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  2. Hi all! Stay safe!

  3. That sucks, may he he rest in peace!
  4. https://www.covidtests.gov Easy, free, and 100% legitimate. Be safe out there and stay healthy...
  5. ok, first off, there are about 2 regular members looking at this site and I'm one of the two. Maybe there's more but this site is pretty dead. No offense to the admin/owner here but everyonce in a while we get a new member. This is probably not the site for you to ask these types of things because you won't often get a response until 1 or two months later and I assume this is too late for you. the insulin medication is incorrect - I'm almost 100% sure that insulin is not given orally but I don't know about outside the US but I'm pretty sure. This patient needs a endocrinology consult STAT and there is much left out of the scenario to give much better answers. If her sugar was 500 or was it 900+, that makes a difference as well as if she was throwing ketones or not. I would slowly decrease her blood sugar by not more than 200 per hour. Watch for hyperkalemia She needs and ICU bed at a facility that can handle her, not a icu bed in a small hospital like some of the ones I take patients to. 4 bed ccu or icu's dont' really cut it. She needs probably a cardiac consult, gi consult, nutrition consult, wound care if she has wounds (diabetics often have unhealed wounds) etc etc etc. A facebook group I can recommend is Master Your Medic you can join, and post this question there and it will get you faster and better answers from some of the smartest minds in EMS today.
  6. Here's my jumbled thoughts. The private that I'm at now is contracted to a "World Famous Clinic." 🙄 I think that we're doing about 100-175 transfers every 24 hours for them. I'm getting 1 covid pt every shift or so. All of them have been vaccinated. A year ago, I found out that I had it. As of the beginning of last month, I still tested positive for antibodies. My employer had a mandate in place that was effective 1 Dec stating that all employees had to be vaccinated. Even if you had antibodies, you were required to have a minimum of one shot. They had exemptions, but the last that I had heard, almost none of them were accepted. Due to the injunction that was signed, I went to work on the first. For how long, I don't know. Now, the technology they are using to make these vaccines is new. There's been a lot of stuff published about what it does/doesn't do to your body. From my understanding, a true vaccine will prevent you from getting something (polio). These are more like the flu shot. They make a guesstimate of the variant, and try to match it with a shot. You still can get it, but the symptoms "won't be as bad." Most vaccines took years of experimentation to perfect. These were done in less than a year. Depending on who's statistics you read, the numbers of infected/hospitalized/dead/dying/etc vary. Around me, they love to report on the number of new "cases." Well, if I were to go to a couple places and get tested in the same county, theoretically, each of those positive tests would count as a new case. How many are actually dying of covid versus comorbidities? Remember the reports of people being listed as a covid death even if they had a stroke or MI just because they tested positive? When the prior administration was in office, the shot was a bad thing. Now, with the new administration, the shot is becoming a mandatory thing. Vax cards were never going to be required. Masking and shut-downs were going to be a short-term thing. Here we are now, and just look. Austria and Germany have announced plans for mandatory vaccination of ALL people. Unvaccinated people will not be allowed to go anywhere outside of their homes except for work, grocery shopping, and the doctor. Police will have authority to randomly stop people and check them for their vaccination status. Australia was even worse, preventing people from leaving their houses, and crossing counties. (Unless you were a soccer team.) The people started rioting. Politics has become so intertwined with all of this that I cannot even go there without using lots of swearing. Fauci, the Wuhan lab, natural immunity , one mask/two masks, 6-foot distancing, Ivermectin, vitamin D, etc., etc., etc. I'm just so sick and tired of it all. It seems like stuff that was tin-foil hat theories six months ago is coming true now. What the hell is going on? I have natural immunity for now, but apparently, that doesn't matter. I'm a bad person because I don't want to get this new, still experimental shot injected into my body yet. I'm a paria and an outcast. Big pharma seems to be the only ones getting rich off of all of this. I want to wait for a while longer before I get jabbed. I want more evidence of how effective and what the side effects of these shots are. Then I will decide on what to put into my body. After all, wasn't that a big thing in the 60's and 70's? "My body. My choice." ?? Sorry. Rant off.
  7. Damn shame about Mobey. I guess that we're all getting up there. Glad to hear that you're healing, Ruff. What happened to the patient that assaulted you? Any charges pending? Years ago, I had a fancy Lincoln up on the sidewalk against a telephone pole. Guy in a suit behind the wheel looked like a hypoglycemic pt. Crouched down next to the door, and asked how he was doing. Next thing I know, I'm on my ass and my jaw hurts. Dude has the car started, motor revved up, and is trying to shift into reverse, but his foot is still on the brake pedal. My partner is walking behind the car, so I reached in trying to shift it to park, or turn the keys off. Guy grabs my arm, and just chomped down on it like an ear of corn. My partner hears me yelling, sees me get loose, and the guy proceed to start laying into me. He comes over and literally falls on the guy shoving him into the seat (He was about 350 lbs back then.) We finally get him out of the car onto the ground as the cavalry arrives to back us up after our distress call went out. Turns out that the guy had been high on coke and crack. He had been driving from one side of town to the other before he passed out and glided onto the sidewalk into the pole. He developed Rhabdo and was in the ICU for a while after our adventure. I filed a report with PD. He was charged, and I went after him in a civil suit. His attorney was real smarmy about the whole thing right up until they said that I had no permanent damage from the incident, and I showed them the scar on my arm. They agreed to damages real quick after that. Not every pt is innocent.
