the 100% directionless thread

[SandpitMedic]

Local adult Anaphylaxis protocol here is 0.5mg 1:1,000 IM q15 up to 3 doses (1.5mg) OR 0.5mg 1:10,000 IV push if pt is so critical that imminent circulatory collapse is likely.
Peds is 0.3mg 1:1000 IM to a max of .9mg OR 0.01mg/kg 1:10000 IV/IO if imminent circulatory collapse is likely.

 

[SandpitMedic]

And that is atop 50 of Benadryl and Albuterol.

 

[SandpitMedic]

Tigger,

Have you checked your local protocols?

 

[Handsome Robb]

People always told me spitting into disposable coffee cups with the cap on is a bad idea. Especially when you set your real coffee down next to it and pick up the wrong one and drink it....

Haven't done that one in a long time.

FML

 

[VFlutter]

H&H 3.7/11....Oh my what an expanding abdomen you have. :censored:

 

[Handsome Robb]

H&H 3.7/11....Oh and my what an expanding abdomen you have. :censored:

That can't be good...

S/P thoracic surgery too I'm sure just knowing where you work.

 

[Akulahawk]

H&H 3.7/11....Oh my what an expanding abdomen you have. :censored:

Me no likey...

 

[unleashedfury]

People always told me spitting into disposable coffee cups with the cap on is a bad idea. Especially when you set your real coffee down next to it and pick up the wrong one and drink it....

Haven't done that one in a long time.

FML

Chew Tobaccy huh? a partner of mine did it once, I think I turned 5 shades of green when I saw it happen.

 

[Handsome Robb]

Chew Tobaccy huh? a partner of mine did it once, I think I turned 5 shades of green when I saw it happen.

Horrible habit.

I was good then got hurt and have been stuck at home for 6 weeks. Didn't help my cause at all.

Still got the stomach though, didn't puke! Haha

 

[unleashedfury]

Horrible habit.

I was good then got hurt and have been stuck at home for 6 weeks. Didn't help my cause at all.

Still got the stomach though, didn't puke! Haha

I smoke like a solid waste burning facility, and when I'm bored its worse, My kids yell at me all the time. The quit day will come just got to find a way to keep off it.

 

[Handsome Robb]

I smoke like a solid waste burning facility, and when I'm bored its worse, My kids yell at me all the time. The quit day will come just got to find a way to keep off it.

Honestly I think nicotine is one of if not the most addictive things on this earth.

 

[unleashedfury]

Honestly I think nicotine is one of if not the most addictive things on this earth.

Its not so much the nicotine for me, its more of the it occupies my time, its socialable, Go out for a cigarette with co workers, sit and relax, the feel of it going into my lungs, the use of my hands things like that. If I am really busy on a really busy day where I don't have time to even think. It doesn't bother me. When I get downtime it gets bad.

Either way its tattoo time. I'll be back later

 

[NomadicMedic]

This day sucks.

I worked a 3 month old cardiac arrest.

...my daughter just turned 4 months old.

This day can not be over soon enough.

 

[CALEMT]

People always told me spitting into disposable coffee cups with the cap on is a bad idea. Especially when you set your real coffee down next to it and pick up the wrong one and drink it....

Haven't done that one in a long time.

FML

Had that happen to me... threw up all over the place haha, get a mud jug man.

 

[MrJones]

I smoke like a solid waste burning facility, and when I'm bored its worse, My kids yell at me all the time. The quit day will come just got to find a way to keep off it.

Quitting is easy. Staying quit is the hard part (Finally quit for good 2 years ago after smoking for close to 40 years - I started at 13 but yeah, I'm old. Get over it ).

And, oh by the way, if the rule is no smoking, then if you dip you don't do it while I'm your partner. Goose, gander and all that.....

 

[unleashedfury]

This day sucks.

I worked a 3 month old cardiac arrest.

...my daughter just turned 4 months old.

This day can not be over soon enough.

This.. Is very true. IME my last peds arrest was before I had children, still messed with me, But now when I have a pediatric patient who is closer to my kids ages, 9 and 6 it really hits home.

 

[unleashedfury]

Quitting is easy. Staying quit is the hard part (Finally quit for good 2 years ago after smoking for close to 40 years - I started at 13 but yeah, I'm old. Get over it ).

And, oh by the way, if the rule is no smoking, then if you dip you don't do it while I'm your partner. Goose, gander and all that.....

I used to dip years ago now I can't stand it. by I can't stand it I mean I can't put it in my mouth. I can tolerate my partner doing it.

How did you quit and stay quit? Curious I am open to suggestions

 

[lightsandsirens5]

Local adult Anaphylaxis protocol here is 0.5mg 1:1,000 IM q15 up to 3 doses (1.5mg) OR 0.5mg 1:10,000 IV push if pt is so critical that imminent circulatory collapse is likely.
Peds is 0.3mg 1:1000 IM to a max of .9mg OR 0.01mg/kg 1:10000 IV/IO if imminent circulatory collapse is likely.

Wait....0.9mg of epi...IM...for a ped pt? That is a HUGE dose....

Am I reading something wrong here?

 

[Tigger]

Do you guys not do chart review? I'd think that a med error would get caught in the charting. If not, you need to say something to someone.

Med errors are treated seriously here.

We do have in house 100% chart review. However with 15 fulltime employees (which I am now one of hooray!), it takes a while for the charts to all get read, the guys that usually do it are often a month or two behind unless something gets brought up.

I did end up bringing it up with our QA guy, who along with the supe decided that it was not egregious since our old protocol was in fact 0.3 1:10 SIVP. Hopefully they will bring up that this should not be a front line anaphylaxis treatment.

 

[chaz90]

Wait....0.9mg of epi...IM...for a ped pt? That is a HUGE dose....

Am I reading something wrong here?

Eh, doesn't seem too bad depending on the size of the kid, especially since it's IM and spread out over 3x separate administrations some time apart from each other. Pediatric patients tolerate Epi much better than adults do anyway.