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    Ideas for EMT hire with disability

    Unfortunately IDLH environments are a bad mix with seizures, I wouldn’t risk working fire. I’m surprised someone didn’t say something sooner. It’s not just a matter of having a second patient, if you seize you are no longer able to provide them care, essentially unintentionally abandoning them.
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    the 100% directionless thread

    You can easily assess early and without invasive lines by using a nicom or clearsight
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    the 100% directionless thread

    I think that's hugely variable on how ill the patient actually is. The more critically ill the patient is after resuscitation the less often they have a normal or increased CI. Those who are fluid responsive and less ill do tend to maintain a normal or increased CI.
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    the 100% directionless thread

    Depends on your intravascular fluid balance and if your heart function has taken a hit. Often in adults we see a sv of 20-45 before fluid resuscitation, and most adults just don’t tach up enough to get back to a normal CI.
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    the 100% directionless thread

    Well, that website just told me that cardiac index increases in septic shock so...
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    the 100% directionless thread

    What’s the plan of the state takes away ketamine?
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    the 100% directionless thread

    Just keep the patients alive and support your staff.
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    TXA

    Younger patients are generally less sick period. There is a reason we see the extremes of age in critical care, the very old and the very young. There certainly are adolescents and young adults who are sick and medically complex, but they are much smaller proportionately.
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    Bells vs stroke

    Also keep in mind that it is statistically unlikely to have more than one acute episode of Bell’s palsy, and a history of Bell’s palsy certainly does not exclude the possibility of acute stroke. If a patient had an acute episode of chest pain one month ago and was diagnosed with costochondritis...
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    TXA

    There are several studies and case reports of thrombotic events. I think it important to keep in mind that a lot of the early data on TXA was coming out of the military which has a relatively young and healthy population compared to civilians. Tranexamic acid and thrombosis. Prescrire Int. 2013...
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    TXA

    Same thing happens every time I’ve brought up the risk of PE and stroke.
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    Bells vs stroke

    The finding of an acute focal neurological deficit should be treated as an emergency until adequately evaluated and proven otherwise. Bell’s palsy is the result of a viral infection of the facial nerve. It is not unreasonable for a patient to have bells or another non-stroke related facial...
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    the 100% directionless thread mental health posts

    I doubt an anonymous unrelated online forum really provides a therapeutic opportunity.
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    the 100% directionless thread

    She got a full work up by forensic pathology since she was a pediatric death. No other risk factors were found.
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    Joining the USAR as a 68w; Worth it?

    No good military or law enforcement program is going to have their medics at the front of the stack clearing rooms. Having your medic get shot because of unnecessary risk is poor tactics.
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    the 100% directionless thread

    I had a 16 year old code that we never got back from a massive saddle PE. No risk factors other than a recent long car trip.
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    the 100% directionless thread

    I usually just blame autocorrect on my phone.
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    the 100% directionless thread

    Nope.
  19. P

    the 100% directionless thread

    For some insane reason I paid with my debit card. Apparently my homeowners insurance might cover it though.
  20. P

    the 100% directionless thread

    Sent my bow without a signature on delivery despite me paying for it. Shipper won’t pay out since it was delivered. The shop refuses to pay even though they made the mistake.

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