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Funny that yours was from a horse. Mine was from a bull and spur hung in the flank strap. I don't get sick often either but when I do it seems like it takes me longer to recover.

Thanks for the response gentlemen. Fortunately I don't believe my happiness is dependent on a job. It may be difficult but I'm certain I can find a job I enjoy almost as much.

I have an odd question. Several years ago I had a splenectomy due to a traumatic injury. I was briefed on a few of the things I should be aware of that are unique to splenectomy patients as far as things that can cause overwhelming post splenectomy sepsis. I know I should avoid deer...

Only if they're using it punitively. For example, starting a 16 on a pt that doesn't need it just because this is the thirty second time you hauled that pt in a week. It seems a bit much to discipline providers for doing things they were trained to do. What may be less than obvious to you...

Don't :censored::censored::censored::censored: where you eat.

I agree with this. Rigor and livor mortis can pretty well be absolute indicators of the futility of CPR in a particular patient. In my opinion, if your physical assessment reveals rigor mortis and postmortem lividity, there is no need for an EKG. Again, that is my opinion and my protocols...

Suicides... I just can't grasp how someone makes that decision.

For what it's worth, inverted T waves are not necessarily something to be taken lightly. In fact, it can be an indication of something like Wellen's Syndrome which some would argue is a condition that would require rather urgent catheterization...

Im saying it looks like left ventricular hypertrophy. LVH can apparently cause that STEMI mimic but I hear it can also cause that secondary depolarization abnormality that's manifested with a widened QRS angle. Or...I could be way out in left field and she's having the big one. But I get...

HTN = LVH...probably

Around here we call it a petro...

This is like treating the symptom and not the cause. Making Naloxone more available doesn't actually reduce the number of overdoses, it only gives people the perception of a safety net, sort of a get out of jail free card for abusing opiates. In turn it would probably increase the actual...

I would bet it's a typo on her part. 2.5 just happens to be the gtt/min rate if you had a 60gtt/ml set.

For what it's worth, I was taught while a member of a certain warfighting organization that you can also find the site for decompression at two finger widths below the clavicle at the mid clavicular line. It should get you close.

That just sounds like good paramedickin to me. But really, check your textbooks. Everyone that I've had mentions that a reassuring touch on the shoulder or in this case holding a pt's hand can be the most therapeutic thing you do for that pt. If the pt's most acute "illness" is a fear of...

Oh i figured you thought I need to quit smoking

I think everybody can agree with that statement. And you obviously know substantially more about products like hetastarch than I do. But, along the lines of what Brown said, I can't help but think there can be a place for HBOC products in the future, or something like that. Not as a...

So, permissive hypotension is a good thing. However, I personally believe there should be a difference in permissive hypotension and permissive exsanguination. :ph34r: Is there possibly a need for products like hetastarch in the prehospital setting?

If it's better for our patients then I'm all for it. But, I don't believe that there will never be a time when a patient needs an ETT. Like a burn pt or any other pt with laryngeal edema refractory to medication. Sure, put the King LTs and LMAs on the trucks but don't remove the ETT. Oh...

LMAs and King LTs are really nice, especially in patients who have been fasting for 24 hrs. However, how many burn patients or cardiac arrests have you worked with patients that have no gastric contents? The truth is that the ETT is the gold standard in airway protection for a reason. Beyond...