A lot of physicians use the SPIKES protocol, even for non-cancer discussions. Having a step-by-step process for the provider can make it easier from a procedural standpoint (prepping the provider to deliver the bad news, giving them a methodology and suggested responses, etc.). However, since...
"My service was one of the first around here to use the Lucas and we're using it as part of a CCR study; our current save rate is ten times the national average (~45%) under the study using the Lucas."
Study guidelines: cardiac (not respiratory or traumatic) arrests with a known down time. Read...
I have personally used both the AutoPulse and the Lucas on the same patient; our service was test-driving the Lucas while we had the AutoPulse.
~80F in cardiac arrest on our arrival; AutoPulse placed on backboard, patient placed on AutoPulse / backboard, and AutoPulse started. When we went...
Safety Program Consultants (www.4spci.com) in Taunton teaches them semi-regularly as well.
I had heard a rumor that RI was going to drop the EOA / MAST class and move over to a purely National Registry certification; guess that went the way of requiring Cardiacs to carry an ACLS certification...
All of the monitor manufacturers typically require their own software (or firmware) to be able to transmit data. So while you'll probably be able to make the MRX "visible" from a bluetooth perspective you won't actually be able to useably pair your cel phone with the monitor unless Phillips has...
When I taught the geriatrics module I used to pull out the "fogey suit" - goggles wrapped in saran wrap (to simulate retinal degeneration), big winter gloves and boots (to simulate neuropathy) ankle and wrist weights (and sometimes a vest to shift their center of balance), and hearing protectors...
Our service uses AmbuPro EMS (www.ambupro.net). I like it a lot; there's a lot you can do with it beyond "typing pretty run reports". I haven't used anything else but other users who work elsewhere have pretty uniformly stated their preference for AmbuPro over some of the other major competitors.
I found the NREMT written exam to be slightly more difficult than the Mass one, but also much better written. I believe you'll have to challenge both the practical and written exams (practical first, written second).
You can usually get con-ed credit for M&M rounds, too - check with the local hospitals (I believe Beverly hospital is closest to Middleton?) to see if they offer them and when. They're cool because a) you get to see some cool cases, b) you often get to hear first-hand from the folks who treated...
I'm fairly sure that the standard response is "six to eight weeks", which is what I used to tell the students I taught. Here's how it works:
1) You and your classmates take your exam at whatever site was selected. A group of state-certified examiner and a lead examiner (who is in charge of the...
Ha! I actually know the answer to this one.
I've seen a couple of local NICU / PICU units that use these. The crew essentially becomes taxi drivers - they show up, pick up the 5-person NICU team from the local children's hospital and all of their gear (built into a modified Stryker stretcher)...
What did they fall from? A standing position? A golf cart? The top of a 30 foot ladder?
"just" pain management is a pretty big deal when it's your patella that's been moved 90 degrees from where it's supposed to be. There's also the side benefits of analgesia - to wit, muscle relaxation...
I've been told that a 500 cc fluid bolus will also slow contractions (assuming, of course, that mom can handle the extra fluid).
Buttocks - in general, nope. Local protocols state that that kind of breech delivery gets transported, with mom on her hands and knees and her butt in the air with...