner injured that takes priority over anyone else 4-If you did not sustain injuries I'd be very careful getting out if you are in the middle of...

Seems like that fire department got the right man for the job.

Those that graduated college with minimum mandatory hours will gain said medical experience in the course of their job. The medic that graduated a certificate program will not gain college education in the course of their job. Over a few years the experience will come in and college graduate...

I think we can agree both formal education and experience are important. Why would you compare straight out of school paramedic with a 20 year medic? Do you honestly believe that is fair comparison to make? Additionally stating "paper saying you're a college grad, or do you want to be a good...

Yeah it's my mistake. PP= pulse pressure (SP-DP).