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[quote name='AnthonyM83' timestamp='1352228491' post='290138']
Uh, that's why assessment of respirations includes more than just rate and tidal volume. Rate, Rhythm/Pattern, Effort/Quality, and Depth, combined with history
Similar to pulse Rate, Rhythm, Quality or [b]skin Color, Temperature, Moisture[/b], all having to be combined with history.
I[b] don't understand how respirations are so much different? (Respirations meaning an evaluation on the different qualities of respiration, not just rate or just depth etc)[/b]
The question posed at the beginning of the threat was dedicated to repiratory rates, though, and that`s what krumel meant, I think.
And the respiratory rate alone, I gotta agree there with krumel, doesn`t poses such an impressive or precise marker (which is what krumel meant I guess).
Fair enough, very low and very high most likely indicate a problem in a patient - but it`s not "accurate" as let`s say SpO2 or RR, which pose a variety of interpretations.
I`m only talking `bout respiratory rate as the quantitative date in itself here, not about possible lung sounds, position of the conscious patient while breathing, possible pathologic patterns, etc.
Apart from that, although skin-colour, temperature and moisture might be connected to your discovery of a pahologic pulse, they may be totally unrelated to that particular vital measurement and attached to an underlying or secondary problem.
[quote name='Arctickat' timestamp='1350607121' post='289451']
Our health region has decided upon the Bone Injection Gun...unfortunately. All it means is that now I have to pay to actually get quality equipment instead of getting it for free from the region.
[quote name='DFIB' timestamp='1350605138' post='289443']
I have never actually placed an IO. It is still outside my current protocols but had convinced myself that tibial access was for pediatric patients below the age of two and [b]adult access is in the sternum.[/b]
So tell me how far in the ditch that idea is.
Far as I know, the only one`s still using sternal access are military medics in the field (apart from the obvious, that you`d need different IO needles for sternal access).
[quote name='LolaTiane' timestamp='1350197026' post='289109']
Gotta agree with you there : ) I always end up with OBs and babies[b]...just because Im a lady doesn't mean I don't fear the vagina too![/b]
[quote name='croaker260' timestamp='1349875933' post='288852']
Sounds like more of a leadership issue than an ethics issue.
Never took something from a bystander and wouldn`t do so either (never was offered something, too).
The wife of a patient, who is a regular dialysis patient, has a bowl full of sweets standing right beside the door especially for these occations. She offers anyone who brings her husband home a grab into this bowl. Refused the first time, but she insisted, so I took one. Don`t think that`s problematic, though. After all it`s only a candy and she means it kind. Don`t always have the appetite for candy when bringing him home, but it seems impolite to refuse, so my partner has to eat two sweets sometimes. ;)
Last christmas my partner and me were offered a piece each of a christmas stollen the nurses from the caring facility, we brought a patient to, just baked.
After half an hour both my partner and me had cramps and needed to return to the station pretty urgently, because of the strategic nearness of a hygienic facility - so I`m a bit cautious now when it comes to self-produced food... ;)
First of all, I`m not all sure about this (never really got into this stuff, for I`ve never come near to publishing yet), but I seem to remember that agencies don`t look kindly on work that`s already been published, even in a piece-meal fashion (doesn`t matter wether it was in a non-profit way). So best look those issues up before continuing posting (if you`re serious about this).
Secondly, you need to establish what kinda style you wanna write your book in, and what your intent`ll be. Right now, it reads like a bit of a diary, which is cool in short passages, but it tends to get exhausting if this style is prolonged (exceptions exist). It may be fitting if you wanna make it really real, real obvious - if you wanna write a novel though, you might think about working on your style and include descriptions of people, places, siutations, etc... which`ll make the read more vivid and interesting.
EDIT: There`s also some irregularities in the content and writing, even in this short piece, like:
[quote] You patiently wait through the static. You wait the few seconds that feel like eternity for the microphone to key up.[/quote]
He/you patiently waits but it feels like an eternity? Kinda contradicts itself.
Furthermore, I wouldn`t use as many brackets as you do (they are seldomly used in prose). Instead of using brackets, you could put these informations in subordinate clauses, which would also improve your style.
[quote name='P_Instructor' timestamp='1348089162' post='287782']
Must have been manufactured in Pacific Southwest :shifty: The just put there 10 fingers spread across the chest and cross there toes and interpret what they feel.........just a joke guys.
Hey, do I hear sarcasm in that... that specific technique always worked for me!
[quote name='rock_shoes' timestamp='1348079103' post='287766']
You don't need 12-lead capabilities for a hospital based machine on a code cart. 12-leads are done using dedicated EKG machines in hospital which have markedly better diagnostic quality.
Sent from my A500 using Tapatalk 2
That might be the answer- I know there was a variant of the LP12 without 12-lead, as well as the Corpuls.
Didn`t knew they did that with the LP15 too. I used an LP15 for nearly a year with my old company, and it was a nice machine, good menu handling and all (although I can`t remember where the 12-lead button was - didn`t you have to open a new menu for the 12-lead and then there was a button "Print"?).
[quote name='wrmedic82' timestamp='1347987114' post='287683']
Their ( The hospital) rational was since they could not consciously sedate me, it would be better to put me completely under. Honestly I didn't complain because I was knocked out and didn't feel a thing when they did the closed reduction. I was just struck odd that the etomidate and versed didn't put me down.
For cases like yours, we use Propofol - short sedation, never experienced problems with this med in "easy" (I`m sure it was a most "un"-easy sensation for yourself ;) ) cases like this.