the 100% directionless thread

[E tank]

It’s all about volume vs time. A relatively small increase in pericardial volume abruptly, something like 100ml, can cause Tamponade and a slowly accumulating effusion can be something crazy like 1000ml before causing hemodynamic compromise. Also depends on the compliance of the pericardium. Stiff, I.e pericarditis, with effusion is bad.

Absolutely right. An effusion that develops over a month or so, especially in a younger patient can be tolerated extremely well. The patient will feel horrible, but their echo will look like they should have been dead for days. Easily over a liter and a half in the pericardium is well tolerated over a period of time like that. The physiology adapts as if there is chronic RVF and retains volume. This allows for a rise in venous return and what is lost in contractility is "made up" for with volume. Not very efficient but life prolonging.

400-500 cc in 45 minutes, way different situation. No time to adapt to the fall in filling and contractility.

 

[Jim37F]

Well, skills testing is only halfway, and we're already down one recruit...

 

[Chimpie]

Any chance we can get the rsi topic broken off into a thread called "The Great RSI Debate"? It's too linear for the 100% directionless thread.

Stick it in here:
http://emtlife.com/threads/the-great-airway-debate.44436/

Done. If I missed one, please let me know.

 

[EpiEMS]

skills testing

Fire or EMS side of the skills?

 

[Jim37F]

Fire or EMS side of the skills?

Fire side skills for my group. The other half of our class thays doing medical first did their NREMT a week or two ago i think? They should be finishing up their ER clinicals and ambulance ride alongs soon

 

[CALEMT]

The other half of our class thays doing medical first did their NREMT a week or two ago i think? They should be finishing up their ER clinicals and ambulance ride alongs soon

How does this work for you considering you already have your NREMT?

 

[Jim37F]

How does this work for you considering you already have your NREMT?

It doesn't actually, because like a noob, I never renewed my NREMT and let it expire a few years ago. All I have is my California cert which expires at the end of this month

 

[CALEMT]

It doesn't actually, because like a noob, I never renewed my NREMT and let it expire a few years ago. All I have is my California cert which expires at the end of this month

Bummer.

 

[Jim37F]

So yeah, I just take the full class with everyone else, and take the NR EMT at Tue end like everyone else who's never had it.....but I think (though I could be wrong) even the guy who has his medic license will be doing the same (except maybe taking the National)

 

[EpiEMS]

@Jim37F, seems silly to put a medic through your EMT course but I ain't the guy paying his salary
About fire stuff...what's the deal with the US doing things so differently than Europe? I mean, fire is fire is fire, no?

 

[Jim37F]

Haha yeah....i suppose they may do something different with the current NR guys but we don't start medical for like 3 more weeks so we'll see how that all plays out

As far as Europe, I got no clue what they do there so yeah lol heck our books show like 20 different ways to load hose lines on the trucks and we only use 2 of them haha

 

[Jim37F]

Well we all passed the rest of our skills today first time goes! But....simeone in the other group (and I haven't heard a lot of details) got fired today...2 Recruits gone in as many days :/

 

[MMiz]

So yeah, I just take the full class with everyone else, and take the NR EMT at Tue end like everyone else who's never had it.....but I think (though I could be wrong) even the guy who has his medic license will be doing the same (except maybe taking the National)

Did you tell them you're an EMTLife member with 2500+ posts, 1,500 likes, and more than 100 trophies? That's deserving automatic NREMT in my book.

 

[PotatoMedic]

Did you tell them you're an EMTLife member with 2500+ posts, 1,500 likes, and more than 100 trophies? That's deserving automatic NREMT in my book.

It is about as good as a qualifier of skills.

 

[GMCmedic]

Went deer hunting yesterday. For about 3 hours straight two juvenile bobcats kept pestering each other a couple spoil banks over. My rectum swallowed half my stool the first time. They make some awful noises.

 

[StCEMT]

Went deer hunting yesterday. For about 3 hours straight two juvenile bobcats kept pestering each other a couple spoil banks over. My rectum swallowed half my stool the first time. They make some awful noises.

I remember almost getting ran over by a deer running full speed at me. Popped out of the woodline and did an instant 180 about 10 feet away from me.

 

[TransportJockey]

I'll be do glad when this damned rally is over

 

[GMCmedic]

I remember almost getting ran over by a deer running full speed at me. Popped out of the woodline and did an instant 180 about 10 feet away from me.

I have a buddy that doubled up that way. Two does barreling at him. He shot the first at 5 yards when it pulled up and turned broad side. Through and through and hit the smaller doe in the neck. It was funny after the fact

 

[Jim37F]

So I finally got my tv working lol, instead of a cable plan I opted for a $20 over the air antenna.....I've got the local NBC and CBS affiliates, a local channel, and a bunch of misc religious channels, and even a Spanish language channel (wouldn't have expected that here, if anything I woulda thought I would get a few Hawaiian language channels, or even a Japanese language channel given the largest minority here....) but I don't pick up the local Fox affiliate lol

 

[E tank]

Went deer hunting yesterday. For about 3 hours straight two juvenile bobcats kept pestering each other a couple spoil banks over. My rectum swallowed half my stool the first time. They make some awful noises.

Ooooph TMI bro....but me too, minus the bobcats and deer, unfortunately. Racked the .243 for a 12 ga....on to pheasant!