Stop the burning process, cric if there are facial/inhalation burns with airway compromise, and cover with dry dressings. We have a huge emphasis on hypothermia control as well. As far as fluid goes, 500cc challenge of LR for hypotension and follow with parkland. Some use the "rule of tens"...
I really wish I could. I've searched for it frequently and can't find it. The presentation handout was made by the neurologist herself, so I've still held onto that packet like gold.
I like the 12-lead ECG for Acute and Critical Care Providers by Bob Page. I read Dubin's book before this, as well. Page's book requires a solid understanding of basic ECGs before you read it.
I was in a class a couple of years ago that a neurologist taught us about treatment of TBI in the field (military setting). We got a huge packet on it that I still keep as a reference, and is a picture in it that helps with what I said.
I thought that the hyperventilation was to decrease the ICP? From what I had gathered an increase in CO2 causes vasodilation which increases ICP. The "permissive hyperventilation" (an EtCO2 of 30-35) helps reduce that. But, the CO2 would come from respiratory acidosis in the late phase of a TBI...
Really? 14 days? And I thought the six week program they have out at Ft. Sam was short...I don't see how any adequate providers could come out of that.
My first full blown structure fire was a doozy. We had a ladder going up to a hole near the peak of the roof on the side of the house. Chief wanted a fog nozzle on there to vent the smoke. One of the guys from some BFE department handed me the 2 1/2 and told me the combo was on fog. My rookie...
Recently, (in the last two weeks) I've started eating healthy on three meals a day. I'd rather eat small healthy meals throughout, buy can't argue with that being active duty Army. But, I've already lost noticeable weight and I feel much better all the time. Plus, now when I eat something a...
^ This. I never understood how many providers have the mentality that everyone needs oxygen. "it won't hurt them, so why not just give it to them?" I think it just shows at a minimal level that they are incompetent at their job.
I had no idea that obtaining a BGL was NOT allowed to be done by all basics? It's pretty simple and, as many stated, not invasive at all. Just another essential assessment tool.
My EMT instructor told me that about ten years ago they carried a clipboard with random x-ray shots in it. So, when a drunk thought the ambulance sounded better than a squad car and complained after a scuffle about possibly having a broken hand or wrist (which they obviously did not) he'd tell...