This is a very good point. While it is important to be receptive to input from other health care providers, it is also important to be confident in your own skills/knowledge. there will be health care providers out there who do not understand our scope of care and try to imply you dont know what...
picked up a CHF'er at a local SNF the other day, lungs were real wet. the RN said their pt had flash pulm edema and their BIPAP wasnt workin. i told her we were going to put the pt on our CPAP, at which time the RN informed me that CPAP wouldnt do anything for the pt, and i HAD to intubate her...
picked up a CHF'er at a local SNF the other day, lungs were real wet. the RN said their pt had flash pulm edema and their BIPAP wasnt workin. i told her we were going to put the pt on our CPAP, at which time the RN informed me that CPAP wouldnt do anything for the pt, and i HAD to intubate her...
im in agreement with what pretty much everyone else has had to say, our job is to treat the patients and get em to the hospital.
as for the suicide: quite often people change their mind. in my experience those who truly intend to kill themselves do it in such a way that not treating is a no...
i had almost this exact patient last night. found right lateral on ground, stated they just got tripped up and fell, but was complaining of neck and lower back pain in the same locations that they normally have it in, no worse then normal, significant kyphosis. CAOx4 and no neuro deficits. hip...
the person who did all that in austin, when i was there, was Kelly Daigle(spelling?). generally when you submit an app online they get back with you fairly quickly.
-Jeff
i couldnt find any references on the site. our schools medical director (Dr. Kimbrough) is an associate med dir for ATCEMS, i will be sure to ask him about it the next time i see him (im fairly confident he knows pretty much everything :P)
you can find the cogs here: http://www.atcomd.org/CMPMP100109%2009.htm
click the link for "Toxic Exposure Patient Care Guidelines", its i think the third protocol down.
it reads:
FOR CHLORINE GAS EXPOSURE ONLY:
• Sodium Bicarbonate Nebulized:
Place 2 ml sodium bicarbonate 8.4% (standard...
also something i find interesting is that there is little/no CISD for those of us who are students. so, those of us who are new and have the least coping skills have little access to assistance. i could see this leading people down the path of developing poor coping skills.
also, on my first...
dude, the hymen and hyoid are practically the same thing :rolleyes:
veneficus has good advice. i would imagine detroit has a few options for medic school. also, you could you could possibly address the issue with the school administration. could they possibly move you to another instructor...
rereading my comment about a&P in emt being advantageous, that does seem a little silly. if i could attribute it to anything i would guess it has to due with the clinical experience gained from the basic program and from working IFT.
the intermediate patch is useless in my state (nevermind...
nurse vs. paramedic is kind of apples and oranges in my opinion.
Paramedicine is very limited/specific, and i know numerous medics who have left to go on to nursing/med school, due to this fact. some of my fellow classmates are going through the medic program with the intent of bridging...
it is a long time, but it seems to go by pretty quick. this summer will be my last semester, and it seems like it really wasn't that long ago i was just starting. i think its one of those situations where time flies when you're busy...you will definitely be busy...
-Jeff