the 100% directionless thread

Not being able to sleep on my off nights isn't fun... :sad:
 
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Aprz said:
How come the etomidate and versed?
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"Pharmacologically Assisted Intubation", ie "sedate your patient until you can tube them." He was decorticate posturing and trying to clench his teeth, both of which the versed and etomidate resolved.
 
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Songza blows Pandora out of the water.....
 
Two questions

1. Why is a 96 year old male taking viagra? (Hope I'm still sexually active at that age.)

2. What's the nursing home staff doing at 0100 hrs to discover that his penis is swollen?
 
WBExpatMedic said:
Two questions

1. Why is a 96 year old male taking viagra? (Hope I'm still sexually active at that age.)

2. What's the nursing home staff doing at 0100 hrs to discover that his penis is swollen?
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1. Treat pulmonary hypertension.

2. Cleanliness checks. Would you prefer a pt to lay in crap and pee until 0800? Some medications might need to be given as well as dressing or wound checks. For skin care some patients must also be repositioned every 2 hours. Lots of reasons to be with a pt at 0100.
 
Clipper1 said:
1. Treat pulmonary hypertension.

2. Cleanliness checks. Would you prefer a pt to lay in crap and pee until 0800? Some medications might need to be given as well as dressing or wound checks. For skin care some patients must also be repositioned every 2 hours. Lots of reasons to be with a pt at 0100.
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Thanks for ruining the illusion :rofl:
 
WBExpatMedic said:
Two questions

1. Why is a 96 year old male taking viagra? (Hope I'm still sexually active at that age.)
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I hear this question, or why is a female taking Viagra, so much it is frustrating.

Sildenafil is a standard medication to treat pulmonary hypertension.

It might be important to know...
 
Chase said:
I hear this question, or why is a female taking Viagra, so much it is frustrating.

Sildenafil is a standard medication to treat pulmonary hypertension.

It might be important to know...
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And, some kids are on Sildenafil.
 
Clipper1 said:
And, some kids are on Sildenafil.
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I have also seen this. I had to explain to the fire crew I ran with.

This was also the same crew that was cracking jokes about a "retard" patient, until I explained that he had cerebral palsy, and that he could understand everything that was being said. :angry:
 
Jambi said:
I have also seen this. I had to explain to the fire crew I ran with.

This was also the same crew that was cracking jokes about a "retard" patient, until I explained that he had cerebral palsy, and that he could understand everything that was being said. :angry:
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Are you kidding me?
 
Clipper1 said:
1. Treat pulmonary hypertension.

2. Cleanliness checks. Would you prefer a pt to lay in crap and pee until 0800? Some medications might need to be given as well as dressing or wound checks. For skin care some patients must also be repositioned every 2 hours. Lots of reasons to be with a pt at 0100.
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Thanks for the information. I understand the actual point of the medication and the reason for the check at 0100am was because he was having issues with infection. I was being facetious, but I guess that was lost in translation.
 
WBExpatMedic said:
Thanks for the information. I understand the actual point of the medication and the reason for the check at 0100am was because he was having issues with infection. I was being facetious, but I guess that was lost in translation.
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It was.
 
Clipper1 said:
1. Treat pulmonary hypertension.

2. Cleanliness checks. Would you prefer a pt to lay in crap and pee until 0800? Some medications might need to be given as well as dressing or wound checks. For skin care some patients must also be repositioned every 2 hours. Lots of reasons to be with a pt at 0100.
Click to expand...

Beat me to it.

Ever been in the NICU and noticed a couple of the little guys are a touch too excited to see you? :lol:
 
I've read sedation alone for intubation is bad, but never understood why.
 
It is official. I start medic school On the 16th (of September). All my paperwork is in and payment will be processed closer to the start date.

And that was an interesting podcast.
 
Got the ambulance with semi ok a/c AND it has cup holders! Also got to eat all my amazing sub king sandwich without getting interrupted. I guess you could say that I'm happy right now :D
 
This is a great podcast, especially for those of you that RSI.

So far my two big take-a-ways are:

Less sedative dosing is often needed in a shocky patient

Induction agents may take longer/need higher dose in shocky patients

It's podcasts like these that highlight the shallow depth of paramedic training in the grand scheme of medicine. I also wish I could find CE courses like this that actually counted.

http://emcrit.org/podcasts/intubation-patient-shock/
 
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