Recent content by Akulahawk

Chuck Norris didn't die. He leveled up. Upon reaching the gate to Heaven, it opened up for him of its own accord. Why? Chuck Norris doesn't open gates or doors. They open for him...

Another possibility is that they've attempted multiple times to transfer her out, arranged for a room, etc... only to have the "discharged" patient refuse the ride when transport shows up to do the transfer. If she's alert, oriented, and has capacity, she can legally refuse transport. It's...

What I'd want to know is when, exactly, did the patient suddenly become considered a "resident" or "tenant" of the hospital vs being a patient admitted for medical care and then becoming a "trespasser" after refusing to leave following discharge from the hospital (assuming all discharge...

I think you just ALMOST answered your question. You seem to be answering the question from a background that suggests essentially a little more than an advanced EMT level understanding. If you take time to understand the underlying physiology of the problems, then the answer to how much fluid...

People in EMS are, well, people. We all process the experiences we have in ways that are as varied as people in other stressful jobs.

Real-world? You're looking for shock states. If you see shock or impending shock, you're probably going to be giving volume. For that, you're going to be doing 20 or 30 ml/kg. That can be a LOT of fluid. If you're looking for maintenance, that's going to be a KVO/TKO rate and that's anywhere...

That and some kind of secure idle system...

CCT is a different animal from 911. I'm a CCT-RN. Yes, I can refuse to transport a patient that is too unstable. However, a patient may not have been stabilized by the sending facility. I do NOT play in the 911 system even though I do (personally) have the knowledge and skills to do so. One of...

Yeah. The priming volume for the drip sets we use at my hospital is something like 20 mL. That includes a full drip chamber. Once the chamber is filled appropriately, the rest of the tubing is about 5-8 mL. That's usually not enough to cause a significant problem. Other drip sets may have a...

The slightly longer answer is that those small bubbles do create an air embolism. However they ultimately get trapped by the lungs and dissipate quickly as we breathe. In short, they're not a problem. We actually do bubble studies where we agitate saline very vigorously and inject the aerated...

As much as lifeguarding is a part of EMS, we do not allow advertising until you have achieved 10 posts, and then we require that such advertising be placed in the appropriate forum. Your link was to your training entity and because this is your first post and that it is in violation of our...

In the ER, we have an OB emergency delivery kit. The contents are sterile. Guess what? The instrument for cutting the cord can be either scissors OR a scalpel. The key thing is that it is sterile until you open the kit and handle it. Use whatever is in the kit for the purpose of cutting the...

Sadly, condolence cards...

Just a little reminder about leaving stuff on the tailboard of an ambulance...

Yes, this only deals with FAFSA student loan caps. Other organizations besides the ANA are blowing this up beyond what it truly is.