Welcome to EMT City
Register now to gain access to all of our features. Once registered and logged in, you will be able to create topics, post replies to existing topics, give reputation to other members, get your own private messenger, post status updates, manage your profile and so much more. This message will be removed once you have signed in.

Eydawn

Elite Members
  • Content count

    1,975
  • Joined

  • Last visited


Community Reputation

234 Excellent

About Eydawn

  • Birthday 08/05/1986

Previous Fields

  • Occupation Registered Nurse, Search and Rescue EMT

Contact Methods

  • AIM eydawn
  • Website URL http://
  • ICQ 0

Profile Information

  • Gender Female
  • Location Colorado
  • Interests Reading, EMS, nursing, hiking, 4-wheeling, Search and Rescue, dogs, good food, my hubby, traveling, learning just about anything and everything I can...

Eydawn's Activity

  1. Eydawn added a post in a topic Lets get this party started! Post something here so we know you're alive!   

    Holy cow! Hi, everybody! How's kicks? 
     
    Chief, shoot me a PM if you need to chitchat... 
     
    And we just had a staff emergency code (I'm on the response team now), thanks, Mr. "neener neener here's the Q word..."
     
    Wendy 
    CO EMT
    RN-ADN
    • 0
  2. Eydawn added a post in a topic Lets get this party started! Post something here so we know you're alive!   

    We're driving back home from early Thanksgiving with the husband's family since I am working it this year. And I'm fighting the autocorrect in my phone. (Obviously, I am not driving)
    • 0
  3. Eydawn added a post in a topic A Sick Child   

    Here's the thing- there's nothing indicating that this child's neurological status is in danger of severe compromise. That's the problem with meningitis. 
     
    Let's look at this another way- until you really see the hallmark neuro signs, there IS no way to differentiate. And there's no justification for an LP until you have some indicator, right? (Those of you who do LP's, correct me if I'm wrong). I'd say yes, have the kid evaluated if the mom's gut feeling is that something is just plain wonky, but there's nothing here to indicate to a prehospital provider that this kid is in trouble. Hell, that's how many of us get exposed by patients- we have no idea that's the problem until someone comes back with it and then you learn you were exposed... Many people who die of meningitis are asymptomatic or mildly symptomatic until they are massively, life threat level ill. 
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  4. Eydawn added a topic in EMS News   

    Dozens Sickened at Utah Elementary School
    http://www.jems.com/article/news/dozens-sickened-utah-elementary-school
     
    Ok, pretty run of the mill story about CO poisoning, we usually have a few incidents nationwide as temperatures start to drop... but this quote leaves me scratching my head. 
     
    "One emergency medical worker suffered a broken leg during the evacuation after jumping from a wall to get to another part of the school, Bailey said. He had no further details on that incident."
     
    Excuse me. But say WHAT? What makes you think it's a good idea to jump off of walls during an MCI/exposure incident? Hello? 
     
    Thoughts, anyone? I know it's not much to go on... but it makes me go "wait... really?"
     
    Wendy
    CO EMT-B
    RN-ADN
    • 3 replies
    • 663 views
  5. Eydawn added a post in a topic A Sick Child   

    So the kid looks at her bellybutton. What happens?
     
    Any illness in the familiy recently? Kid fussy, or kind of blah and wanting to hide? 
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  6. Eydawn added a post in a topic Gender Uncertainty & Good Manners   

    Just ask.
     
    "I don't mean to cause offense and I'd rather make sure we know how you would like to be addressed... are you genetically  male or female, and how do you identify? Are there any other special things we should know about you to make sure you get the best treatment?"
     
    The angry ones will be angry regardless... the other folks will appreciate the sensitivity.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  7. Eydawn added a post in a topic Prescription Drug Abuse   

    Colorado you cannot e-prescribe narcotics. All of our narc scrips for discharging patients are printed on special paper and have to be pen/ink signed by the provider instead of electronically signed. Isn't that fun when the provider forgets to sign it... lol.
     
    Many of our other scrips are e-prescribed to the patient's pharmacy of choice.
     
    We are also seeing a lot of chronic pain visits be admitted and procedural treatments tried... sometimes it helps, sometimes we just end up giving a ton of PO meds with IVP for "breakthrough" and then eventually tossing the person out again... my floor is where they bring a lot of the chronic pain folks. It sucks, because it's so hard to fix.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  8. Eydawn added a post in a topic Prescription Drug Abuse   

    Right... but in patients with unrecognized underlying mental illness, even small doses of ketamine can produce dissociative effects, no?
     
    Like any tool, it has benefits and dangers. I just don't buy the "magic K is the way to go!" line that some seem to have... I've just not seen it work the way it's supposed to...
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  9. Eydawn added a post in a topic Prescription Drug Abuse   

    I think I've made my views on Ketamine pretty clear...
     
