Recent content by Bongy

What so wrong in vials? Hello you all... For a long time I wasn't here but now I'm back... About a subj.. We(in Israel) we don't have prepared drugs at all... Nothing..Al in vials.. And it works fine.. About amiodarone - I have to disagree with RydRider... Followind ACLS,amiodaron is...

Well...Let me to give advise from far away near east... I have a combined degree: BSN with EMT-P certificate... From my point of view is IMPOSSIBLE to be a good nurse with some kind of "bridge programs"... Differences of working in EMS setting and CINICAL setting are "unbrigible"... With all...

With all respect(and I mean a LOT OF!:rolleyes:)...I thing that heparin (about 100 units in 20 cc saline) is nessesary,aspecial in single lumen LONG catheters... Not one and not twice I saw a lot of embolies "shot off" from a catheter... This ammout of heparine will not have ANY systemic...

In general - most common is contamination.... Very hard to ensure good aceptic conditons on prehospital... Second - air aspiration - Yes...It can happen even on venous site.. Last one,and not less important - nessesary to wash a port-a cath with heparine before use... PE avoiding procedure..

Wow... Glucose enema... Just Great!! I'm impressed!!:wacko: By the way... In my case,I don't need nurse presence when operating with port-a-cath... I'm a nurse ether...:blush:

I'm not sure,that giving D50 IO is a goog idea... Connective tissue necrosis..e.t.c...

Well... PortA-Cath is quite tricky device and good for you that you didn't start to play with... Glucagon possibly can not be useful due to damage to glucogen storages due to liver cancer... But what about centraline? Or even one-shot injection directly to femoral?

Well..We have no CPAPs in EMS in Israel,but regarding my clinical expirience - 5 is goon for initiation...Then - clinically. My other quession is: WHAT SIZE OF AN OXYGEN BALLONS YOU HAVE??!!! CPAP demands A LOT of oxygen and pressured air...How you succes to arrange that ammounts in a truck??

Well... So let's make a conclusion and some learning features... At first,CNS abnormalities (like coma) are NOT common in high voltage AC electrical injures,so I should pay attention to this,but it somehow lost from my memory. I saw cardiac disturbances that common but wasn't life threating. In...

Allways wellcome!! Good Luck!

In addition to what Rid and RedZone said,I would like to add,that I wouldn't try any synthetic opioid on someone that have an ALLERGIC reacting to morphine... The common morphine allergic reaction,is activation,secondary to mu-receptors ,histamine release...So in case of usage of Demerol,I thing...

Egg and RedZone! Great! It was an electrical injury... In about 2000 volts!!... Now.. Why detox???!!! And try to guess what happened next? Sezures are NOT common complication of electrical injury... So what do you thing? I can give you a clue - in general - it was my missattention...

Ok... Some answers: 1. Sores look like... Sunburns... Very clear shape... Same size in both hands. 2.Man dressed as a construction worker - blue overall,metal protected boots 3.Multiply VPB's - in about every 4-5 sec - UNIFOCAL 4.No other injured around 5.Witnesses said that he looks like...

In my opinion,possible liver dysfunction AND misdiagnosed kidney insufficiency... If I remember well - opiates are metabolized by CYP45 and excreted via renal pathway...

As I understand - pt still cianotic,in addition - pt CAN NOT protect his airway... I'm quite not sure about a gag reflext... I prefer to intubate instead of waiting for aspiration... Is there any response for naloxone? If not - I start to suspect for Sub Arachnoid Hemmorage... BTW... Peripheral...