So after years of studying and technique analyzing... I have grown to like the blood pressure cuff method.... learned in the 80's... rebirthed it in the late 90s when my success rate for critical patients and the elderly was not great.
Gotta take a BP anyway for med admin.... so why not save...
It does happen, even with the best CPR. I have a few code summaries that show that.... V-fib pre defib.... and asystole post.
Still workable. Does not mean they are any "deader". I wish they would come back with pacing during CPR.... it seemed to work.
Sounds oddly familiar.... lets see if I can shove my hallucinations into words.
About 8 or so years ago, there was a study using new ultrasound technology showing that each time CPR was stopped, there was a forward blood flow that continued because of a pressure gradient between aortic...
Google.....
http://cmbi.bjmu.edu.cn/uptodate/critical%20care/embolic%20disease/air%20embolism.htm
"....(Durant maneuver) and Trendelenburg position. This helps to prevent air from traveling through the right side of the heart into the pulmonary arteries, leading to right ventricular...
Protocol should dictate that. For instance, ours advises that <18 y/o get fully immobilzed based on a fall/mechanism of injury indicating spine/head trauma.
This kid would get immobilized for me.
Peds can be tough to immobilize, and on top of that you have emotion that tends to get in the...
I noticed that from AHA... seems like it is not being used as much as it used to be. Depending on what ER doc you talk to, is what answer you will recieve. Such inconsistancy.....:glare:
NAVEL-G is the acronym we used to use back in the day. Narcan, Atropine, Valium/Versed ( water based versions only ), Epi, Lidocaine and Glucagon.
That route these days are a last resort option in a person who has brittle bone disease without arms and legs, no central line and poor jugular...
The ones I have had, most were stable enough they could wait until the ED. Amiodarone is what they get in the ED, cardioversion is about all we can do in the field for unstable pt. Our diltiazem, metoprolol and adenosine are drugs we carry - but none we can give for WPW
Its a complicated subject, but maybe this will help you understand the differences:
Think of all this electrical mumbo jumbo in relation to a graph ( remember the X-Y plot graphs in basic math or algebra? ) You have a horizontal line which is zero. Anything above it is positive, everything...
http://now.msn.com/now/0305-amputee-lawsuit-settlement.aspx
".......the paramedics who answered her 911 call wouldn't take her back to the ER...."
Soooo as I read this story, as well as a few others... they lead to the fact that FDNY medics did not transport her when she requested it. The...
An ambulance job was my stepping stone to get on a medic unit. 25 years and still cruising.... more eat up than most of our 3-5 year "veterans".
What I tell my students..... If you don't love the job... move on.
Sad and unfortunate... but its sorta rare, but the news does like stories like these, and the reporting makes it sound like its common.
Wonder what they used for the skin prep.
The gases are all isolated in the breathing circuit and a negative pressure scavenger takes them far away from the...