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Bringing threads back from the dead, are we? Ok, I'll go along.... After an assessment and Hx with BGT to determine that this is a sugar issue, I would follow my Hypoglycemia protocol (BGT > D10W bolus > Thymine > transport). HOWEVER, if this pt was geriatric, IDDM with paper skin and...

just for the confusion regarding abd quadrants, I offer this link with some good, basic information: http://www.geocities.com/pcpsk/abs.html FTR: I wouldn't have guessed gall bladder, but I knew it wasn't cardiac. Referred pain can also come from the abdomen as it is the same nerve...

but it can be unpleasant, so if it isn't necessary, why do it? I hated being pricked in class and my instructors used to get quite annoyed when we poked one another without cause, not because we were wasting time, but because it showed we didn't know what we were doing otherwise. Like a pt...

yeah, didn't do it until I got to the province of British Columbia, but you know, if the pt is UnCx, then why not? As long as someone is always near the head until the pt has a collar on, having your hands free just makes sense. Our sandbags are these small blue cylinder bags that can carry...

After mom delivers, where is she going to go? That's the confinement! :p

That's where the sandbags come in. To elaborate, after assessing the ABCs and knowing that an airway is necessary, I would place an OPA (suction PRN) and assuming that the bus is right behind me in that alley, I would jump up and grab the sandbags from the outer compartment. Then I would take...

saaay whaaaat?? Is that right? Canadian vs. US standards at work, I guess. Well, for us, we don't stop. We compress for a full two minutes and vents are given on every 10th compression. After 2 minutes, we analyze and check for a pulse. That's the only time we stop, short of a shock...

I just replied to the original question, I didn't read the other posts past the first page really. I hadn't heard the new studies on the TP. I never really bother with the TP anyway, I've always regarded it like the PASG/MAST (shock pants) -- bothersome and obtrusive. BUT a pillow under the...

Well, the idea that he is tachycardic but bradypneic is a little baffling, but hey, medicine is like that, right? So anyway, my answer would be (in likely order of findings): test LOC. > partner on C-SPINE. A.B.C. > Skin & O2 > grab sandbags from unit > OPA and BVM to partner. RBS > find...

actually, according Heart & Stroke, we don't stop to ventilate as compressions are non-stop. Point is to keep positive-negative pressure consistent and the heart in an electrical phase; stopping even for a few seconds reduces effectiveness. The adult metronome above is for 2 rescuers so that...

I have a couple MP3 files that were made up for 2 person rescue CPR. You can store them on your mobile phones or whatever device. I have them on my mobile and just run a playlist from a quick button to play them. They are metronome rhythms running at 100 beats/minute with an auditory signal...

sure. Why wouldn't 8 hours suffice? You'll be starting IVs under direct orders anyway so you don't need time to learn protocols or indications/contraindications. IVs are easy to learn, they just need a lot of practice and experience to master. The majority of your education on IV therapy...

I think everyone should be allowed to do a BGT on a pt with an ALOC. A finger poke isn't anything to be concerned with and a decent monitor is usually very reliable. It only holds everything up at the H if you haven't done one anyway. Now, in Canada everyone can do a blood-glucose test, but...

whoa! I am tired. 4 AM with my pager on my hip and I was missing stuff. Anyway, I'll shortform it for you again so I don't look so stupid. :P 1) ASK those opening 2 questions to get your CC. 2) ASK neuro/orient x4 PRN. 3) ASK the big 7 and pertinent PHx. 4) ASK your SAMPLE (in the...

well, that partially answer S of SAMPLE and P also includes previous Hx of the current medical condition. Like I said above, that's the basic interview. Good investigative skills will develop with your understanding of those basic questions. You'll eventually want to start asking your pt...

First off, don't apologize to your patients for being a student. That's life and how the system works. If you felt more confident you wouldn't feel the need to apologize. There may be nothing wrong with you or your ability to do your job; you may only need more experience. That's pretty...

In pre-hospital birthing emergencies there is only one thing you need to remember: "DON'T PUSH!!! DON'T PUSH!!! DON'T PUSH!!!" and transport. And if they are compelled to push anyway, then you're not going anywhere.

Well, I hope you were using PPE to better isolate yourself from the pt. Years ago I had a pt with open wounds to the leg that turned out to be infected with N.F. I found out about it after the pt coded and my supervisor called me with the news. I thought he was joking but he wasn't. I had to...

What do I win? If it's Necro-Fasc, I don't want it!

Oooohhhh... sounds to me like Necrotizing Fasciitis. Been there, done that. There appears to be a link between methicillin-resistant Staphylococcus aureus (MSRA) and Necrotizing Fasciitis. I'll leave the rest to Google and those with more time and a better understanding of it.