Recent content by Tal

  1. Tal

    18 yo heat stroke discussion

    I'm a paramedic in the Israeli army. Most of the pepole I treat are soldiers, healthy and strong. it's not you'r avrerage 03:00 AM 89 yo pulmonary edema cases. they suck up 3 lit easy. as long as they can pee. I belive that cool, even room temp sailine cause a decreas in core temp, and see...
  2. Tal

    18 yo heat stroke discussion

    horses not zebras first. second, the heat stroke durring boot-camp is very common. most of the heat strokes acurre to rookie soldiers that Experiencing the Intense training. funny thing is that most of the heat stroke (almost 80%) happens in mild heat 20-32C. I gave the fluids as a cooling...
  3. Tal

    18 yo heat stroke discussion

    21:30 not a very hot time in a day, a Company medic rushes in the clinic with a soldier that collapsed durring an ongoing walk with vest. He came to the clinic all pale and sweaty, and very disoriented could not speak his name right. RR: 24 HR: 150 Temp PR: 41C\ 105.8F B.P 150\80 sat...
  4. Tal

    18 YO sinus bradicardia anigma

    So, the kid comes back with some checks done and after he saw a cardiologist: all heart enzymes came back normal, CPK, Troponin the works. the blood test for Q-fever, which is my comending MD main guess of what cause this, hav'nt come back yet. he was hopitalized for suspected URTI. the...
  5. Tal

    18 YO sinus bradicardia anigma

    1. 37.0 PO 2. sadly we dont own this in our base 3. only lying down 4. i'll try
  6. Tal

    18 YO sinus bradicardia anigma

    20:00 a new 18 yo recruit come with his platoon's medic to my base's clinic with the complain of a general weakness. the kid is cold and snuffled and very weak, skin look good. V/S: fully alert, no breathing problems b.p 130/70, pulse 50 (athlete), SpO2 97. I decide to watch him for an...
  7. Tal

    Nitro before IV

    and relevant history...Contra indication etc. Line before ntg allways, some pts dont hadle it so good as others.
  8. Tal

    Atropine & Bradycardia

    Alltough the Israel MDA protocol suggest 0.5mg Atropine in stable pt, I've been taught that the delivery of good medical care is to do as much nothing as possible...so O2, monitoring and D65.
  9. Tal

    Ketamin in head injury

    herer is the article
  10. Tal

    Ketamin in head injury

    In my course Trauma weeks we argurd alot on this topic. The main problem was the inconclusive fact that Ketamin cause rise in ICP, which can be problematic in closed head injuries. So, as argues in medice are, when I got to my unit, I talk to the other paramedic with me abot this subject...
  11. Tal

    Pre-Hospital Anti-Dysrhythmics

    I think he asks if they work during the time before we reach the ICU. I think no, lidocaine and procor are slow acting, but importent to the prognosis.
  12. Tal

    Cardiac question

    the MDA protocol forbids nitrates to a right wall MI
  13. Tal

    the IDF paramedic

    it takes about 13 month, and the level is the same as the civilian level. that is a great areaB) dan; some of the placesyou do and some you dont. in the mda you do join a suporior paramedic
  14. Tal

    the IDF paramedic

    so my course and I are about to graduate as a IDF paramedics, in the last week we got an assignment: join for one weekend to an older paramedic to see how things are at the real life. it was nice, great job, nice guys. 4 weeks to go and i cant wait:) here's pic of me with the tactical ambulance:
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