Kaisu

Other religions are other facets of the same diamond. Your honest and heart felt truth Doc are also facets. The analogy falls apart when we realize that the diamond is fixed, whereas God and his facets are dynamic and growing. We reach a conclusion and a fixed point of view because we are afraid. The stakes are high. To reach the truth requires abandoning a point of view and existing in a chasm of faith. This requires a trust in something unseen, not understood and unknowable. It is in this chasm that the Holy Spirit works. Scary stuff. That's why Christ said many are called but few are chosen and that the road is narrow.

Doc - have you truly studied the bible in light of your own theological understanding? Have you compared beliefs? Have you read the Christian apologists? I respectfully submit that your study is incomplete and suggest that you don't know what you are talking about... It's a difficult study to keep an open mind and read the true evidence.. It also requires a spiritual willingness to understand. I don't pretend to know everything.. and I am a far from perfect teacher. Perhaps you should seek out people who truly do know what they are talking about. Christ said "seek and ye shall find" . In the infamous line of the "X files" the truth is out there. It's frustrating and sometimes difficult, but so worth the effort.

No I'm not. Every word in the Bible is divinely inspired and true... You just have to understand what the word meant at that time and place to those people.. and understand that we only have a piece that was important at that time to those people... I had one of my own crises of faith (and I'v had many) about 20 years ago. I went to my mainstream church pastor (extemely educated in Europe- theologically advanced and is now the head pastor in one of Scandinavia's capital churches) and told him I had to leave the church because I could no longer say the creed; that I didn't believe it anymore and would not say what I didn't believe. He said to me "Write your own creed. The Living Word is more important than Paul's creed 2000 years ago". Blew my freaking mind... what a challenge. PS.. I say the creed now and I believe every word - just in a totally different way than back then..

Do you know the story of the blind village and the elephant? A village of blind men were visited by an elephant. No one had any experience of the elephant. The elders went out to meet this strange thing. On felt the trunk - said the elephant was a tree limb; another the leg; said the elephant was a tree trunk - Still another the end of the tusk - the elephant is a rhinocerous... etc. etc. etc. The entire village fell into bloodshed over the conflicting views of the elephant.... God is a relationship. No matter how good we are at feeling with our fingers or how fast our feet are at covering the territory, we only glimpse pieces of God. Our responsibility is to keep examining, keep learning and to express the piece we have experienced as truthfully and honestly as we can, and always to understand that we only have a piece. I had a discussion with a Christian about the only way to God is through Christ. I asked him - what about a Christian the professes Christ in church, yet is a selfish bastard, hurting everyone around him/her in their life? Contrast that with a person who has never heard of Christ yet practices love and charity, long sufferingness and self sacrifice in a quest for truth? Which would Christ recognize as a diciple? They actually thought about that and changed. It was pretty awesome really.

No Doc I do not. And neither does the bible. Genesis is allegory, written for a specific people at a specific time in history within a specific cultural context. Understanding the thinking of that time and place illuminates the mystery and yet the simplicity, the enormous power and impact of the big bang and a constantly expanding universe.. Chbare, I am a firm believer in the scientific method - constantly revising practices in the face of new evidence. The same applies to my understanding of God. Just as homosexuality was banned in the Old Testament, anyone who reviles the power of sexuality and love today is going contrary to God's Love. The evidence is in the Bible

The more education I get, the more my view of God expands. The more I study the Bible, archeological and anthropological context, the more it's divine truths shine through. It's scary in the initial stages of the inquiry because the old familiar touchstones fall away and I am in an unpleasant tension. As the cycle unfolds, I am humbled, awed and elated.

I think the issue here is people who don't understand what they are doing. Its the same old argument - do what protocols say, or use protocols as a guideline and understand what you are doing. I feel your pain Kat

Awesome medic 113. I love to hear stuff like this. The beneficiary was the patient. Good for you

http://gma.yahoo.com/elderly-woman-dies-nurse-refuses-182806486.html

Where did I state I was hanging around on scene? I work for a transport company and that's what I do - transport. Secondly, is every wide complex tachycardia an unstable one? Where did you get the impression that I advocate hanging around diddling while Rome burns? and as far as my skin goes - the less you know the better....