  8. I used to be really active here back when there was the flashchat. It's been a LONG time. So, I am in school and I am just looking for some feedback on a medical scenario for an assignment. I have my own ideas, but I just want to ensure that I am on the right track. Prompt: Consider the following scenario: Ms. Craft, age 59, was brought by ambulance to the emergency room because she thought she was dying. She had difficulty breathing, was dizzy if she attempted to sit up, and felt a sense of impending doom. Ms. Craft assumed that she was having a heart attack, and so did the admitting emergency room personnel. But the case was more complicated. Physical examination showed Ms. Craft to have weakness, malaise, warm skin, and hypotension. Ms. Craft said she felt nauseous. A blood glucose value was really high. Cardiac markers did not show that she was having a heart attack, nor did an EKG. When her history was taken, Ms. Craft said she had not seen a doctor in several years and was unaware that she had diabetes. Her respirations were deep and rapid—Kussmaul respirations. In this case, the ER physician diagnosed decompensated diabetes mellitus with metabolic acidosis. These were the medications prescribed: • Oxygen by mask • Hypertonic IV fluids • Insulin orally • Hydrochloric acid solution via IV In a short paper, the following critical elements must be addressed: • Identify the incorrect medication/drug classification/treatment and explain why it is incorrect. • What drug classification would you use instead? Why? • Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient's body?
  9. OKAY, yes, I know these are definitely older and no longer top of the line. That said and acknowledged, we are a rural fire district that has never done vary many transports, leaving that to private ambulance companies. These days that is having to change due to a combination of COVID, economy, scarcity of EMTs, and VERY LONG turn around times at ER. So, we are now transporting about an hour each way over rural (bumpy) roads. Many of our patients are elderly. We have resolved to add automatic or semi-automatic vital sign monitoring to supplement our all-manual current practice. Because of price, availability, and reputation and a generous in-kind donation of several of them, we have decided to go with the Welch Allyn ProPaq Encore line. We have mostly 202EL and 206 EL units, with Option Numbers of mostly 223 and 225. These units, therefore, use Nellcor SpO2 sensors but from there I am confused. Some say MP-203 sensor and some say MP-507 sensors. I have also been told that Nellcor DS-100A sensors are what we need and I can find off-brand replacements for those. I particularly want to maintain the motion tolerance that made these model popular "back in the day." Can anyone help me with which goes with what for the SpO2 sensors? Also, a smaller matter is that I cannot find even a part number for the DC (12 volt) three-pin power cables. Thanks so much for any info, wisdom, suggestions or hand-holding anyone can provide. Take care everyone!
  10. I had to look back, so no idea why it's under Funny Stuff. While the question of 3 Strike Rules might be hypothetical, I feel that, hypothetically, the aforementioned Malpractice by failure to act could be applied, at someone, or an agency's expense, in the millions of $$$.
  11. 1) Why is this posted in "Funny Stuff"? 2) Who made any of us judge, jury, and executioner? When someone calls in emergent medical distress, my job is to answer that call not engage in social judgement as to why that person ended up in a particular situation. 3) Previous forms of "3 strike rules" have been complete, epic, failures. Why should this particular line of thinking be allowed to prevail?
  12. Sorry to hear. Rest and healing to his family and loved ones as they work through this.
  13. All of healthcare in British Columbia has mandatory vaccination. At this point anyone who has not received at least dose one has been placed on leave without pay. There are exemptions in place for those not medically able to be vaccinated. Personally I don't have a problem with it. I had to provide proof of the standard schedule of vaccinations just to be allowed into my education programme (never mind to be employed). What reason would I have to expect anything different with respect to vaccination during a pandemic?
  14. Sad news. Rest and healing to his family and loved ones.
  15. I'm also not 'anti-vax'...I AM anti-mandate! I have questions that no one is able to answer, and until they are, I'm not getting the vaccine. There has been far too much disinformation published, and when facts to refute the disinformation is posted, it gets censored. I'm tired of it all! First off, to my knowledge only 1 vaccine has been FDA approved, the other two are still being distributed under the Emergency Use Act. Since they haven't received full FDA approval, they're still considered 'experimental drugs'.
  16. I'm so sorry to hear this! My deepest condolences to family and friends LS
  17. Things are good here on my side, had a stroke post patient assault in September of last year. That totally sucked. I'm back to normal but it was a long road. Moved from a urban setting to a rural setting (much safer and I can actually let my kids ride their bikes without me being outside watching their every move). Things are good. Thanks Scuba - so the patient blind sided me and hit me in the side of the head. I was unable to defend against it because I didn't see it coming. She hit me full force. Had terrible neck pain after the assault. Nobody expected me to have a significant injury. Fast forward 9 days, I collapsed outside a Massage therapy place (hadn't gone in for the massage and there was no happy ending). Called EMS, transported to the big major stroke center in KC MO had a series of 5 cerebellar strokes. Turns out the assault caused dissections of my middle vertebral arteries - and over that 9 days, clots built up until the stroke occurred. Heparin therapy, oral coumadin, 2 1/2 months of physical therapy and I went back to work 3 monts after the assault. Believe it or not - work comp was spot on and paid for everything and they are sending me a check for 7k for disposition of case. I need the 7k to buy a car that my son totalled. Lifes been interesting.
  18. Dang ruff! I'm so sorry to hear that!
  19. Things are good here on my side, had a stroke post patient assault in September of last year. That totally sucked. I'm back to normal but it was a long road. Moved from a urban setting to a rural setting (much safer and I can actually let my kids ride their bikes without me being outside watching their every move). Things are good.
  20. Damn. How is everyone? Hanging in there otherwise?
  21. Sucks we’ve lost another great provider. Rest easy, brother….we’ve got it from here.
  22. Damn that sucks. Fly high old friend.
  23. Hi all. Marc Moebis, AKA mobey, passed away suddenly yesterday. I don't know anything more than that. 💔 Seems like we just keep losing members of the old guard.
  24. I’m sad to share the passing of Marc Moebis, better known as Mobey on this site. Alberta has lost a great paramedic and mentor
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