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I am never able to be outside at the proper time to see the Leonids... Someday... Someday... Hope you get some good viewing time -B

Did he "look sick"? So, was ONLY the LRQ rigid and distended? (Did it feel like a mass?) Pain OPQRST? By "Splitting pain" do you mean a "tearing pain"? Could he localize an area for the pain? Was he writhing around on the stretcher or holding dead still refusing to move? Other ?s Was the...

Forgive me, I am tired... If I read your question correctly: Because you state your patient is already in hypovolemic shock, it means that the body is not able to compensate for the lost volume. The only way the BP will rise is to correct the underlying condition. tc -B

Umm... wow, is her Cr really 126??

Hope I am not feeding a troll... I'm wondering about the op's location, perhaps not north America? OP be careful, do not confuse "years of education" with quality or quantity of information learned. Most md students will spend 8 to 12 hrs/ day studying after lectures and do that 5 or6 days...

heh, I used to dispatch (EMT/EMD). There was one crew that you could set your watch by... 32 seconds after you dropped a run on them (we used pagers/MDCs) they would be coming through the door of dispatch telling us (loudly) why it couldn't/shouldn't be their run. Ultimately, b/c we often...

Symptomatic arterial thrombus is relatively rare in the upper extremities. If you think about it, most arterial blockage is due to atherosclerotic plaque which tends to, almost exclusively, cause blockage in small arteries such as the coronaries long before it could affect large arteries like...

I do not see how it could, there is only the single systemic outflow tract from the heart (Aorta), so any MI would affect the systemic blood pressure, not just one arm.

Coarctation of the aorta is typically the 'book' answer you'll see when asked this question. There are other possibilities of course. Here is a pretty good rundown on coarctation http://www.patient.co.uk/showdoc/40000428/

I'm actually a bit surprised that the whole incident didn't progress to something worse. When I view the video, it appears that the medic's airway is closed off (he points to his throat while making talking motions). When someone's airway is cut off, it tends to start a massive sympathetic...

Neither a badge nor a patch makes a person perfect. It is reprehensible that either party acted the way they did. The public depends on police, firemen, and medics to be a calming factor on scenes. This sort of thing degrades the public's respect for all the professions, because when they see...

The sad part is...you had to add that last line...

I believe residency pay is the same across the board with a few places with high cost of living adding a small stipend. Residents get a small pay increase each year, but I believe with 80 hr work weeks, they probably don't have much time to go spending all that loot. :) Here's a link to UCSD...

Heh, first year resident MDs earn 41-43k, I sure hope nurses earn more than that for 72 hrs a week! (Would mean the average nurses pay would be 9.55/hr) (data from http://www.valuemd.com/moonlighting-forum/11686-first-year-residency-salary.html ) Stay safe -B

Also a great explanation here: http://www.netwellness.org/question.cfm/22423.htm

I don't believe I saw this suggestion, so here's my 2cents... If you want to carry extra equipment that others may be able to use, that's wonderful, but I would suggest taking the equipment you are qualified to use and placing it inside a separate container inside your jump bag. This will...

Heh, ya, wasn't sure about that study. I couldn't pull up the full text either, but it seemed... odd Thanks Vent. -B

Found a couple of references: Robert Levine, Daniel W Spaite, Terence D Valenzuela, Elizabeth A Criss, A.Lawrence Wright, Harvey W Meislin, Comparison of Clinically Significant Infection Rates Among Prehospital- Versus In-Hospital-Initiated IV Lines, Annals of Emergency Medicine, Volume 25...

Toned out for mini van rollover with unknown injuries about 3am on a saturday morning. Very light rain coming down. Straight stretch of road. Get on scene, there's a van laying on it's passenger side lengthwise across the width of the road and there's a set of legs sticking straight out of...

The original high CO2 is probably due to respiratory acidosis (pt isn't blowing off CO2 'cause his resps are 6). Remaining acidotic after artificial ventilation to me points to some barrier preventing CO2 from diffusing in the alveoli (pulmonary congestion/edema?), inadequate amount of...