katgrl2003
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It was originally going to be September of this year, but my car's brakes decided to take a crap and take my savings. It's now pushed back a year.
the 100% directionless thread
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It was originally going to be September of this year, but my car's brakes decided to take a crap and take my savings. It's now pushed back a year.
Clare
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Ouch I know that feeling; I had to put $1,000 into my car recently to get a new windscreen (the chip in the original was too big to be repaired), a new shock absorber, something with one of the brake lights, get it inspected and renew the plates for 6 months so that basically wiped out a good 2/3 of one of my paycheques and it was more expensive because my car is getting old
Didn't you say you have a Kia? Hmm, if your brakes failed then hmm, perhaps I should reconsider buying one ...
You could always get married at the court house for like $20 if you're that keen, one of my friends and her husband did that cos they were broke .... I guess its being together that counts not the amount of money you spend, but I am the first person to admit I am no expert on the subject?
katgrl2003
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They didn't fail, just were really worn down, and if I had kept up on the maintenance, probably would have been quite a bit cheaper. Also, that is the first mechanical problems I have had with the car. I've had it for 4 years now, almost 70000 miles on it ('06). It's been in one wreck (piece of debris kicked up from a lawnmower on the side of the interstate tried to eat my hood.) But the brakes are the first mechanical issue in 4 years. Everything else has been routine maintenance, such as oil changes.
Never heard of a c-collar or backboard being capable of doing that. Where do you get yours?
Clare
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Attention Intensive Care Paramedic whom with I disagree
This is not AF; it looks some sort of irregular tachydysrhythmia with no fibrillatory waves and what looks like ST depression (although I hear we should not look at the ST segment on a rhythm strip) ... in fact we shouldn't really be acquiring rhythm strips any more, if the patient is "sick" enough to get an ECG, they should get a 12 lead ECG
This is AF
This is not AF; it looks some sort of irregular tachydysrhythmia with no fibrillatory waves and what looks like ST depression (although I hear we should not look at the ST segment on a rhythm strip) ... in fact we shouldn't really be acquiring rhythm strips any more, if the patient is "sick" enough to get an ECG, they should get a 12 lead ECG
This is AF
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katgrl2003
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Apparently, one of the local hospitals thinks they are. We had a regular caller (always calls for her son, has seizures, but the little bugger can now fake unresponsiveness) call for her daughter the other day. She said an old 27 inch tv fell on the kid, but she had absolutely no marks on her. The hospital requested a c collar, which was taken off as soon as the hospital realized who the mother was.
Clare
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Reminds me of that bit in Ted where John's junk gets squished by the TV
Did they ask as part of your RT call? I'd probably tell them to sod off; they have not laid eyes on the patient so who are they to tell you what to do?
It was probably best the TV fell on him; a TV that small is just wrong ... we got a new big screen down in the lounge; its awesome ... shame whenever I am not at work and actually able to watch it all that is on is infomercials, some TV Evangelist or terrible, terrible pay per view soft core porn ... not that I should really be into the latter but still
katgrl2003
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...terrible, terrible pay per view soft core porn ... not that I should really be into the latter but still
Learning more about you every day.
Clare
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Looks it just comes up on the guide OK? but erm ... it's fitting that I swapped out with red watch; because I am kinda said colour right now
I'll be going to bed now ... slink away ....
Beat me to that one.
Apparently the local ERs can transform them lol.
Us and another crew moving 2 different patients over to a trauma hospital. Both got into the same fight and wound up with mutliple stab wounds to the arms and torso. Nothing near the spine. Both are stable.
I wasn't gonna board my pt, no indication. Other crew's medic says "they're going to the trauma center they have to be boarded." Then the nurses and doc agree- I asked them what indication. They all answered "they're going to the trauma center, that's why"
And as soon as the patients are moved over to trauma beds the boards and collars are pulled to quote the trauma folks "cuz there is no indication".
RocketMedic
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VFlutter
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I had a patient last night with facial burns from smoking a cigarette with his oxygen on. It looked like he had on clown make up, red all around the mouth and nose. Apparently this is not the first time this has happened.
Aidey
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That is a total fallacy. Checking what rhythm someone is in doesn't automatically make them sick enough to need a 12 lead.
Epi-do
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And that is the funny thing with me. I have all these shoes, and would rather not wear any of them.
Hunter
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DesertMedic66
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Just signed up for a full scale MCI drill next week. 6 hours of MCI training and its all paid. Hopefully it will be some CEs also.
CritterNurse
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When I'm in the house, I only go barefoot, unless its too cold, and only then I'll put on slippers. I have a habit of picking things up with my toes and passing them up to my hands instead of bending over to pick them up. Wearing footwear indoors makes me feel like I might as well wear catchers mitts on my hands all day.
I'd call it atrial fibrillation with rapid ventricular response.
It's fast and irregularly irregular. There are no visible p-waves, and QRS complexes are narrow.
My differential for an irregularly irregular rhythm is: atrial fibrillation, multifocal atrial tachycardia, wandering atrial pacemaker, and atrial flutter with variable block. By propability alone, atrial fibrillation is the second most common supraventricular trachycardia (sinus tachycardia is first).
There is a clear gap between some complexes where I would expect a p-wave, but I cannot see any p-wave or flutter waves.
Fibrillation waves in atrial fibrillation can be like ventricular fibrillation, it can be coarse or fine.
ST depression is common in tachycardias.