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I used to be a basic in a state that let basics intubate. I am glad they took the ability to intubate away from basics. During the transition, a lot of people got a genuine statistical lesson on just how (not) beneficial intubations actually are.

The identical issue is definitely back. Showing up on devices that have never viewed this forum. (Hence no cache issue) @ emtlife.com/styles/default/xenforo/logo.og.png

The iOs favicon "apple-touch-icon?" thingy shows up as https://www.google.com/search?safe=off&client=safari&hl=en&tbm=isch&q=xenforo+logo&revid=1918564004&sa=X&ei=xLzmU8agOoabyAS7v4H4BQ&ved=0CBwQ1QIoAA&dpr=2&biw=1024&bih=672 I cant view pagesource currently on ios, so i cant be more specific.

Long story short: Dirt poor elderly female would insert ANYTHING (and get it "stuck") on a daily basis for pleasure/medical attention. After 3 months of this, everyone (docs and all) stopped giving a damn After a long shift, i had enough too. I made a deal with her, take the two (different...

Yep, but i dont know enough to say that this definitely isnt the case. I can only rely on what some preceptor said that one time. :(

I told a story about the time i bought a patient a sex toy. I got hired.

I was medic-taught that asa helps prinzmetal's because it alleviates vasospasm (txa2, can cause vasospasm?; formation inhibited via asa cox blocking :P) Matches up with your initial pharmacodynamics hypothesis.

Bleeding shock

https://www.dmu.edu/medterms/welcome/ Free, quick, simple, iOS as well. Other words to learn: I would familiarize yourself with state-ems-used drug names as well, generic and trade. heart anatomy, sa av his Purkinje parasympathetic and sympathetic divisions Common generics...

Things i see: the axis deviation, the pwaves without qrs, the qrs without a p wave, the slightly wide qrs, deep swave in III, the avl positive vs the avf negative deflections. My conclusion: 3rd degree (junctional escape focus) and left anterior fasicular block I would have liked...

I really like that fractional notation option, im going to start using it.

Atropine, which typically (and generally) functions to speed up the heart, usually increases the: oxygen demand, the glucose demand, the electrolytic demands, etc, of the parts of the heart (electrophysiologically) distal (but not limited to) from the SA and AV nodes. During a 2nd degree type...

I disagree with this simplification. The significant functions of the AV node seem to be in creating a pause to allow complete filling of the ventricles, and to serve as a backup pacemaker. I disagree with your assessment, that during the hypothetical of atropine being given during a second...

By blocking the vagal (parasympathetic/muscarinic/slow down) innervation, increasing the AV node rate past what the bundle of his (the below) can metabolically sustain while it is experiencing (whatever is causing the) mobitz II

It is *possible* for a 2nd degree block mobitz II (below av node) to be almost indistinguishable from any sinus rhythm (more so in a single lead (II), and for a short strip while brady). Atropine could disrupt the av node (and then below), which could lead to a 3rd degree block. Which would also...

Oh. nope we dont need two signatures to give the meds. once the vials are opened, all we have is a runsheet to suggest that we didnt steal the drugs and give the patient a dilution while in the back. I know of no drug issues at my company, but we've always played it safe i guess. Several...

You missed the iv? You didnt flush the iv site and failed at giving the entire dose? (Which would be .5ml of a 1mg/1ml vial at my workplace) I would be slightly torn if this would have happened to me, a small part of me would want to flush the iv (finishing the atropine dose if its a flush...

There maybe some ambiguity in how i worded it, but the containers themselves are clear, allowing us to inspect the contents for intact paper seals, and we can pop the numbered tag seals anytime we want with management witnesses and usually phone video recordings.

Imo, you do need some level of a&p Major bones, major glands, all organs, how the heart works, geographical terminology, what the liver, pancreas, and kidneys do, artery locations, airway structure, sympathetic and parasympathetic understanding, simple immunology and flora. At minimum.

I usually include one sentence that explains what im dispatched to, and how i got to it. Then a list of relevant history or major history. (DM, Splenectomy, meds, etc) What current things i see or relevently do not see and what patient tells me, What things i do and their outcomes.