Hey all, just random musings about something that is as common as the morning dew and that is gastric distention in working full arrests. Back in the day when we had positive pressure 'demand valve' regulators (aka Robert Shaw resuscitators), we'd just chalk up taught bellies to those. So...
San Francisco pilot program diverting SFPD from alcohol/drugs/mental health calls for assistance
https://www.sfgate.com/news/bayarea/article/Street-Crisis-Response-Team-To-Replace-Law-15476580.php
This being an area of interest to me, I'm interested in folk's experience with this that is purely job related. Not childhood/family trauma or military related PTSD...just the effects of coming into medical/law enforcement settings that are traumatic to witness/manage over time starting at a...
https://www.sfgate.com/news/article/ER-nurse-in-an-overwhelmed-hospital-recounts-15211741.php
If I ever see these names come across my desk for advanced practice in anesthesia, they can consider themselves dead in the water....just sayin'...
Aside from the claims of increased cost (like a bag of IV fluid will affect the bill of an ambulance ride and a full ER work-up to say nothing of going to the ICU or OR or both...)NS sux...Although this link concerns hyperkalemia in renal failure (I can't understand why people hang iv fluid on...
http://www.startribune.com/at-urging-of-police-hennepin-emts-subdued-dozens-with-powerful-sedative/485607381/
Hennepin EMS Medical Director Jeffrey Ho and Minnesota Poison Control System Medical Director Jon Cole dismissed the findings of the report as a “reckless use of anecdotes and partial...
https://www.sfgate.com/bayarea/article/drown-hawaii-bay-area-maui-full-face-snorkel-mask-12547806.php
With attention to this:
It is "too early to make any sort of connection to the use of this equipment and drownings,"Maui Fire Battalion Chief Edward Taomoto said, but there is speculation...
Hadn't thought about it for a long time, but this brought back memories of a sunny Sunday morning in 1989 after a call when our ambulance overheated. My partner and I discovered an incised radiator hose.
Nothing ever came of it as the company never pursued it, but we had our suspicions...
There seems to be a vibe among providers (RN, medic, EMT, even docs) that gives the impression that the powers that be, whether private company, pharmaceutical company, bosses, are out to get patients to save or make a buck. That vibe conveniently leaves out us, the boots on the ground, out...
Why is this so awful again? Forums everywhere, universally, it is regarded as a point of derision and shame. Someone thumbing through old clinical threads provides a new insight or question building on what's already been said is so bad? Especially when there might be an arid spell in those...
Just sitting here waiting for my GI bug to get lost and this topic came to mind (don't ask)....Do folks look for it routinely in the field? Do sending hospitals include some mention of it when it might be clinically relevant?
Tx
Hey all,
Just throwing this out there purely for curiosity's sake...what are folk's experience with it? Under what conditions/circumstances is it used by HEMS or EMS? Is it initiated pre-hospital frequently or just continued IFT?
Kind of a mundane question...