the 100% directionless thread

[adamjh3]

I've always heard 20ml/kg for adults, but I've never really seen that used in real life

 

[Anjel]

I've always heard 20ml/kg for adults, but I've never really seen that used in real life

Ah ha! You and robb are awesome. I texted him, because I wasn't sure how fast someone would answer here lol and I'm freaking out! Mod 4 exam in 2 days!

 

[DesertMedic66]

I've always heard 20ml/kg for adults, but I've never really seen that used in real life

Same. Mostly I just hear "give him a 200-500ml bolus and then see how his pressure is"

 

[Anjel]

Ewwww bed bugs. I'm setting myself on fire as I type.

 

[usalsfyre]

Same. Mostly I just hear "give him a 200-500ml bolus and then see how his pressure is"

Make that "500-1000" and your right on. Most medics way under resuscitate people for some reason

 

[STXmedic]

Make that "500-1000" and your right on. Most medics way under resuscitate people for some reason

This, and I don't understand it. Don't be surprised that the BP didn't go up when your fluid challenge was a saline flush.

 

[usalsfyre]

Don't be surprised that the BP didn't go up when your fluid challenge was a saline flush.

Awesomeness. Hopefully your not planning on copyrighting this .

 

[Aprz]

In my county, it's 250 mL for adults, 20 mL/kg for children, and 10 mL/kg for neonates. When I took PALS, I unnecessarily memorized:

Hypovolemic 20 mL/kg over 5-10 minutes
Cardiogenic/Poison 5-10 mL/kg over 10-20 minutes
DKA 10-20 mL/kg over 1 hour

 

[VFlutter]

Made my patient faint when I put an 18 in his AC. Oops my bad

We also go an inservice about the new Impella VADs. It is basically an alternative to IABPs. Pretty cool stuff

 

[Rettsani]

The Sample working day is done. The colleagues did not want to let me go. After each patient the question: When do you start ?
What should I say to that...? So much praise on a day I can't believe after a so long time off. h34r::unsure:

 

[RocketMedic]

Eight new spark plugs, $115.01 to have them done professionally (2008 F150 4.6L, need bendy tool). Truck runs like new, annoying ticking is gone (misfiring #3 per mechanic, traced to a mostly burned-out plug), power is back. 91,000 miles on OEM plugs, not bad.

Ended my work week with a nice "thank you for saving my life." In a great mood. Also, got ambushed by my parents cat Ambush after work, sat down on the couch and woke up three hours later with a comfy cat scarf. Soft kitty warm kitty little ball of fur happy kitty sleepy kitty purr purr purr.

 

[troymclure]

Why cant an emt-b install an I.V.?

in the army the 40hr combat lifesaver course teaches you to do it.

of course the immediate result was guys slicing the tops off bags of ringers lactate and adding vodka to 1/4 bag.

talk about a cheap night out! lol

 

[the_negro_puppy]

Went to a stabbing very recently. Multiple wounds over heart pt in PEA arrest copious blood every where.

At first I was like:

Pre-hospital Dr arrived 2 minutes after us and decided to do a full 'Clam-Shell Thoracotomy" after L) sided needle decompression was performed due to all of us arriving less than 10 minutes after the call. . With 5 minutes the entire thoracic cavity was exposed (after ribs cut with bolt cutter liek device) w/ puncture wound to heart and huge blood clot in pericardium (tamponaded).

I was like

Puncture in heart was stapled. I got to use a rib spreader (wow) and was instructed how to do internal cardiac massage, until asystole with multiple IOs used in Tibia and humerus

Outcome was negative.

I do not get paid enough for this.

 

[chaz90]

Outcome was negative.

Go figure with those kinds of injuries! I can't imagine pre-hospital thoracotomies often end well. At least you got some interesting experiences out of it. I don't know many paramedics that have had the opportunity to perform internal cardiac massage.

 

[VFlutter]

Why cant an emt-b install an I.V.?

in the army the 40hr combat lifesaver course teaches you to do it.

of course the immediate result was guys slicing the tops off bags of ringers lactate and adding vodka to 1/4 bag.

talk about a cheap night out! lol

I am too dumbfounded to comment

 

[CritterNurse]

so New England?

Yup, the edge of nowhere.

 

[DesertMedic66]

This is what my day consisted of. Hope you survive the wind Exodus!

 

[9D4]

I am too dumbfounded to comment

Yet, you still commented :rofl:

 

[Tigger]

Blizzard warning means a 36 hour shift and a temporary respite from trainee status so we can staff three ambulances.

 

[shfd739]

2 more shifts and we will be beach bound for 3 days and 2 nights of camping with no distractions of the modern world. Hopefully we can get down to the 30mile marker on North Padre.

I'm so looking forward to this break. Now for Tuesdays mad thrash to get finished prepping.