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It looks like it was replaced by the Hospital Medicine version. http://www.amazon.com/gp/product/1284084027/ref=pd_lpo_sbs_dp_ss_2/192-8223642-6415442?pf_rd_m=ATVPDKIKX0DER&pf_rd_s=lpo-top-stripe-1&pf_rd_r=0BEMNH7PQK6DTTR7C67W&pf_rd_t=201&pf_rd_p=1944687582&pf_rd_i=1882742508

Slurred speech is slurred speech. Just because it's normal for the patient for what ever reason (prior stroke, other neuro issue, lack of teeth, etc) doesn't mean it isn't slurred. Your job, as a clinician, is to determine if the slurred speech means anything or not. Also, it doesn't matter...

I use a neuro exam.

Actually, that's the Serenity, a Firefly class transfer ship.

Just because it was a real homework question doesn't mean it isn't a dumb question. Also, from a pure mechanical perspective, the kidneys (bowman's capsule) and spleen (lymph being pushed through and filtered for antigens) is much closer to a fuel filter than the liver.

1. We don't do homework questions. 2. Since all three of those clean the blood in their own specific ways, the question is rather nonsensical.

Aw, someone is all butt hurt because other people think that his choices aren't free from consequences.

Hey, look. This thread went exactly where I predicted. What's next, this guy complaining that he can't get a fair shake in EMS? After all, it's not his fault that society isn't more accepting of [poor] choices.

In this thread, people who make choices and then are upset that not everyone agrees with those choices, but then whines that it's the fault of the people who disagree with their choices and not themselves.

Patients have names? Strange... I always thought they just went by their room number.

Crews know when they're being screwed with by dispatch. Running one crew from one side of the county to the other while everyone else goes undispatched gets noticed, and will generate comments that aren't nearly as unprofessional as dispatch screwing one crew. Crews also know when one unit is...

Sorry, already sold.

It's very hard to say whether EMT class is "hard" or not (and, in the grand scheme of things, it really isn't hard) because that is going to depend on you, your background, how you learn, and how the course is taught (all things can vary wildly from program to program and student to student)...

There are better ways to describe CHF. Are we talking about acute failure or chronic failure, or acute on chronic failure (acute exacerbation)? Is it systolic dysfunction (low ejection fraction) or diastolic dysfunction (low filling volume) or both? Is it ischemic or non-ischemic?

Ok, what I'm going to need you to do is go down to the cafeteria and pick up 20 of those little squares of butter and bring them back up.

http://cjem-online.ca/v15/n5/p307 Like absorbs like, so you want to use a primarily inorganic substance to remove tar. Simple table butter has been used in the past for tar burns as a removal agent.

Quick question, when you write a narrative, what do you start off with when you write it? Any sort of standard phrase?

Hypertropic cardiomyopathy. One of a dozen lipid disorders. Drug abuse (Meth... it's always meth). Connective tissue disorders that give a higher risk of dissection/aneurysm.

Because the standard for writing a HPI involves starting with an identification sentence to introduce the reader to the situation. I don't care whether it was at a physician or an EMT, I've never seen a good narrative/HPI that doesn't start along the lines of "[Dispatched to a] 45 year old male...

Does it apply much or often to EMS? No. Do I normally use it in my ID section? No. Can I see why people do? Yes. Is saying "it has no bearing on patient care" 100% wrong? Yes.