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The only "whackpack" I have ever owned was a gag gift when I graduated. If you would rather carry your "police tactical/sniper gear" (ooh, whacktastic!) and throw gear in an old bag. You can even sew a patch on it so everyone knows how whacktacular you are.

Yes? You called? Oh, sorry, I'm A Kidd... never mind. :ph34r:

I wish I could draw a paycheque for the care I provide my daughter - the smiles and giggles are super, but they won't fit in the ATM deposit envelope.

It's funny you should say that, Sasha. I actually edited something to that effect out of my previous post (but in a "mildly" more sarcastic tone). I was curious if the powers that be would not let them transport bleeders, either. As an only barely related aside, since you mentioned Ringers...

I can sort of see that - if any of the other medically implanted devices are dislodged or damaged, they will make a hell of a mess (trust me, I KNOW!!) - if the VAD is damaged or traumatically removed (especially a port or CVC - the PICC is far less dangerous) your patient will bleed out.

It is not an issue of "pause", TPN has such a high dextrose content (in Brigid's case, 16%) that it must be titrated and weaned to prevent severe hyper/hypoglycemic responses. In addition, the lipid component of TPN in hepatotoxic, and sudden starts/stops to it just intensify this effect...

Does it say they have to be empty? :unsure:

It is interesting you mention this - i am always (not so pleasantly) amused when I see the looks of shock on the responders' faces. I have made a point if notifying area Emergency Services about Brigid, and I know she is not the only tech dependent child within a 3 mile radius. Brigid cannot...

Now, just for clarification... is it if they HAVE a VAD, or they have a VAD in current use? For 7 hours a day, Brigid's Broviac is ethanol locked and she is not attached to anything (it is just under her shirt). Would she need to be transported by ALS simply because it exists, or is it only an...

Wow - now, first up - I am in Canada, so I'll be the first to admit things are different. Brigid's first transport was at 3 months old - for that one, and every subsequent one, I have been in the back. It has never been a point of debate... although my qualifications might help there. I don't...

I've been Brigid's mom for a while now ;) but a paramedic for a whole lot longer. I have tried to run a fact sheet for her that became 2 pages, then 3 - now it is a page of meds - 27 of them (drug, use, dosage, frequency, prescriber) a separate page of her docs/specialists and other pros and a...

I second the "cheap watch and superglue". I carried a Saunders Snapak with a $10 WalMart analog/digital combo epoxied onto the top corner. If you are not picky about analog - than any dollar store watch will fit the bill. I have tried a few different aluminum clipboards and the Snapak was my...

The biggest issue with ketamine, although uncommon in lower doses not used for sedation, is the "emergence reaction". This may well mask or skew neurological status assessment, but withholding all types of pain management in polytrauma is questionable in the best of situations. Definitely...

I don't know if I am in the minority - I may well be, but I am not the type to hurt my shoulder patting myself on the back. If I do something outstanding, then an "atta-girl" from the MD might be nice - maybe put it in writing and toss it in my file for the next performance eval. Otherwise...

I am 100% on board with you on that, Vent - as a parent, what can I do to make you more confident? I have spoken to other parents who are carrying on about "I told them to X and they claimed they could not" and then took some time to explain protocols and limits of service - certification...

Thank you, rescue99 - but I cannot take full credit. Brigid has an amazing medical team and has been "medically managed" since she had her first stroke as a neonate. This has allowed us to respond to issues when they were less severe, although we have seen some significant deterioration in...

I am a medic, but have not worked in the field for years after a severe back injury. My focus has changed in recent years to life as a stay at home medical care provider, as I have a now 4 year old daughter with Mitochondrial Depletion Syndrome. In the last year, we have had far too many...