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Female in her 70's fell getting out of a vehicle in the parking lots of the hospital. ER nurse came on scene and took charge. Woman lying on her side, left forearm extended laterally behind her back. Nurse relocated the arm to the front. An artery was lacerated and one of the major nerves...

Re WHO. Numerous people have been voicing gripes about WHO. Mixed signals. Single source info. Their aggregates still seem to be trustworthy. What is of greater concern is the possibility of politics entering into the works. I was closely monitoring China and WHO response, appreciated the...

@Akulahawk Not the papers I referred to but some backgrounder info https://www.who.int/news-room/q-a-detail/tuberculosis-and-the-covid-19-pandemic https://www.thailandmedical.news/news/covid-19-warnings-sars-cov-2-coronavirus--infection-could-activate-dormant-tuberculosis...

@Akulahawk Off on an odd tangent. I recently read about a strange corollary that is presently being explored. The incidence rate of TB in migrants to the European countries and the Covid-19 incidence rate is approximately the same. Italy, Spain, France, Germany and the UK the major infection...

Nobody is in the offices right now for me to get my hands on the studies. There is one quite well translated from Thai I will try to get so I ask you to settle for anecdotal purely from observations for the moment. TB is extremely prevalent in most of the third world relative to quality and...

In the mass of ridicule I see nothing about endemic TB exacerbated by C-19, not to mention other similar compounding factors. We're not talking 90 year old grandmothers here but a whole heck of a lot of young people that may carry the lung damage for the rest of their lives. And by the way...

Lots and lots of short sighted thinking from subjective viewpoints. C-19 isn't this and hasn't that therefore... Ignoring other factors like much of the world population has endemic TB and other diseases that will inevitably compound the C-19 effects. As long as it isn't in our back yard! Anyone...

Present C-19 mortality rate world wide is 6.4%. 4,184,742 confirmed infections, 284,078 deaths. US: 1,367,638 infections, 80,787 deaths. John Hopkins statistics.

Of course all the comments downplaying the virus ignore A, the mortality rate is 10-50 times higher than the seasonal flu, B, the infection rate is still on a near exponential climb and holding steadily there for around 40 days, and C, this is the first wave (which hasn't crested yet) and basic...

It seems that the EMS as a whole, and not just in one country, needs to be re-examined as objectively as possible. Establishing a world wide standard is certainly one goal worth looking into. Many countries have skills and abilities other countries could learn from and utilize. Way too much...

The CDC has spent nearly a month writing and rewriting a very carefully worked out roadmap to reopening. It was even sent back to them to have the religious 'tree' aspect removed which they did. The entire plan has now been shelved by the White House with an assortment of exceptions that are...

Cynic. But history has already proven what you say as correct. We must also take include the 'out of sight, out of mind' mentality and the selfish, self centered people who are quite willing to go along with 'acceptable collateral damage' as long as it isn't in their back yards. Then they start...

Indeed. Why not? I'll dial back to the early days of basic EMT. Friends, family and bystander management was a part of the course. Calming down the family, giving them something to do while we dealt with the patient. "Go get a clean damp towel or washcloth!" Usually only came in handy when the...

Speaking of Pet Names and wording.......... If the terminology used isn't exactly the way I learned it/use it, it must be BS! Code blue, in some locations in the U.S., parts of Europe, Asia and Africa, any condition where cyanosis may develop or is developing. The term 'code blue', as a...

Received a call from the ER Sup. "We had one of your CPR students in here." So I asked how they did. His reply, "Pulled through. In ICU now. First time I've had a patient come to enough to count compressions for us."

@Canadiangoose Me? Situation 1, massive head trauma. Physicians reading impressions from CT scan. Not paying attention to surroundings. Always watch what you say during rescues. Situation 2, Diving reflex. Severely suppressed vitals but brain oxygenated and functional. Hearing is often the last...

Speaking across the patient, Physician A to Physician B, "Let's call it. This is one for the pathologists." Patient's wife in doorway of the trauma room fainted. (Patient survived) Chaos on a beach. Bodies, FD and bystander rescuers all over. Family of 5 in overturned boat. Ambulance crew...

Looking back over the years. Some of you may notice the evolution of procedures you do today. An awful lot of non viables were delivered to get where we are now.. -Grab and run. Only permitted intervention was direct pressure, or by physician orders over often faulty radio coms. (This is where...

Slightly more serious problem. <5000 ventilators presently available in all of Africa. >1,200,000,000 people at risk. + religious, regional, cultural and logistics issues will prevent access to proper health care for tens of millions + significant malnutrition throughout many areas.

Want to do a comparison try Singapore right now. Report a fever and there's a solid chance you will be on your way to a hospital in an ambulance in an hour. When your country only has people as a natural resource things are decidedly different.