Recent content by Mantis Toboggan

  1. Mantis Toboggan

    Cardiac Case...

    OP source: http://en.ecgpedia.org/wiki/Puzzle_2007_1_33_Answer additional case studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2153466/
  2. Mantis Toboggan

    WAKE EMS

    Upon completion of the PAT, you'll be invited to participate in one of the upcoming 'assessment centers.' On the day of your assessment, you and your fellow applicants (perhaps a dozen or so per 'class') will perform in a four part evaluation (in no particular order): An online multiple choice...
  3. Mantis Toboggan

    Geodon/Zyprexa for agitation management

    IV Haldol is generally prohibited because the FDA does not approve its use for intravenous administration. Adverse effects of Haloperidol include: Torsades, elongated QT, tardive dyskinesia, neuroleptic malignant syndrome, et. al. The frequency and/or severity of such complications are...
  4. Mantis Toboggan

    Drug Calculations/IV GTT Rates for EMT Advanced

    Dimensional analysis practice (if you enjoy that sort of thing): A jewelry manufacturer is provided 50 lb blocks of silver. One of these blocks will be drawn into a silver wire that is 2.25mm in diameter. If its density measures 10.49 g/cm³, how many feet of wire can be obtained from the...
  5. Mantis Toboggan

    Must-read texts

    Robbins and Cotran is a great pathophys text, and a pretty easy read for anyone who's taken the basic bio, chem, and microbiology college courses. Bate's Guide to Physical Examination and History Taking is first-rate I have an enormous(!) copy of Tintinalli's Emergency Medicine; it's really...
  6. Mantis Toboggan

    Cycling

    Kudos to all the newly invested cyclists! If you're in the market for a new bike, I would strongly recommend (as others have) visiting your local bike shop—there, a professional can fit you to a bike that meets your expectations and is consistent with your goals. Fitting is not just about...
  7. Mantis Toboggan

    Standardized STEMI Identification Assessment

    this is an outstanding little quiz. I remember attempting the very same assessment about a year ago, when a fellow student recommended it in our cardiology class. I don't recall how I fared the first time—dreadfully, I'm sure. Today I scored with 89% accuracy [96% sensitivity/75% specificity]...
  8. Mantis Toboggan

    CHF?

    On the contrary, most CHF patients are in a chronic state of fluid OVERLOAD. The renin-angiotensin-aldostersterone-system is provoked when kidney perfusion is inadequate, as is typical in heart failure. The activation of the RAAS is an important adaptation for regulating blood volume and SVR in...
  9. Mantis Toboggan

    Assessing an Unresponsive Pt

    Take a close look at her initial ECG morphology—awesome example of long QT syndrome triggering a Torsades event.
  10. Mantis Toboggan

    Have you been a career EMT/Paramedic and if not what did you do first?

    Im currently in paramedic school finishing up AAS degree. The students in my class are a pretty diverse bunch in terms of age and experience—for many, EMS will be their second career. As a college student, I was previously pursuing degrees in philosophy and sociology before my sudden transition...
  11. Mantis Toboggan

    EKG Question From a Paramedic Student

    Atropine will not affect the rate in a 3rd degree block, for better or worse. In the case of a CHB, the automaticity foci in the ventricles have assumed the role as pacemaker due to a conduction failure of the AV node. The SA and AV nodes are the only parts of the heart with parasympathetic...
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