Hey everyone. Sorry I haven't been around much, RL has thrown some real curveballs over the last year. I do have one question for those in the know. I have a friend who just found out she is taking her ACLS class tomorrow (don't ask, long story, not her fault). Are there any good websites...
I know it isn't the intent of this thread, but there is so much wrong with this. I'm not sure why this is an SNF horror story and not an unprepared/inexpereinced crew horror story. It sounds like the LPN gave all of the appropriate info to the crew, whether the dispatcher got the proper info...
When I started banana bags with thiamine and folate were pretty much standard. Over time they have fallen out of favor since most of these people were such regular visitors that they were being overdosed. Most of them end up getting enough in their diet from the meals they get in the ER. I...
1. Stop the ambulance. The key to successful intubation is optimizing the environment. There are somethings you can't control such as secretions/blood/Mallampati so take control of the things that you can control. It's a lot easier to place the tube in a stationary position than it is with...
The study is really more about who needs CT (and radiation) and who doesn't but it is very useful to help with discussion and you can shut those know it alls up when you ask them which PECARN criteria the meet. It still annoys me when someone says that their relative who is a (insert alphabet...
@Akulahawk, check out the PECARN head injury studies. It sounds like something you might really be interested in, especially when you have to deal with the super nurses and MAs.
One thing to remember with DKA is there is often some sort of precipitating cause. Sure, medication noncompliance is common but infections are another pretty common cause.
I feel like I'm a billionaire but the bank disagreed with me when I tried to take my money out of the safe.
OP, it sounds to me like you really need to find a new field.
I know I've had several cases where we had to discuss with the parents the proper dosing of meds. Nothing toxic, just a little too much. I haven't searched the literature but it wouldn't surprise me.
It is just so ingrained in our society that it is hard to change, much like antibiotics for ear infections. I never give my kids tylenol or motrin until they are feeling uncomfortable. If we could, at a societal level, educate parents about fevers we could cut a huge number of PCP and ER...
Fixed it:cool:
I've started printing this out and giving it to worries parents when they bring in their pumpkins at 0300.
http://www.seattlechildrens.org/medical-conditions/symptom-index/myths-about-fever/