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MeekoBB

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Posts posted by MeekoBB

  1. 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?

  2. I am pleased to see you made it out alright, all things considering. In Bergen County NJ where I live, we were without power for 10 days. My aunt only JUST got hers back this past Saturday. With the gas restrictions that were put up, my uncle was just like f**k it. We drove out to PA, filled up there with our gas cans as well, and drove back. The Tues. after the storm, we actually drove out to Hamburg PA to go to Cabela's to get a generator. They were open, running on one themselves, to sell only propane heaters and generators. We didn't bother even trying anything local by us knowing. My grandfather was in the hospital that Friday before until that Tuesday (ended up back in a week later) but he was safe from the storm itself but said the winds were horrid against the windows of his room in the hospital and kept him up.

  3. I can't help but to agree. When I first heard they were still planning on holding it my comment was like "Are they f***ing nuts?" I'm going on day 6 of no power here and PSE&G is telling us that we won't likely see any until at least next weekend. Mind you, every street surrounding mine has power. My uncle and I drove out to PA Tuesday to buy a generator (Cabela's FTW!). The store was running on a generator themselves and was open ONLY to sell propane heaters and generators which they had stock piled in front by customer service.

  4. OMG rattie, I'm so sorry! My hopes and prayers for him to get better and for you and your family to get through this time. I've been out of EMS for sometime now. What exactly is the condition he has? Can someone else explain to me so that rat can tend to her boy?

  5. Yes Beegers, I remember you...

    The title of your thread made me laugh uncontrollably....it is funny if you recall that Dust himself just returned after a long hiatus as well. :) :)

    Nah, I don't recall sorry. I generally just been poking around aimlessly and hanging out in the chatroom hoping some familiar faces come around. I do remember Dust having had disappeared not long before I left without much word.

  6. <sneezes> <pats blood off split lip>

    Hey Beegs! How ya' been?

    Whoot! Someone remembers me! YAY!!! All is well with the world now...

    I'm okay. Getting my day to day. you? I'm in the chat if you want to keep me company?

  7. it got brought up in chat today that spenac is smelly and likes to think hes the offial basher..so im carioverting this thread back to life so we may again, for our pleasure, bash spenac the dirty scoundral once more :lol:

    There were reasons why these threads were buried.

  8. A screw broke on the cot that helps hold the head up so it was a bit lopsided...

    Side lights on ambulance froze while responding to diabetic emergency with ALS...

    Same call as above...battery dies (I turned everything off so no excuse for it dying)...

    Same company as previous incidents mentioned...siren shorts out responding to resp distress (was all highway to facility so miraculously worked okay for us)...

    Stair chair collapses with patient (idiotic partner didn't know to push the bars at the feet sides down)...

    Bag reeves zipper broke on combative diabetic...

    Someone stole ambulance wiper blades...

    Wiper blades motor dies in storm...

    Plastic stretcher straps jammed requiring us to cut the patient out to transfer to bed...captain screamed at us but oh well, we did what we needed to...

    There has been more...but I gots a headache now.

  9. Aside from the routine answer of brand new equipment and new trucks, I would opt for contracting a respectable school/training center to come in and regulate employees' training and certification. That way the properly assessed/trained staff would respond to the 911 runs we receive and be able to provide the level of care expected and not some greenie straight of school standing around waiting for their partner's orders.

    Any service can strongly benefit from proper courses and training....routine training. In NJ the refresher is required every 3 years, but if a private company mandates it every year for employment by a certified instructor instructing the class in house.

    My training & safety supervisor is -- okay -- but can be better. There are sooo many courses available that would also benefit the EMTs (and maybe even the MAVTs) in the company.

  10. The other night I had my pager on for the hell of it (home bored) but wasn't intending on responding and ALS was dispatched to my city. We usually deal with 2 particular hospitals and a different one was dispatched to my city who NEVER NEVER comes to our town:

    DISPATCH: 701 did you receive your page?

    701: Negative --- wait a second --- just received --- --- --- is this a joke?

    DISPATCH: Uhh 701 confirm your location, GPS may have frozen

    701: Location Rt ** Southbound

    DISPATCH: 701 no joke - respond to 123 XYZ CITY

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