One real benefit of mental masturbation is the esteem it evokes in other members of the healing profession, specifically ED docs and RNs. When one of the cranium spankers brings a patient into the crowded and understaffed ED they listen. Used judicially, when a frontal lobe wanker gives them the "this guy is circling the drain" look, they attend.

Thanks for the link Aprz.. and.. hahaha You know, Craig and Kiwi.. you guys upset me a little. I post what I think is interesting and potentially useful information and you two hit me with "whatta ya want that crap for, just follow the protocol." OK - no question, I may be a wee bit sensitized to this but I run in an area where protocol monkeys run the show. They don't want to understand any more than they do and consider someone who does a threat. I have learned to eat shit and smile. Come on fellows - can you not admit that there is the potential in the field for some patient benefiting from you knowing how to do this?

I like to understand what's going on. Uncontrolled afib in a patient with a history of afib has me thinking differently from a patient with a new onset of vfib. I agree that the treatment protocols will have you treating both the same in regards to stable vs. unstable, medication vs electricity. Given hemodynamically stable yet symptomatic patients, I think a trial of a calcium channel blocker is indicated for the first patient before zapping them, whereas the second patient is getting amoidarone or possibly electricity first.(it depends). This has to to with sustainability of the first rhythm as opposed to the highly unsustainable vfib. Maybe I'm off base here, but I like to know everything I feasibly can about what is going on with the patient, and in my simple mind, knowing where the dysrhythmia is originating is valuable information. Smart people correct me. I always like to learn.

Semantics boys semantics. MariB clarified and it sounds like you are in agreement

Quite some time ago, I posted about a patient with episodes of a wide complex tachycardia and how difficult it was to determine the origin of the tachycardia. I found this on a facebook posting by a medic practicing in the Philippines. http://circ.ahajournals.org/content/119/24/e592.full I find it quite interesting and am soliciting your comments. Have you ever used the Lewis Lead configuration? Any comments? Thanks

Yeah, but then you would have had to go to school and shit....

Adj. 1. lecherous - given to excessive indulgence in sexual activity; "a lecherous gleam in his eye"; "a lecherous good-for-nothing" sexy - marked by or tending to arouse sexual desire or interest; "feeling sexy"; "sexy clothes"; "sexy poses"; "a sexy book"; "sexy jokes" adjective lustful, randy (informal, chiefly Brit.), raunchy (slang), lewd, wanton, carnal, salacious, prurient, lascivious, libidinous,licentious, lubricious (literary), concupiscent, goatish (archaic or literary), unchaste, ruttish lecherous old men offering sweets at the school gate and immediately by the definitions was a picture of Art

Good work jnjplus6. You will have these types of dilemmas and even tougher ones in your EMS career. The more you do the right thing the easier it gets. Kudos

Where in AZ are you Saundra? and watch out for the letch montsters - Artikat, I'm looking at you.

I ran into the same situation in medic school. I reported it, and the offenders knew I reported it. The school did nothing about it, but the cheating in my presence stopped because.. hey.. they knew I would report it. I don't know why we have a difficult time with these things. I'm reminded of the quote "for evil to triumph, good men must do nothing". Are there reprecussions? Sure. None as bad as looking back on decades of moral compromise and realizing that you have no respect for the person looking back from you in the mirror. BTW - the cheaters - one passed his national registry, the other one failed.

Click on the link, it takes you to a map. Click on the state you are interested in and it takes you to that state's EMS page where you can find the requirements. https://www.nremt.org/nremt/about/emt_cand_state_offices.asp

Welcome new guy.. and don't mind the dinosaurs. I am a medic in Western Arizona.. which means they gave me a can opener and a bucket for the guts and told me to go to it. I was out of the field for almost a year, but am resuming the madness at the end of the month. It's a sickness I tell you, and once infected, it never leaves the system. ... or it gets the hose edited for the afterthought

I would be extremely loathe to use any of the benzos in someone this compromised. I would RSI her without preoxygenation. If I couldn't get the tube on the first attempt then there is the Combi-tube and last but not least the crike.

I'd have to agree with Kiwi here. This lady has bought herself a tube. RSI is the indication here. Sounds like she may be in congestive heart failure. Be that as it may, airway is the priority and management of BP with continued dopamine. I wouldn't waste time with a diversion to a clinic. If you can get a BSL intercept to get extra hands on board without too much delay then go for it. Diesel bolus in the absence of air for definitive care.

OK.. I'm applying