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About krumel

Previous Fields

  • Occupation Who knows...

Contact Methods

  • ICQ 153626669

Profile Information

  • Gender Male
  • Interests Skiing, sailing, computer and geek-stuff

krumel's Activity

  1. krumel added a post in a topic Paramedics Australia membership   

    I am a memeber, but honestly more for political reasons.... If anyone presents a better lobby group I might join them...
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  2. krumel added a post in a topic Back to life?   

    Congrats, Mate.
    As I know your office and the people you now have to bear every day I feel a bit sorry for you although:)

    And to hijack that topic a bit: I'm -litterally- back alive as well. December is not my favorite month anymore... At least not this one.
    And 2012 get in my chronic as the worst year so far...
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  3. krumel added a post in a topic BOOTS   

    It is perfect for the "normal/city" snow, although when working in the swiss alps I from time to time would have preferred the longer/bigger FD-type boots..But I don't think you find half a meter of snow in Paris:D
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  4. krumel added a post in a topic BOOTS   

    The R91 (the R90 basically is the same without the good membrane layer) are a "love it or hate it" thing. Some people love them, but obviously the new "closing system" is not everyones thing, especially as the front plate make the hole boot much stiffer. I tried the R91 and the X1 and clearly favored the X1 which I found much more comfy as the R91 especially when working on the ground. On the resistant side I don't think there is much difference. A haix is a haix;)
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  5. krumel added a post in a topic BOOTS   

    The "Airpower100" seems like the old version - The R1 is the newer one I think..But I don't know for sure as the European and American model names are totally different.
    Why? I have no idea.
    And its obvious that the US part of the company sells old modells as new ones:(

    You find the german/european model names here:
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  6. krumel added a post in a topic BOOTS   

    I totally agree to Hillintheburgh..I've started my career in Haix, tried a few other brands over the time..And always came back to them as nothing compares to them. Basically I've had three pairs so far, although the second pair is still fit for work -but I was reluctant to take them to Australia as this sets off quarantine a bit if the boots look to worn-.
    (And the best thing is the fact that their factory outlet is basically half an hour away from where my parents life:D )
    I've worn them in very heavy terrain, from mountain/snow rescue to the desert...

    Personally I do not believe the 69$ offer, I would guess that is some kind of typo or probably just the sole. Even if you get to their factory outlet -where you can buy "B Quality" ones- you will never get them under 180USD, maybe 150$ if you really know the salesperson.

    @Securiste: Your size should be US 10.5 afaik.
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  7. krumel added a post in a topic Glucose, What's your highest?   

    1852 mg/dl according to the hospital..The guy basically was a "medical multi-system-problem...Including MI, hyperglycaemia, etc. etc... He arrested when put on the stretcher, four more times in the ED and was declared 3h later...
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  8. krumel added a post in a topic Respirations   

    Completly true..But it still gives you nothing without a lot of Hx and some guesses..... I know patient having a resp of 30 for 25 years...without issues that are anyhow relevant for emergency medicine most of those 25 years.
    On the other hand: If I (who has a normal RR of 6-8) would have a Resp of 30 something is reallllllly wrong...
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  9. krumel added a post in a topic Respirations   

    I acutally know similar articles but still disagree.
    Respiratory rate does give you an very limited view of the patients respiratory condition as it is directly linked to a parameter that is only very rarely measured in an non-intubated patient: The tidal volume.
    Only by the combination of both we have a -more or less- valid view of the -theoretic- oxygenation situation that -might- arrive in the patient. The RR can be measured by a trained monkey...The tidal volume is very often measured wrong or not at all....

    The main problems with high -or low- respiratory rate is not the problem of the rate itself (although it of course contributes to the oxygen demand) but the oxygenation deficiency that is a result of it.

    We are meanwhile in a position to monitor this oxygen deficiency much closer and with much better tools than we did in when main study that "proved" a link between chance to arrest and RespRate was done (Fieselmann, 1993).
    In times were prehospital&ED BGA is becoming more and more of a standard -contrary to the wards- we should not trust a parameter that has a "unknown" variable in it....
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  10. krumel added a post in a topic Respirations   

    Most useless parameter in emergency medicine....
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  11. krumel added a post in a topic Intubation in 2012   

    I totally agree with Jake when it comes to the point of "paralysis does not compensate for undersedation".

    My old service did mandate 100 proven&sucessful intubations+25 per year(5 of them RSI, 5 of them Ped) for Paramedics to allow them to RSI. For "resus" intubation 50 Intubations+15 per year were the minimum.
    As most suisse services are hospital based or hospital "associated" it at least was easy to archieve this as during time off you were more than welcome to assist in the OR.

    My current service is quite new to ET (as to any invasive skills). Therefore there are basically no rules..But we don't do RSI...So...In the end...Well...The rates are somewhere I better tell none...
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  12. krumel added a post in a topic Monitors   

    Afaik its on its way for FDA approval...Last date was "end of 2012"... We will see..
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  13. krumel added a post in a topic Monitors   

    A side note at this point: I would still get the MD when I have to choose between the 15 and the MD... I would -by far- prefer- the MD to the Propaq. (But there are better units than the MD...Thats what I meant....And of course it depends very much on the scenario you use it...)

    Personally I utterly hate the LP15..And love the Corpuls 3...
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  14. krumel added a post in a topic Monitors   

    I had the propaq MD a few times in my old job.... Had it for trial for a week and the air-ambo-guys had it as a standard.
    Personally I did not like the design of the display and the user interface...It does not feel as "hard-rugged" as the old one...
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  15. krumel added a post in a topic Roles and Responsibilities during CCT   

    Worked in MICU (Mobile Intensive care unit) transport part time last year.

    We basically had a three/four person team(sometimes a second driver for long range, that doesn't matter as the drivers change amongst themselfs): Driver, Medic 1, Medic 2 and sometimes a Trainee.

    Role of Medic 1 is always Airway, Ventilation/Respiratory& Documentation. He/She controls the ventilator, the capnography (which is integrated in the Ventilator), tube, suction, calculates oxygen-supplys,etc. and does all documentation on the notebook.
    Role of Medic 2 is Circulatory & Medication. He/she controls the multiparameter monitor, is responsible for all syringe drivers, all infusion pumps, the positioning of the patient, is giving drugs, etc.

    If the patient is highly critical you get a Medic 3 as assistant, if you have certain things attached (ECMO, IABP) there is a medic 3 (usually a cardio-tech) who does that.

    "Medic" does not mean that it is always a para...We had Para/Para Teams, Para/ICU Nurse(who always was double qualification with Para) Teams, or Para/Doctor teams...Always depending on patient condition.
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