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I still say that you should have run a 3-lead on it just to make sure it met the criteria for a scene death. Ed would have seen the humor in it. :rofl:

Never would have guessed..... :rolleyes:

In 15 years, I've seen it done emergently maybe four or five times. Honestly, in most situations where it's life or death (read as: traumatic pericardial tamponade), a subxiphoid window followed rapidly by a trip to the OR or an ED thoracotomy for control of the hemorrhage is simply a better...

Tomato, tow-mah-toe. :)

Fixed that for you.

Yeah, I've intubated quite a few dogs over the course of my career thanks to seeing them pulled from burning buildings, etc. I'd rather intubate any dog over your average person any day.

Only if one's brain operates on the "penguins on an iceflow" method. :rolleyes: Except that in atrial fibrillation the SA node is often working but it is simply being overridden by the alternate mechanism of the fibrillation. It depends on how well the electrical signals are converted...

Sort of. Remember it by "fight or flight" (sympathetic) and "feed or breed" (parasympathetic). They both have up regulatory and down regulatory effects but just on different things. You have that mixed up.

Slow your roll there Superfudge. You don't realize how infrequent thoracotomies are outside of trauma center EDs and ORs. ...and by the time we get the patient to the hospital they are already brain dead or damn close to it. Point of care testing for lab values is such that if people would...

I like animals much more than I do people but don't see a problem with this. Most are euthanized before or after the practice session. We used several freshly euthanized dogs and cats to allow enough practice for everyone in a reasonable amount of time. This was in addition to OR time and...

Thank you....I think. LOL As far as people being of sufficiently questionable judgment to walk someone with a broken leg to the ambulance, I would not put it past the lazier in our ranks. I asked for clarification before tearing out his heart and taking a bite out of it Aztec style. What...

That's what I was thinking.

OK.....I just figured I would check since you went from mentioning doll's eyes to a critical trauma. LOL

Cremation. If for some reason someone insists on burying my ***, I demand that Alice in Chains' "Man in the Box" and "Down in the Hole" are played. LOL

You move the patient's head back and forth and see whether the eyes track or not. More accurately called the oculocephalic reflex. In a patient who is comatose, a test of the vestibulo-ocular reflex can be performed by turning the head to one side. If the brainstem is intact, the eyes will...

Please tell me you didn't do that on a trauma patient who hadn't had their c-spine cleared.

If the patient has a reversible intracranial process, why waste the couple of hours at the non-Level 1 when there's neurosurgical capability at a close hospital?

It's not "flawed". It simply doesn't show what certain persons would like it to show. To say a study is flawed would require proof that the data used was statistically invalid or that the study population was stacked in such a way to purposefully skew the results. When you're studying cardiac...

The thing is that this is not likely a surgical emergency. This is one of those situations where people need to remember that you should never allow your heart rate to get higher than that of your patient (except at a cardiac arrest obviously).

No, you're not. The standard of care is so far ahead that as they throw one new thing at you every couple of years, fifteen other things that are still standards of care are even further behind. Yeah it is. I used to work there. The sad state of EMS in Maryland is the sole reason why I left...