Kiwiology

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Kiwiology last won the day on November 25 2013

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  1. ECG for discussion

    Junctional rhythm about 75/min Regular Axis normal No acute ST or T wave changes Don't see any pathologic Q waves Give her two hardenupacetomol and leave her at home.
  2. When it sucks to use sux

    Nah man it's all good. If you can use your cellular telephone to video the lecture that'd be pretty badass.
  3. When it sucks to use sux

    Just because Mark Fitzgerald et al say something doesn't make it right or applicable in every situation; personal opinion only but I don't really think IFS is appropriate. RSI or go home. We have significantly increased our dosing of fentanyl and midazolam in RSI such that a standard patient gets 150 mcg of fentanyl and 6 mg of midazolam. Ketamine (100 mg) is used for patients who have shock. I would much prefer ketamine for everybody; midazolam is a poor choice of anaesthetic and no anaesthetist in their daily practice would use it for induction routinely. I should be seeing the Medical Director next week so I might ask why they have chosen this.
  4. When it sucks to use sux

    Bah! Flimshaw! Balance of risk vs benefit is in favour of not using suxamethonium. I'd use vec or roc, I forget which it is you carry but I'd just use that. IFS is IMO bad ju ju so I wouldn't be using that.
  5. I'm a nurse, I'm a nurse, I'm here to help

    Could have been worse, could have been at Billy Bob's place out on County Road 309 down past the Glumpkin residence. That would have meant at least 3 volunteer "First Responders" showed up in their cars/pickup trucks each with 100 lb jump bags, the local volunteer Fire Department would have also come plus an ambulance or two, and because "it looked real bad" somebody would have responded a helicopter ... and all of this is not including the bevy of neighbours who would have come to help out, one of whom would have been a nursing aid and wanted to do an immediate cricothyrotomy. Now if you'll excuse me, I have to go ensure that County Road 309 has been closed, I hear the helicopter getting close and they are always so fussy about having a suitable area to land.
  6. Good ways to kill patients

    All I can say is why do you think vecuronium vials have a red cap and ceftriaxone has a green one? .... (noting ceftriaxone in a vial with a red cap can also be bought)
  7. Good ways to kill patients

    Calling ERDoc for medical control Getting vecuronium and ceftriaxone confused
  8. More on backboards and spinal immobilization

    Initial consensus statement on immobilisation by the Faculty of Prehospital Care of the Royal College of Surgeons (Ed.) http://www.fphc.co.uk/content/Portals/0/Documents/2013-12%20Spinal%20Consensus%20COMPLETE.pdf
  9. Search warrants and poss unethical searches

    If you come fly on Kiwi Air there is no security for our plane with some bullet holes in the side, a Flight Attendant named Manuel Jose Luis Ortega who speaks no English and a bunch of illegal ammo and coke in the back flies into airports not served by TSA ... and by airports I mean dirt strips where a bunch of guys in a Tahoe are waiting. On the up side we operate a dual engine, dual pilot, all IFR capable fleet equipped with EGPWS, TCAS, Cat III ILS capability and all the fancy bits. I keep a .44 Magnum N frame under my seat so I guess we have some security .. it also serves as your in flight meal if I don't like you, and probably a bit of lead poisoning too. Reservations are now open, call 1-888-FLY-KIWI and speak to our helpful rep Mariano who habla un poco Ingles. Note: Kiwi Air is not currently certified by the FAA under 14 CFR 121 nor are its pilots, dispatchers, mechanics or any other staff. Kiwi Air is a wholly owned subsidiary of Upidedownland Aviation Inc, a Delaware corporation and is currently under investigation by the Justice Department. Checked bag not included.
  10. Intermittent Atrial Fib

    For somebody with HTN a BP of 136 is probably a bit low especially considering she is beta blocked. If she has no compromise then on a 30 minute trip to the hospital I do not see the point of getting all carried away and doing things that are not necessary. For now that's my story and I am sticking to it. What is her temperature?
  11. Intermittent Atrial Fib

    Give her some salbutamol and take her to the hospital
  12. Aramine/Metaraminol as a pressor in Septic Shock

    It's because nobody can understand us, you are an Australian so by default you are barely understandable because you're pissed 24/7 and me, well I'm so bloody destroyed on lorazepams that I can barely contain my faculties .... I am curious as to the use of an alpha agonist like metaraminol vs a beta agonist like adrenaline as to which produces a better effect. I think we use adrenaline primarily because it's already in the toolbox ...
  13. GRR! Kiwi quiere habla Espanol muy bien, estoy Espanol el tragedia, Kiwi aprendiendo en trabajo, aprendiendo Espanol es duro! es amigo de Cuba habla Espanol muy bien, el habla muy rapido, duro entiendo! Y yo estoy tambien mucho hambre, quien lo hara cocinar Kiwi cenar?
  14. Aramine/Metaraminol as a pressor in Septic Shock

    We run it at two drops per second initially then titrate to effect So let's say we use a 20 gtt/ml set then that's be hmm let's see here, Kiwi math not so good ... 0.006 mg (or 6 mcg/min)