Search results

  1. Gurby

    Is Smoking Part of Medical History?

    I think you were correct back then, but technically correct now. It depends on the context. Yes, when charting, smoking goes in the social tab. But it is often relevant enough that it should be thrown in along with other PMH in your handoff: "55m w/PMH TD2M, HTN, 50 pk/yr current smoker...
  2. Gurby

    Coronavirus Discussion Thread

    That fatality rate is creeping up though, at 1.8% across the country now. NYC was holding at 0.5% for quite a while but now they're up to 1.6%. I remember reading somewhere that in China it was taking around 14 days on average from symptom onset to death, in those who will die. I'm worried...
  3. Gurby

    Coronavirus Discussion Thread

    I can say that my SHTF closet is going to be filled out quite a bit more in the future. I feel like this pandemic has made me acutely aware of how close we are to anarchy at any given moment. People have been literally fighting over toilet paper. My local grocery store is completely unable to...
  4. Gurby

    Coronavirus Discussion Thread

    Thanks for writing this all out, this side of the argument feels a lot more reasonable to me now. My hospital is getting hit pretty hard, and the panic in the press makes it easy to forget that the sky is not falling everywhere.
  5. Gurby

    Coronavirus Discussion Thread

    What should the country do, if not lock down? Do we shrug and say "oh well, guess a bunch of people will just have to die" as the virus burns itself out? How are hospitals supposed to handle the surge of patients? I think I asked the same questions a while ago, and you said the virus wasn't...
  6. Gurby

    Coronavirus Discussion Thread

    Excellent, this hits it right on the nose.
  7. Gurby

    Coronavirus Discussion Thread

    I wonder if you guys believe this is real yet? My small, rural hospital is absolutely getting smashed, and half of our nurse+physician staff is out on quarantine for possible exposures. We have only had a couple confirmed positive patients so far and it's already a mess. There aren't enough...
  8. Gurby

    Coronavirus Discussion Thread

    You work in a hospital right? Is your facility not being affected by this? How do you think the US government should respond?
  9. Gurby

    Resp failure ift pt

    When in doubt about whether you should take a transfer that seems over your head, IMO you should call medical control. Push the liability onto someone higher up the food chain. Let the MD decide whether the transfer is appropriate or not.
  10. Gurby

    premptive strike on the NREMT

    Make flash cards of info you want to remember from class, and review them every day.
  11. Gurby

    QI can be heartbreaking

    As a partner of mine used to say... Some people are just meant to dig ditches...
  12. Gurby

    NREMT Paramedic 5th attempt, need help!

    I always recommend people find a tutor. It's always worth it to sit down with someone 1-on-1 who can evaluate your thought process and see where your holes are. Ideally it would be better to find someone in real life - if you're working as an EMT-B right now, maybe you could find a medic that...
  13. Gurby

    Treatment for patient with Moderate hypothermia and Major Frostbite

    2 hours is plenty of time to call medical control and see if they have any comments/questions/concerns.
  14. Gurby

    Am I going crazy?

    By the looks of it, he was so thankful to find this post that he actually created an account for the sole purpose of bumping this thread.
  15. Gurby

    Acute onset of unexplained hypothermia (non-environmental)

    Thanks for following up with the results. Glad that the scary things that could cause this have been mostly ruled out.
  16. Gurby

    Would benadryl help anaphylaxis any?

    You are correct about the "ostomy" vs "otomy" thing. The key difference is "cricothyr-" vs "trache-". In a cricothyrotomy, you are cutting the cricothyroid membrane. This is apparently easier to do and has fewer complications. In a tracheotomy/ostomy you are cutting in between the rings of...
  17. Gurby

    the 100% directionless thread

    Every time I hear about agonal breathing fooling people, I think of this video. I'm sure I've posted it before but I'm impressed every time I rewatch it:
  18. Gurby

    Septal infarct > Flash Pulmonary edema > Code

    Thanks for sharing, good case. I look forward to hearing discussion about this from the more experienced people here. I'm not sure if there is a good answer. It seems like there was a high probability of him crashing before making it to hospital unless you had a cath lab in the back of the...
  19. Gurby

    Paramedic Continuing Education

    I never really figured out how the CME stuff works, and can't be bothered to spend a bunch of time doing it. My tip is that "recert by exam" is a thing - if you're willing to shell out $125 you can just retake the NREMT and call it a day. But maybe it's worth the trouble to figure out if your...
  20. Gurby

    STEMI Mimic?