the 100% directionless thread

oops, i forgot all about that test. oh well!
good luck to those who did take it!
Damn that sucks...well from what I've heard (so take it with a grain of salt lol) San Diego is planning back to back towers so they might have another test before too terribly long
 
ACLS done. Next stop, final practical and written exams for the quarter!
 
2 hours left in shift... its been a long 36 hours
 
I came off a 72 this morning. Despite only being busy for one front half and only having one after midnight call it still wipes me out.
 
Yeah we had four out of our 10 people in our class test. They car pooled from phoenix and then back right after.
Hell of a drive to make the day before our last final haha

Wow that is a hell of a drive, but hey I guess it shows how bad they want it. Kudos to them!
 
We've had a four hour or so call every morning since Monday morning... I'll be glad when this week is over.
 
I always felt tired after 24's, even when I slept all night.

Yup, I usually come home and take a nap till lunch time. I'm trying to not work more than a 48 anymore as it's clearly just not healthy and while I don't feel like I am operating in an unsafe manner given our call volume, I certainly am not doing myself any favors.
 
This dude would not stop seizing.

He got a total of:
12mg Ativan
10mg Vallium
10mg Versed
1g Phenobarbital
1500mg Dilantin

Still seizing! We were doing the IFT. 60 miles to Detroit. We ended up having to divert to a closer hospital, because we ran out of benzos.
 
This dude would not stop seizing.

He got a total of:
12mg Ativan
10mg Vallium
10mg Versed
1g Phenobarbital
1500mg Dilantin

Still seizing! We were doing the IFT. 60 miles to Detroit. We ended up having to divert to a closer hospital, because we ran out of benzos.
Drug resistant seizures are bad news...I believe I read a study at some point mentioning the statistics for diminishing successful returns to control seizures on additional anti-epileptic drugs after the failure of the first two. Did the initial transferring facility have a diagnosis for the patient beyond seizure disorder?
 
He had a prior hx of a head injury, and a hx of status epilepticus. His Lactic Acid was high as well.
 
This dude would not stop seizing.

He got a total of:
12mg Ativan
10mg Vallium
10mg Versed
1g Phenobarbital
1500mg Dilantin

Still seizing! We were doing the IFT. 60 miles to Detroit. We ended up having to divert to a closer hospital, because we ran out of benzos.

He wasn't intubated and on a propofol drip?

Great info on this topic here:

http://freeemergencytalks.net/wp-content/uploads/2014/08/2013-04-26-12h00-Status-Epilepticus.mp3

http://www.criticalcare.org.za/images/presentations/Thomas P. Bleck MD FCCM.pdf
 
Never mind. I'm confused like always
 
O
WP_20141205_08_30_52_Pro.jpg
h this is nice! New ambulance.
 

I was thinking the same thing.

Ha, I'd imagine his lactic acid was crazy high after God knows how many hours of seizing...

Can anyone say rhabdomyolysis? Hah.

@Angel ...I've gotta ask, why a radio strap? I've got two friends that do leather work..that's absurd what he charged you. Especially when you add the fact he didn't get it the correct the first time. If it were me I'd be very politely firm that I expect him to re-dye it as soon as he received it and send it back as soon as it was the correct color and dry.
 
These puppies are starting to look pretty darn good if I say so myself
94ca5f6d63b3a408d30f66c96d53f689.jpg
 
I'm tired. It's been a long week with a bunch of critical patients... and the full moon is coming out...
First picture is two days ago, second is today.

 
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