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I'm driving down from Canada.

Any Canadians heading down to Baltimore at the end of the month?

I only have one tattoo...on my vocal cords that says, "If you can read this you are too close".

You're from Ontario so here's something I found online that's relevant to your workplace...I think I have posted this before but in my travels I met the head of a large regional NICU in Manitoba. The person I was to meet was a sizable muscular, heavily tattooed man with large ear piercings. He...

I always taught healthcare professionals (RT's, paramedics and nurses) that a great role of the oximeter is measuring pulse rate. I discovered this after watching a patient with an ECG reading of 80 but having a pleth of 40. People were wondering why the BP was low and the patient was SOB. I...

ISO standard EN 5356-1:2004 specifies the sizes for medical respiratory devices (most devices were placed under the anaesthesia group). This explains why everything we commonly use is 15 mm or 22 mm. Its designed to prohibit people from assembling parts incorrectly but it can still happen...

The best exercise can't outperform a poor diet. There are many ways to get the body in the shape you want but it starts (especially for night shifters) with eating well and drinking plenty of water. Stay off the junk food and sugary drinks.

It can be done but almost anyone can get their instructor's and hang out a shingle. Because of this, price is important and competition can be fierce as basic BLS can be found at many non-profits. That being said there is a company in Canada who has become very successful because they focused...

I would try and avoid using that blue tubing when using it in-line as it increases the deadspace of the device. For CPAP application, the T-pce itself should fit between the mask and CPAP generator itself. Normally these patients would be in a Fowler's Position so there isn't as much of a...

One of the biggest fears is having the flow titrated down so low that it doesn't flush out the exhaled CO2. You would see a fogging on the inside of the mask around 4-6 LPM. Although we always want to emulate what we see on TV and in the movies (he says with sarcasm) , it should never happen.

Exactly. In a perfect world, the bag would deflate completely before any room air is inhaled. The mask volume itself is pretty small so any oxygen in that small space provides minimal benefit and the removal of the one side valve essentially destroys the functionality of the mask. As I said...

Agreed, but the peak inspiratory flow rate of the patient is upwards of 60-150+ LPM, which isn't possible from a standard flowmeter (many DISS demand valves should go up to the 160 LPM range) but not Thorpe tube or cylinder regulators. The idea of the reservoir bag is to deliver a volume of gas...

That's exactly what the reservoir is for. But with the NRB, the bag doesn't fluctuate as much as the BVM. Once you remove one of the side valves, the reservoir should fluctuate as much or more with each breath. I used to put tape over the open exhalation port and have the patient exhale...

Thanks for the correction about the air and oxygen and yes 60% is a 1:1 mix of room air and oxygen. As some of those studies show, even turning the oxygen flow up to ridiculously high levels still results in room air dilution because of the mask design. I find it funny that if we were to use a...

I looked up the Luxfer site (Look here) and they claim that their alloy cylinders wrapped in carbon fibre were initially adopted by firefighters but are now being used by paramedics and first responders. 3000 psi and weighing in at 3 lbs for 436 L cylinder.

Now you've done it and opened this can of worms (for me anyways). If all the valves are present (one at the reservoir bag and two on the side of the mask for exhalation), the mask should direct oxygen towards the patient in inhalation and out the sides on exhalation. Due to no anti-suffocation...

Carbon fibre cylinders can be filled to a higher pressure than aluminum or steel.

i don't think the weight of the oxygen cylinder is stamped on the shoulder like (I think) it is with propane: http://www.usamma.army.mil/assets/docs/Oxygen%20Cylinder%20Markings.pdf

Also note the plastic seal "H" is one where it seals upon first and only activation, meaning once the regulator is tightened, it should not be loosened and then re-tightened using the same seal. These are called "crush gaskets". Tightening and re-using them can lead to leaks and many people...

Actually this is a very good point as it applies to CPAP because (as was alluded to) almost every study shows that CPAP prevents intubation 30-50% of the time...meaning it doesn't work to prevent intubation 50-70% of the time. At what point the patient activates EMS, the pathology...