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Neat question. Yes, central DI is a result of hypothalmic or pituitary failure to release ADH and yes, vasopressin would help prevent the constant excretion of water in the long term. A single dose would have little effect. However, I found an article - Vasopressin and Diabetes mellitus Lise...

A couple tips - be sure to be careful in listening to the 'sounds'. There are five Korotkoff sounds, the blood flow sounds in BP, you can pick up with a good set of ears: First - a snapping sound, if it continues a couple beats, that's your systolic Second - the snapping fades into a murmur...

Not quite accurate. In effect, veins are passive capacity vessels unlike arteries which have an active musculature. Even a perfectly healthy person standing has a degree of venous pooling and it does reduce return to the heart. Think of the classic illustration of soldiers passing out while...

First - continuing good luck on school! Second, suspension trauma is your most likely culprit. When you find the JEMS article, which is a pretty good one, you'll see the basic mechanism is the orthostatic intolerance of venous pooling in non-moving extremities leads to a significant amount of...

Here ya go - on standy at a race last weekend. A mechanic came up to our truck saying a broken drive chain caught him across the back of the hand. Only injury was a small laceration, less than 1 in, with soft tissue swelling. He did not desire transport just the "wound" dressed. We did just...

Typically, 24g IVs are used in pediatric or elderly without better access for DILUTED blood transfusions. Packed cells in particular require a larger bore IV like 18 or 16.

Quick answer - yes. I remember in college walking downtown with a friend. He suddenly stopped and asked if I knew everybody in town. I had to think why he would ask that. Now, I grew up in a small midwestern town, went to college in a small midwestern town, where you nod, smile, say hello...

THC is not an opiate. THC acts on cannabinoid receptors not the opiate receptors. The body even has it's own natural cannabinoids, anandimide was the first discovered, and cannabinoid receptors in the CNS and periphery. It is the receptor, not the drug, that determines the action.

Myotonia congenita? Like the fainting goats? I LOVE those things....

So the wedding is back on?

I'm confused. How can they do that? I assumed, probably mistakenly, that the DOT had standards at the Federal level that an ambulance had to have EMT-B or higher staff.

OOOooooooo:P

Illustration from the real world: Last night, I had to respond to a multi-vehicle MVC on the interstate. A semi failing to stop for stalled traffic plowed through quite a few cars. Initial call in gave 8-10 serious injuries and maybe a dozen minor. Initial assets available were one helicopter...

Congrats and lucky you. I still remember my first medic call on my own...nonresponsive that turned into full arrest at one of our not so high quality nursing homes. The gentleman had aspirated his oatmeal, of all things. I think the entire bowl was in his lungs, his throat, bubbling in his...

Ever see a medic decide that an old lifepack would be the perfect thing to make instant grilled cheese sandwiches....

There are many types of seizures. A brief overview can be found at Washington U Med School http://neuro.wustl.edu/patientcare/clinicalservices/pediatricepilepsycenter/patientfamilyphysician/seizuretypes.htm However, I have never liked the way pseudoseizure is bandied about by EMS and ER...

We get all our meds from our resource hospital and have the bonus of being able to switchout any meds near expiration date without charge. One of those things where it has always been done that way... As for multiple calls, we carry enough for three or four back to back calls without...

Had a brand new student on board (she still had the tag on) riding in back and we got a call for chest pain, enroute we were informed the pt had become unresponsive. We arrive and as my partner and I get out of the cab, we hear the rear doors fly open, and quick scream and a whump. Get around to...

That's when you grab the paddles and say, "OOOOOO, I've been waiting to try these out." Then make buzzing noises......