Malignant-Hyperthermia

](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: and then... Again, you Ignorance shows, don't assume everyone is from thew US of A. I assure you education standards in OTHER countries far exceed twelve months What was your point here? who assumes they are owed something? You owe me nothing, i owe you nothing except some courtesy which your ignorance is beginning to test. I doubt this is a part of this debate, but rather a subtle slap in the face for someone here......jeez i wonder who? And raising the bar is not a way to do this? Becoming less dependent upon protocol and more dependent upon ourselves? There is a certain amount of autonomy and development one must have in order to gain the status of "profession" amongst its peers and we are just starting to scratch that surface. Though i feel we are a profession (in general) i think we have a lot more to prove to other people for this to be accepted, and its their perception of us that is the real test. There is a combination of self image and our image amongst other health professionals we need to obtain, and in some places we are not their yet. "I think therefore i am" is not quite enough unfortunately...... Becksdad, thats a beautiful post man! Clinicians is the word Id would go for, but i still believe that paramedicine is a form of medicine, though in its infancy. I believe that changes in education standards and slow but progressive move from protocols to guidelines and more autonomy for clinicians in pre-hospital care is starting to prove this a reality.

We could attend in costume and role play - someone can dress as Fishbine and yell at you while i go outside andl slash all your tires. Finding the right clothes could be problematic, but im sure we could call Dust "The best driver in the city' Now, to find a Rachel Welsh look alike......

Cheers AK I knew that it wasn't the purpose of the post, but some would use it to jump to high-moral ground and criticise it

Well as i dont believe in religion fearing the vengeful wrath of an almighty is not a concern for me. If i was desperate enough id say id probably pocket a fistful and leave most of it there. If i could mostly do without it would stay in the bastards pockets for the coppers to have....... Id have to be damn sure i could get away with it though [quoat]develop sincere, dedicated EMS professionals[/quoat] I'm sincere, I'm dedicated and I'm professional....but im also human, but id also knock some of if i was in dire straits......how honest is that? I now await the ass reaming that i know is coming my way

minus 5 for being rude to people minus 5 for being self absorbed

Its an idea that certainly has potential, though i would not expect anything less than the expensive training police mounts use - especially in terms of minimising risk to the public. There would be a prohibitive ongoing cost in the up-keep there i as well. Bikes/motorcycles are probably a better option, but i guess it depends on how often or where your going to use them

:banghead: Its sad to see that the contemporary view of medicine is still determined by the word "Doctor" and denial that pre-hospital interventions is not a form of medicine is not only narrow minded, but is undermining the professional standing that paramedics and EMT's internationally strive for amongst other allied health professionals The interventions carried out by pre-hospital care providers still appears to be seen as nothing more than a bunch of tricks we pull out. If we are carrying out interventions with appropriate underpinning knowledge and clinical decision making in the field of "Emergency Medicine" what exactly are we doing? Medicine is more than giving drugs, writing pre-scriptions and diagnosis, there is an entirety here most people dismiss. Medicine is a continuum and Pre-Hospital Care is the first point of contact So what exactly are you doing whit? What does EMS stand for? What does EMT stand for? You can either understand you are in fact practicing a form of medicine, or you can become an advocate for change and degrade the lifetimes of effort others have given so that we may walk amongst the other professionals of allied health. You deny that we practice you deny we are professional Ignorance is also assuming everyone is brought up on the US based model of EMS where 120 hours gets you in the back of an ambulance. Ignorance is assuming that medicine does not appear in many forms. Ignorance is is a failure to grasp or devlope new concepts. Ignorance is to believe that "Emergency Medical Services" have not spent decades, since the first medics stepped onto the field of battle with the roman army, to develope itself into a true profession, and a profession that is built on the provision of emergency medicine With a 99.8% success rate in assessing patients requirement for c-spine radiography, it can sure as hell determine if they should be immobilised..THATS evidence based medicine, denying this is also ignorant

Interesting... I guess my only contribution is that it is fairly rare for person to fail only 1 point of the NEXUS criteria, most fail 2 or 3, so hi-way hypnosis would be unlikely to be the only indicator for head/spinal pecautions Please dont ask me to find that, i have no idea where i read it but it stuck in my brain

You have the most bleak view of life and for that i am sorry......

go with the above, some nice shots of the guy puking whil they are working him would be cool.......plus some shots of the effects of drug addiction, isolation, poverty, malnutrition, social segregation, some infected injection sites, maybe some necrotising fascitis and a bit of puss...woohoo!

Amen!

:headbang: :headbang: :thumbleft: :thumbright: :D/ =D> Holy Crap! mate, you just got nailed by a 17 year old legend!

No... I argued that Evidence Based Practice is the ENTIRE job, not judgement calls. education, practice, experience, knowledge, exposure, evidence with a sound base of data that is clinically applicable and appraised approprately "judgement call" does not even begin to scratch the surface of the philosophy that is evidence based medicine. "Judgement Call" does not take into account wholistic approach..a judgement call is what to eat for lunch, the turkey or the ham. Clinical Decision Making is REAL medicine. Please.......you cannot see any variables in which way they are taken out of the vehicle despite the use of appropriate immobilisation techniques? like this...... That is trying to debunk the patient aplicability to the NEXUS criteria - and as Dust said, incredibly ignorant because it totally negates the information provided

Yeah! what Dustdevil said.............. =D> =D> =D> :D/ :D/

nice!

Im having difficulty understanding what exactly you are trying to prove..... on one hand you are making statements consistant with full c-spine precautions on another you are making a case to deny the pt may infact have a potential injury As Dust said.. I point you to this article..................http://www.fieldmedics.com/articles/the_nexus_study.htm if this is not reliable enough, i can find many more published artiscle for you, though finding a free one is the challenge I will point out however.... sound familiar? what about.. You mean like the kind of laceration you get from amcking your head against a windscreen to the point it leave i nice snowflake in the glass?

Before i start, i will say that i am Neuropathy i was playing with my profile and locked myself out accidently. Ahh wit wit wit......... i have 2 points for you my ignorant friend