    We've used it as a continuous infusion to treat refractory pain (think: chronic regional pain syndrome, opioid intolerance for postoperative patients) and often give concurrent benzos. My personal experience with it as a nurse has been that it turns my patients into fruit loops who need safety partners to keep them from hopping out of the bed/pulling out IV's/swinging at folks. I find that the dissociative effects really cause more harm than the analgesic effects provide benefit, and I really don't think a busy ER or busy nursing floor is a good environment for it.
     
    As far as the large bone fracture and benzo use, absolutely some valium has been a godsend...  most of my folks with displaced femur/humerus fractures have been in so much pain that IV opiates alone haven't touched it, but you add in the valium (and then oral cyclobenzaprine if they're not immediately headed for the OR) and things get a lot more tolerable.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 1
  10. Eydawn added a post in a topic Prescription Drug Abuse   

    All I got for a migraine at urgent care once was a shot of toradol and a shot of phenergan in the ass. Felt like I was sitting on golf balls. Learned I don't tolerate Macrobid... would have really appreciated not finding out that way! ~_~
     
    The combo did work, no narcs required...
     
    On this note, how often do you ER types prescribe narcs for pain of unknown etiology? My chest pain ER visit comes to mind, and they tossed me out with a scrip for 30 vicodin, which I said I didn't want, and when they made me take it with me anyway I promptly deposited it in the shred box up on my home floor when I went to retrieve my stuff from my locker.
     
    Was that wierd, or par for the course?
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  11. Eydawn added a post in a topic Prescription Drug Abuse   

    I share the concern with this. We have one doctor I refer to as the "candyman" because his patients are all on large amounts of narcotics.
     
    Combo #1: Soma (carisoprodol) PO 350mg Q6H, 8mg Dilaudid PO Q4h, Nucynta (Tapentadol) ER 40mg BID, 5mg oxycodone Q6H PRN for "breakthrough" and IVP dilaudid 2mg Q2h for "breakthrough"
     
    Combo #2: Morphine ER 40mg PO BID, 15mg roxicodone IR Q4H PRN, Valium 10mg Q8H and of course, dilaudid PCA... high dose settings. 
     
    Combo #3: Opana 30mg ER PO BID, Morphine 20mg ER PO BID, 10 mg morphine IR PO Q6H PRN, Lyrica 300 mg TID
     
    All of these had me shaking my head... just try to be more than 10 minutes off from the "due" time too... what's even scarier is the folks that I know STILL had pain, despite all these combos, who were not sedated in the slightest. Holy shit, batman. I did have to get into it with a PA who was mad about the patient "not being on their home medications" and my very pointed comment was that their sedation level contraindicated resuming some of those medications right now... OMG, they're nodding off/desatting as we're sitting here talking about this, ain't no way I'm adding in more sedation...
     
    I have noticed that there's a distinct behavioral difference in some folks. Some folks are driven by the pain medication schedule and become abusive when it is deviated from; others are adamant about it, but understanding of interruptions and much more reliable in pain self reporting. Even if they do never get below a 7/10.
     
    Good resouce, Mike! Thanks for posting it.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  12. Eydawn added a post in a topic Better study up on statins   

    Here's the thing... statins are linked to musculoskeletal injury. Oddly enough, I work on an ortho floor, and guess how many of my non-gross-traumatic-yet-non-elective surgery patients appear to be taking a statin?
     
    Yes, statins have some data backing decreased mortality.... but like all medications are not without serious potential for side effect.
     
    It'll be interesting to see how this goes.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  13. Eydawn added a post in a topic The Chemicals Between Us   

    Uh oh. I don't know what the berries are... when I snap a pic and run it thru Google what do I get? Grab a sample in a baggie, look into kiddo's mouth to see if he's all berrylicious and hightail it to the ER. Also ask the brother if he ate any of the goddamn things...

    What's our updated vitals?

    Wendy
    CO EMT-B
    RN-ADN
    • 0
  14. Eydawn added a post in a topic Its been a while eh ?   

    I love it! She's beautiful. :) And you're looking nice and mountain-man-grizzled... ;-) (The beard works for ya!)
     
    You can tell she loves you... totally bonded to you. I'm glad she's able to help keep you quiet/calm at night... that's awesome. Nothing better than a dog snuggle.
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0
  15. Eydawn added a post in a topic Usernames   

    Readtheshirt- I'm dying laughing over that one. Tickled my funny!!!
     
    Chicksdigmedics69
    Iamthebari-lift
    Sceneissafe247
     
    Wendy
    CO EMT-B
    RN-ADN
    • 0