Search results

Ever see a chest tube spew out 1 liter of BRB in about 2 seconds? ...first time i've ever gotten an order to (a) strip a chest tube (b) clamped said tube. Right lung completely whited out. Coded her for 30 minutes got ROSC and pt was awake when i handed her off to OR at 0610...

It's all about the nitrogen washout. We aren't talking about maintaining SPO2 >= 92%. We are taking about replacing atmospheric air with 100% 02. The idea is that with the massive preoxygenation you gain valuable time to desaturation while preparing to, or intubating. On another corollary...

Texas. For NREMT I only stated, preoxygenate the patient. What does it mean? I was taught that this is the opportunity to do a "nitrogen washout" replacing 22% FIO2 with as much 100% FIO2 as possible. I was also taught to place a nasal cannula at 25l/min while preoxygenating. I don't...

*Ked*

CAreful use of a med would be indicated in this scenario. Probably needs to be in a seated position if that is what is comfortable to him without movement. Everyone has seen the Indonesia study. I dont care about longboards except the ease of carrying someone. Of course I will follow "local...

At the Level 1 trauma center, the trauma bay has a fluid warming case. They also have the capability to cool the fluids. I know that not every resuscitation is massive transfusion protocol, but the standard of care remains, warmed fluids.

Reading 12 lead ecg in acute coronary syndromes. i really miss having a traditional classroom setting. This ends up making me crave clinicals.

MIVT: Mechanism of injury Injuries sustained Vitals Treatment If they need more, give the sample hx. Speak up, so the doc and the techs can hear you.

Recently got dragged into some work drama, surrounding assignments following the admission of highly acute critical patient. in the weeks following the incident on our unit, many rumors flew around between night and day shift. the director called me into her office to take my side of the...

We use the Level 1 rapid warm/transfuser. If you are talking about trauma resuscitation, the standard of care from the ENA is warmed blood/fluids. I can understand your thought process, but the temperature we use with the Level 1 is 42 C. It cannot get hotter than 43.9 C

i didn't see you being defensive. i also posted this in between sleep sessions this morning. so i don't even see what illegal orders we were talking about anymore haha. this is a large hint not to sleep with my phone laying next to me in the bed.

I'm not trashing you, Bro, but that didn't work in the nuremberg trials. Following orders is no reason to follow illegal orders. ***not to say that exposing the patient isn't proper.

I see that this is an old thread, I didn't read past the initial responses, who are some heavy hitters. I must disagree. The reason to choose LR is because it is balanced to be proportionally pH neutral after the fluid shifting occurs. D5 is essentially, eventually, water and NS will end up...

Great thread!

Good luck

What kind of position is it?

Regardless of participating in a CISD, your employer should have an Employee Assistance Services, or some like-named resources who can assist you with finding someone to talk to. The important idea here, is that you let these things out of your head and process them.

it isn't the nursing that stresses me out - unless you want to talk about med/surg nursing. Taking care of all of the needs of 6 or more patients for 12 hours- and documenting all of it is incredibly demanding. Now that I've been back on the unit, the stress comes from the politics, the...

We did the same thing in nursing school. When you use online resources it is inevitable.