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    What does your agency ride in...

    Interesting. I wouldn't expect that there- In fact I'd expect them to have a problem with going pink, given CA's rigid structure of things. That and a checker pattern on emergency vehicles is a sort of trademark of the UK, if I'm not mistaken.
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    What does your agency ride in...

    I'm only guessing that that's not from the U.S... But yeah... I see your point... The checker pattern is just undignified. Makes it look like a pizza delivery vehicle or something. Thanks for proving it could be worse. I was reluctant to post this until now...
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    Strange stuff on your truck

    lol. Yeah. The sad thing about it is that I get "looks" from people in the public, as if to ask "why on God's green earth would the paint it pink?" Mind you its a breast cancer campaign, but STILL. can we not assign a FEMALE paramedic? REALLY? I have been TRYING to get one of the standard...
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    What does your agency ride in...

    Driven by yours truly. And I swear to god, the first lol i hear....
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    Strange stuff on your truck

    My truck is bubble gum pink. I'm not trying to hear it, lol.
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    My Daughter just got on the national registry.

    @Tiger This is exactly what makes you an interesting personality. We were all thinking it, yet leave it to you to actually say it in uncertain terms. I can only hope that you are this opinionated with patients. (or maybe not- it might break down the "system".) :D:cool:
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    Propofol/Ketafol

    What i'm saying is that these particular drugs are shunned by the public eye as being the standard of care, and it will be the public eye to a major extent that one will be judged by. Hence, one takes a second look at things. If protocol absolutely says ketamine then its one thing (at which...
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    US National Library of Medicine NIH: Sodium Bicarbonate Case Study

    @Medic27 To clarify the chemical reaction, Sodium Bicarbonate reacts with an acid to form CO2 + H2O + Na. CO2 in turn will break down to form Carbonic Acid.
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    US National Library of Medicine NIH: Sodium Bicarbonate Case Study

    It's really a moot point. When treating diabetic acidosis, your going to have a significant chance of developing cerebral edema (resulting in increased ICP) as you transition out of acidosis. In fact, it's one of the reasons that, in the long-term treatment of DKA, one should have Manitol on...
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    Propofol/Ketafol

    It makes a difference because when things go wrong, there's increased liability in connection with drugs that already have a certain stigma going into a situation. Therefore, it's a good idea to avoid them, unless protocol is undeniable as to specific narrow indication. This in fact is what has...
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    Off Duty but still concerned?

    Um... Yeah. By end of shift why anyone would subject themselves to the repeated trauma of continuing to listen to the sqawk box is beyond me. But when your off for a weekend you strangely start to feel naked without it.
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    Propofol/Ketafol

    Add on top of it the balance between using a drug first known as a "vet med" Vs. a drug that has a plain bad reputation in the popular media. Lest we not forget the Michael Jackson affair.
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    US National Library of Medicine NIH: Sodium Bicarbonate Case Study

    My take on this is that it is absolutely meaningless, unless we know what control variables were applied within the study. Bicarb in cardiac arrest is an extremely controversial topic to begin with- and depends upon the context of the arrest- Was the patient acidic within the context of the...
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    Critical Care Topic of the Month

    The point on this is being that the "studies" really show nothing, because they don't control for the underlying trauma severity as an absolute- (This can be subjective at best in establishing criteria to attempt to objectify the severity of a given case via comparison.) Therefore, they can't...
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    Critical Care Topic of the Month

    That's certainly one way of looking at things... which perhaps is workable as a strategy , BUT IF we think out / work out the ratio of blood products to Fluids in order to acceptably cancel out the hemo-dilution effect ENOUGH to get the job done with hopefully transient effects, combined with...
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    Critical Care Topic of the Month

    Oh, so you never question the "research"? Interesting, considering the fact that if we never challenged the current thinking we'd still think the world to be Flat. On the upside- Apollo 1, Challenger, and Columbia wouldn't have happened either. There's an old yet wise expression- When you THINK...
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    Critical Care Topic of the Month

    But yet it would seem that tachy plus increased O2 demand is just going to result in the tachy gradually increasing, as a infinite loop, since increased demand feeds the tachy which in turn feeds the increased demand of the tachy itself. So what might limit the tachy as to keep things within a...
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    Breath sounds/BP

    However, in that Scenario, is O2 really going to help anything in the long run??? Most probably not, absent one of the few exceptions to things, and even then its only going to be marginally effective. (such as CO poisoning causing a false O2 sat reading.) Notably, the trend has been recently...
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    Breath sounds/BP

    Interesting, and what, next your going to tell me that not all areas have pulseox or EtCO2 either? I mean one would think that NiBP would be pretty much standard everywhere considering the fact that you can get them for a little more than the cost of the manual. That said, I agree that one...
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    Breath sounds/BP

    But seriously, one of the things that can help with this is to make sure you place your stethoscope either more or less laterally, as to make sure that the artery is properly covered. That said, the question becomes WHY on God's green earth your using a manual cuff to begin with. I mean it's a...
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