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  1. K

    quick cardiac anatomy question

    reading it now, thanks. I didn't think about wiki
  2. K

    quick cardiac anatomy question

    ok so... lad- anterior, septal, some inferior circumflex- lateral, some posterior rca- right, inferior, and some posterior anything else anyone?
  3. K

    quick cardiac anatomy question

    ok so we're going through a 12-lead class have to know which leads relate to which arteries. I think I have it straight, and I know these are general guidelines but before I do all the practice ecg's here is what I am thinking LAD is anterior, septal, and some inferior circumflex is lateral...
  4. K

    trauma call, head and facial assault

    That's kinda my thought, error to the side of caution. Not bad on the English, better than some of us native to it lol
  5. K

    trauma call, head and facial assault

    All that sounds true, I plan to talk it over with our medical director (who happens to be this hospitals director also) tomorrow. We got sucked out of there for another call before I could chat with him, and he was new so idk who he was or if I'll even run into him again. We have a lot of team...
  6. K

    trauma call, head and facial assault

    Thanls for the compliment. Its beenone of those nights of second guessing everything I do and I needed some reassurance.
  7. K

    trauma call, head and facial assault

    Yeah I justified it to them but they never wanna listen, they just wanted to hurry outta there and get back to the recliner. They actually wanted to walk the pt to the truck and said "just leave the cot in and we'll bring the pt out to ya". The call even came out as assault with positive loc
  8. K

    trauma call, head and facial assault

    The whole shebang.... he said just try not to move around much until we get some xrays and a ct. I wasn't exactly comfortable with it but he signed my pcr and I was leaving by then so it was outta my control and on his license, and livelyhood not mine
  9. K

    trauma call, head and facial assault

    That would be an option I would be open to, however our protocols are basically all or none. I mean we could document a refusal of lsb if that was the case, but likely would be in the "principles office" to 'splain ourselves for it. Not that we would be in trouble but it would just be a very...
  10. K

    trauma call, head and facial assault

    Yeah I filled out an incident report to our qa department and medical director as well as sent the epcr to them for review. I don't regret doing it but wanted to make sure I wasn't out of touch, the fire dept agreed with my partner so I was totally outnumbered. I nformed the pt of the risks of...
  11. K

    trauma call, head and facial assault

    So here's a scenario I ran into today and I would like some opinions on it. Responded to a 29 year old female, assault victim. Once there the pt is ambulatory, but with numerous abrasions and lac's on her head, face, and upper extremities. She does not remember the occurence, only that she...
  12. K

    You might work for a private if.....

    man, this thread makes me glad I work for a good private service now because most of this stuff actually applies more the the local county services than it does to ours lol... guess we're backwards
  13. K

    What you want?

    #1 I've seen way too many people make this mistake and the bad part is I have even seen everyone do it, physicians, nurses, police, everyone. staying calm is something we should all remember, and consciously do on every call #2 I like this, I will be using it when I workj with new people from...
  14. K

    What you want?

    Me and my partner have worked together long enough that normally she knows what I want and has it ready for me when I need it. every pt gets largest practical bore needle to get it with as few trys as possible (18 is usually biggest unless I want a bolus etc, , but every pt is different). she...
  15. K

    fentanyl info

    I should have access to them through my school, but it's not working. maybe because i took a semester off before starting nursing school. I'l shoot you a pm with my email. thanks a bunch
  16. K

    fentanyl info

    I totally agree, morphine has its place. it seems to me that carrying both would give us an expanded ability to control pain, especially with the shorter half-life of fentanyl.
  17. K

    fentanyl info

    I've read all the posts I could find on the advantages / diadvantages of fentany vs. morphine. I have been asked to research the option of adding fentanyl to our pain management protocols, and am having trouble finding research documentation to submit to our medical director. Does anyone have...
  18. K

    Gun on scene ? / n00b student question

    anybody care to comment on this thought: what if you are dispatched for something other than a shooting, and arrive to find a shooting with weapon on scene. I ask because it has happened to me, thankfully pd arrived only a couple minutes after i called for them. we were sent for a leg pain...
  19. K

    Scenario posed to me by ICU nurse

    would it be possible that while he was upside down 2 things could have happened, or one of these 1. he had a c-spine fx that, while upside down with no weight on his neck, didnt show since his torso was supported by his seatbelt 2. bleeding in his abd cavity that was partially controlled...
  20. K

    ems in Las Vegas

    So my partner is thinking of moving to Nevada (specifically Vegas) to be near her family, and was wondering how ems is ran out there. Ya know, ALS or BLS, system status, or posts, FD ems or 3rd party ambulance. how is the pay, and working conditions? i told her not to leave me, because good...
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