Risks are probably over blown, but we'll likely never have a good answer due to the obvious problem of studying almost anything in children. Fairly common in the UK for infants/newborns to get NSAIDs as part of their peri-op pain regimen.
Imminent herniation. Amp of Sodium Bicarb is crazy hypertonic. I'll never understand it, but I can keep all the Sodium bicarb I want on random unlocked carts and no one bats an eye when someone asks for it to be pushed. But I mention 3% saline and 50 people have an anger stroke unless I plan...
Bodies are good at dealing with chronic changes. Wouldn't really bat an eye of a potassium around 6 - 8 in someone with long standing renal failure. 13 is pretty high, but again, body compensates pretty well, so when you're new set point is around 7-ish, 13 isn't terrible.
I don't do crap on scene, with very few exceptions (e.g. 12-lead if warranted, cardiac arrest). And honestly that is double so for sick patients. Generally first question out of my mouth is "do you want to go to the hospital?" If the answer is yes I get them on the cot heading to the medic...
I actually dislike most of the book. But there should be an entire damn class on the laws of the house taught in medical school. Especially the one I quoted above and "placement comes first."
1. Call 9-1-1 as I drive on by
2. Call it in and continue on. I have a responsibility to the patient already in my care.
3. Render whatever aid I can while waiting for responders from the district.
I don't listen pre-hospital, in no way affects anything I'm going to do. In the hospital I generally listen in one area. The valve region is largely crap. There is so much transfer of sound waves in the chest that you can't reliably say where the murmur is just by auscultation (even adding in...
Ohio it's not a requirement, but if I maintain it I don't have to do the CE. Because the NR allows one to test out now I essentially don't have to do CE which is nice since I don't have the time.
Nothing good has come from a union in my lifetime, and probably my father's lifetime. My guess is the last time they were truly relevant and useful was during my Grandfather's generation.