the 100% directionless thread

[lightsandsirens5]

Yes...yes...I did, in fact, give 4 mg of Versed to my patient, and no...that is not an "extremely high dose" you have "never heard of a field medic giving."

Thank you.

 

[Anjel]

Yes...yes...I did, in fact, give 4 mg of Versed to my patient, and no...that is not an "extremely high dose" you have "never heard of a field medic giving."

Thank you.

4mg? Lol my seizure PTs usually get 10. Haha

 

[Carlos Danger]

Yes...yes...I did, in fact, give 4 mg of Versed to my patient, and no...that is not an "extremely high dose" you have "never heard of a field medic giving."

Thank you.

Anyone who thinks that is an "extremely high dose" of versed doesn't know a lot about versed....

 

[Handsome Robb]

Anyone who thinks that is an "extremely high dose" of versed doesn't know a lot about versed....

Doesn't fast's protocol call for like 0.3 mg/kg or something ridiculous like that?

I'll see if I can't get an answer from him.

 

[TransportJockey]

i love our local liquor stores. Broken six packs.

 

[Anjel]

Doesn't fast's protocol call for like 0.3 mg/kg or something ridiculous like that?

I'll see if I can't get an answer from him.

Ours for seizures is .01mg/kg up to 5mg IVP

.1mg/kg up to 10mg IM.

 

[Carlos Danger]

Doesn't fast's protocol call for like 0.3 mg/kg or something ridiculous like that?

I'll see if I can't get an answer from him.

That's the induction dose.

 

[Handsome Robb]

Active shooter at the Trauma Center....

Of course I'm on freaking disability.

What is this world coming to?

 

[DesertMedic66]

Active shooter at the Trauma Center....

Of course I'm on freaking disability.

What is this world coming to?

What hospital?

 

[Handsome Robb]

Renown Regional Medical Center

 

[exodus]

http://www.mynews4.com/news/local/s...and-4-are-wounded/JK0HmKFHhUmzVtni2yBRIA.cspx

 

[Fire51]

Man shootings like this are just happening ever where now. I mean Reno has had a school shooting and hospital shooting with in a month or so. Its sad that these type of things keep happening and it's probably not going to get any better. Everyone Stay safe out there.

 

[Handsome Robb]

Man shootings like this are just happening ever where now. I mean Reno has had a school shooting and hospital shooting with in a month or so. Its sad that these type of things keep happening and it's probably not going to get any better. Everyone Stay safe out there.

Since I switched to days it's not quite is and but at night I dealt with violent crimes every single shift. I'd had shifts where all I'd get were stabbings, shootings and assaults. We go on tazings pretty regularly, I've been on two Officer involved shootings.

It's gotten much worse.

 

[Fire51]

Since I switched to days it's not quite is and but at night I dealt with violent crimes every single shift. I'd had shifts where all I'd get were stabbings, shootings and assaults. We go on tazings pretty regularly, I've been on two Officer involved shootings.

It's gotten much worse.

Thats pretty crazy I didn't know you got so much shootings there. I knew there was a lot of violence.

 

[Handsome Robb]

Official report is the building is secure and the hospital is operating as normal.

Two deceased one of which is the shooter with a self inflicted GSW, a red and a yellow.

They haven't released much but it sounds like it was a very direct attack at a specific physician. Pretty sad.

Preliminary reports are the deceased victim is a female Physician.

 

[Fire51]

So you shouldn't give aspirin to patients with asthma because it can trigger a asthma attack? Is that right? If they are having chest pain and you suspect a MI not asthma can you still give it or no? I have read some books that say asthma is a contradication for aspirin and others that haven't mentioned it!

 

[Handsome Robb]

So you shouldn't give aspirin to patients with asthma because it can trigger a asthma attack? Is that right? If they are having chest pain and you suspect a MI not asthma can you still give it or no? I have read some books that say asthma is a contradication for aspirin and others that haven't mentioned it!

It's something like <5% of people with asthma have a sensitivity to aspirin. It's a risk vs reward scenario.

You can treat the broncoconstriction though...again, risk vs reward.

Consider this, aspirin is one of the few things we do that's proven to have a positive affect on morbidity and mortality.

 

[Fire51]

It's something like <5% of people with asthma have a sensitivity to aspirin. It's a risk vs reward scenario.

You can treat the broncoconstriction though...again, risk vs reward.

Consider this, aspirin is one of the few things we do that's proven to have a positive affect on morbidity and mortality.

Ok, thanks that makes more sense to me now. There's other things we can do, that I know. I was just confused about what I was reading and wanted some insight from people that have field experience. Thanks again.

 

[exodus]

So you shouldn't give aspirin to patients with asthma because it can trigger a asthma attack? Is that right? If they are having chest pain and you suspect a MI not asthma can you still give it or no? I have read some books that say asthma is a contradication for aspirin and others that haven't mentioned it!

Just ask if they've ever taken asa before. I'm sure they have. If they're not allergic to it then it's not really contraindicated is it?

 

[Handsome Robb]

Just ask if they've ever taken asa before. I'm sure they have. If they're not allergic to it then it's not really contraindicated is it?

There's a small population of asthma patients who're hypersensitive to aspirin and it can invoke asthma symptoms ranging from mild to a full blown severe attack. Not a histamine-mediated reaction either.

But yes, you are correct, if they've taken it without issue before I'd give it, if they'd had mild issues with it I'd still give it, personally.