Anjel
Forum Angel
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LMAO that's kinda funny.
I didn't have any required reading or anything. But I am half way through Dubins book. And I read the first Unit in the first book we will be using.
the 100% directionless thread
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LMAO that's kinda funny.
I didn't have any required reading or anything. But I am half way through Dubins book. And I read the first Unit in the first book we will be using.
adamjh3
Forum Culinary Powerhouse
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And I was reading at a collegiate level in the fifth grade. This should be a piece of cake :rofl:
Dubin's book is great! I think it'll be a good primer
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DesertMedic66
Forum Troll
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Just had lunch at a sports bar in our area. We get 50% off if we eat there on duty. It's a Firefighter themed sportsbar (owned by a retired firefighter). The food was really good.
The names of the meals are funny. There is a salad called The Paramedic. A sandwich called The Rookie. It's goes on and on.
The names of the meals are funny. There is a salad called The Paramedic. A sandwich called The Rookie. It's goes on and on.
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CPAP was the first thing I wanted, however this PT gig does not carry CPAP (private service). Assisted respirations by BVM was my next best thing.
R99: That was absolutely the first thing on my mind. However, this patient was not in a state of fluid overload, but in a state of increased vascular permeability, vasodilation, and cardiac compromise. This patient's vasculature was hypovolemic. Pressors won't do much good if there is nothing in circulation. The fluid bolus coupled with the inotropic and vasoconstrictive effects of dopamine (possibly with a little assist from BVM) did help this patients lungs clear of a considerable amount of fluid prior to arrival at the hospital. But yes, a fluid bolus into a patient with such audible rales is not always advisable and definitely requires some forethought
R99: That was absolutely the first thing on my mind. However, this patient was not in a state of fluid overload, but in a state of increased vascular permeability, vasodilation, and cardiac compromise. This patient's vasculature was hypovolemic. Pressors won't do much good if there is nothing in circulation. The fluid bolus coupled with the inotropic and vasoconstrictive effects of dopamine (possibly with a little assist from BVM) did help this patients lungs clear of a considerable amount of fluid prior to arrival at the hospital. But yes, a fluid bolus into a patient with such audible rales is not always advisable and definitely requires some forethought
Tell them about these:
http://www.progressivemed.com/estylez_item.aspx?item=71100
While your at it, make sure you have some of these for your BVM's
http://www.progressivemed.com/estylez_item.aspx?item=10329
if you were in my imaginary class, you'd get marked off if you said "lung capillaries." As lung capillaries could be bronchial or pulmonary.
Interesting side note, most of the bronchial capillaries drain into the pulmonary veins not the azygos and hemiazygos veins. Leading to a natural shunting, though very small, of blood left to right. Additionally, some bronchial capillaries anastomose directly with pulmonary ones, but they don't appear to be "open" in normal physiological conditions.
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adamjh3
Forum Culinary Powerhouse
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I found out last week that my client for the rugby season pulled out, so I was left with no guaranteed source of income, as I had to drop to PT for medic school with my IFT job, and no hours are guaranteed. So I was pretty bummed about that.
And now I just found out that a new client came in and I might be getting that contract. Fingers crossed.
And now I just found out that a new client came in and I might be getting that contract. Fingers crossed.
bigbaldguy
Former medic seven years 911 service in houston
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Is there a separate area to eat in from the bar or is your department ok with you hanging out in a bar on duty? Mine would have a meltdown.
AlphaButch
Forum Lieutenant
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Why do we have to be the salad? Is it a meal type salad? or are we just the appetizer before the MD (entree).
bigbaldguy
Former medic seven years 911 service in houston
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Prob cuz we're all so low in fat and healthy? You know like a salad :rofl:
Anjel
Forum Angel
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I was wondering the same thing. We would be in serious trouble. I even got talked to about getting carry out from bdubs.
So, my sister is staying on my couch (well my flatmates couch) because her boyfriends mum sold literally everything in their house and moved to Australia while they were out for the day; he is staying at his uncles place but its not big enough for the both of them
I dont know which is stranger; what happened or telling people on the internet about,it
Maybe this is one of those mildly ironic situations George Carlin was on about but I'm not sure how exactly
I dont know which is stranger; what happened or telling people on the internet about,it
Maybe this is one of those mildly ironic situations George Carlin was on about but I'm not sure how exactly
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If you point out that your talking to people on the internet one more time I'm going to have an aneurysm.
If you think it's so weird then stop posting. If you don't want to stop , then stop pointing it out. Please.
Two words: Social Networking. Hundreds of millions of people do it worldwide every day.
I'll take the infraction for being a ****, I don't care.
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enjoynz
Lady Enjoynz
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Happy New Year Christchurch - Not!
Christchurch (South Island) NZ has had 42 earthquakes in the past 24 hours...the largest being 5.5 at 15km deep which knocked out power to 10.000 homes.
Poors sods have had quite enough...I'm so glad I live on the North Island.
Christchurch (South Island) NZ has had 42 earthquakes in the past 24 hours...the largest being 5.5 at 15km deep which knocked out power to 10.000 homes.
Poors sods have had quite enough...I'm so glad I live on the North Island.
Yeah I saw that on the TV3 news, not good
The worst part is we're not sending SERT ... it would be nice to get something differnt than sick person, cardiac arrest, asthma, cut finger, "can't breaf" (West and Mangere stations only) and the infamous meal break .. nek minnit R99
@ Rob, I was just taking the piss bro
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BandageBrigade
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I will never get used to this phrase..
DesertMedic66
Forum Troll
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It's a sports bar but it is extremely family friendly. You have the actual bar and then you have tables. There is only pictures of firefighter stuff and actually firefighter stuff on the walls. I know our sups will sometimes go there when they are on duty.
http://www.rocsfirehouse.com/
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It looks good, pretty expensive.
DesertMedic66
Forum Troll
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Not when it's 50% off.... Lol
I didn't even know we got a discount there. Then our check came it it was $14.25 combined for both meals. The owner comes out of the kitchen and says hi to everyone in the place.