Search results

Just a thought here. Look at where medicnick is working, and go google the crime statistics. Consider for a second that it's considered to be a much nicer city than Johannesburg. Pause. Maybe google the crime statistics for your own region. Compare.

Awesomeness! Harakiriamine 20ug/kg/min/penguin stat!

The same old answers as always: * Good proactive dispatchers who identify potentially dangerous situations and initiate mandatory staging. * A clearly defined staging policy that doesn't punish crews or dispatch for exercising judgment, supported and defended by management. * Good...

The first part of this is true. The major determinants of cardiac oxygen demand are wall tension, contractility and heart rate. The second part, i.e. whether atropine is "bad" per se, is a little more difficult. Or they can have acute SA or AV nodal dysfunction due to ischemia from the MI...

Congratulations (I think!), and good luck.

I think the difference often depends on whether you like the person providing the information, and how they deliver it. It's not necessarily the quality or correctness of the information being given. EMS isn't an academic field. And as a result, I think people have a hard time looking...

Remember this, so that you recognise the potential risk here when you see it again. Your partner's bull:censored::censored::censored::censored: abdo pain became a life-threatening medical problem. This is a completely unscientific opinion. You guys weren't there when he claimed to have...

For the obviously sick major trauma patient: * It might result in an increase in the identification of pneumothoraces. This may or may not be a good thing. * It might allow EMS to prenotify the hospital of a cardiac tamponade, or possibly perform pericardialcentesis in the field. * It...

Another one here, using EMT-I's, just popped up in my email pre-alerts. -------- DIAGNOSTIC ACCURACY OF FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) EXAMINATIONS PERFORMED BY EMERGENCY MEDICAL TECHNICIANS Chu Hyun Kim, MD, Sang Do Shin, MD, PhD, Kyoung Jun Song, MD...

I don't think this is that likely, especially if you're doing 12-leads. Certainly the cables can become damaged --- he early LP12s were notorious for this -- but this isn't going to make VT appear where there was no VT before. This is just terrible, but speaks more to a basic lack of...

And, again, the fact that a physician is prescribing a patient NTG to relieve their angina is irrelevant to the question of whether it's a good idea for a paramedic to administer nitroglycerin to someone having a STEMI! "Nitrates in all forms are contraindicated in patients with initial...

I'm sure you've probably worked in areas where there's been some element of racial tension. Assigning a label to someone based on your personal interpretation of their racial or ethnic background is likely to cause hurt or insult to a lot of people. It's also imprecise and largely...

120 hours is a really short time for an EMT training program. Where I worked, the EMTs had six months of training, and IV initiation and D50W were in their scope. This has since expanded further. I've heard some people suggest that their training is closer to a US EMT-I than an EMT-B. I'm...

I don't really like them, but I think my experience was coloured by the particular vendor my organisation used and the software they provided. Advantages: ======== As many others have said, all your CAD data and times sync in, you can often pair your times from your LP12, import your...

I doubt that she's got no "clinical experience". My guess is that in a four-year BScN program, she's probably done more practicum hours that your average paramedic student. I don't know about you, but I spent 1100 hours in the ambulance, and 400 or so hours in the hospital. I'm betting...

This is a valid point, but it's also worth remembering that somewhere around 5-10% of patients experiencing an acute MI may have point tenderness that's reproducible upon palpation. So point tenderness on physical examination alone can't be considered a rule-out. Swap CJ, Nagurney JT. Value...

Just bear in mind that just because it hasn't happened to you personally, yet, doesn't mean it might not happen in the future. Or that it hasn't happened to someone else. I've had a fair number of STEMIs just up and code on me. Sudden arrhythmic death is a major killer in the first 24...

Yes. But why is your patient taking NTG? Probably because a physician has diagnosed them with exertional angina. A chronic problem, due to coronary insufficiency that prevents oxygen delivery from meeting oxygen demand when the demand increases. Now you're evaluating a patient you suspect...