Lilacmedic

Brilliant idea Dustdevil!

Can you imagine the peace and tranquility without mrs. PMS rearing her agro little head! lol

Damage to the Hypothalamus or injury to the limbic area will also increase the risk of suffering from heat stroke again the following meds also play havoc with mr. Thermostat..

(1) psychotropics, which affect psychic function, behavior, or experience (e.g. haloperidol or chlorpromazine)

(2) medications for Parkinson’s disease, because they can inhibit perspiration.

(3) tranquilizers such as phenothiazines, butyrophenones, and thiozanthenes.

(4) diuretic medications that affect fluid balance in the body.

Pulse oximetry....ah, the myriad of false negatives and false positives that little gadget can throw at us!

Nice little toy but what stands out for me is that the pre-calibrated graphs are based on tests done on NAVY SEALS. Just a pity most of my patients don't fall into that category. (and location where SEALS are found aren't the only factor! lol)

Plus our cousin mr. Hb affinity to O2 is pretty sensitive when it comes to temperature, 2,3-DPG, PCO2, change in pH. And then all the little external factors like nail polish, correct fittment of probe etc.

I for one have never been able to landmark a vein over a 3rd degree area....

As for first and second...try another place? IO also comes to mind if they're real crispy...

Perhaps they should ban people from drinking water as well...has anyone considered how much time is lost with all those H2O consumers constantly squeezing a kidney in the loo? And while we're at it...let's place camera's in the loo-so we can be sure they're not being perverse in there, also add a timer-when your time is up-VIOLA! the door automatically swings open and you're exposed for the slow urinater that you are!!

In that case all eating 4hrs prior to working should also be banned-as we all know that the

excretion process will take a bit longer to complete and the smell is also not an enhancement to the friendly working enviroment!

Also all people with any health problems should be screened and dismissed-we don't want any unproductive people and they are a large cost to the health system!

Also all ugly people should be banned from public areas-as they don't add to the aesthetic enviroment that we want to create!-and our employers will be more productive and eager to work if they're surrounded by visually appealing folk!

....now who do I submit my ideas to? lol

As I mentioned earlier the odds are stacked against us but even with those odds we must give our patients a fighting chance...

AED and CPR training is crucial but education starts way before that..education should start at pre-school level were kids are educated and encouraged about healthy living habits.

Because cardiac arrest or any cardiac/stroke related disease has a chronic path that it follows people in general don't take it that seriously and hold on to the belief that it could never happen to them.

With HIV/AIDS education all the stops are pulled-graphic pictures and dramatic movies were thrown at us by the media depicting dangerous behavior and then as a finale we see the and stages of AIDS.

The anti-smoke campaign is another example of such action.

Cardiac arrest/ Stroke hasn't received the same kind of coverage. How many teenagers aren't morbidly obese? Education should start earlier and then we might only have to respond to the rare cases where the patient is genetically predisposed.

Till then we can hammer out stats and have expensive research go into medications and operations....but unless we don't start emphasizing the importance of a healthy life style at a young age we can forget of ever beating our odds.

And here's a thought....how can we expect to deliver medical care and advice to patients when we ourselves look like we're candidates for cardiac surgery?

Adrenaline would also increase peripheral vasoconstriction which would just add to the problem...and in a way totally counteract the effect that one hopes to achieve with Glyceryl trinitrate and morphine. One wants a recduction in the afterload to assist with the treatment of PE.

So many factors decide what will be a good discharge from hospital.. It seems unfair to hand out awards to those who have had luck on their side-as those who didn't have their patient discharged from hospital or even had to declare on scene did just as much effort in trying to pull the patient through.

One can but hope that the Amiodarone will touch sides, dfib was early enough and that the water was cold enough...

According to the stats I was able to find(Blackwell) the rate of a success of a resus is <5%-this is when early dfib and CPR are done within the first few minutes.

Add to that the minefield of added controversies that insue...cardiac/thoracic pump theories, the whole BVM dilemma and all the other little issues that seem to add to the ods.

It would be so much easier to risus a patient with hindsight but we don't have that luxury-all we can do is give it our all and hope that we made a difference...the award should go to being dedicated and fighting for our patients when the odds are stacked against us.

I just wonder what part of lights, sirens and o2 cylinders becoming projectiles the public battles with... But alas, our job is to help those in need as well as think for those with absolutelly no common sense.

This the only profesion that accepts me and my sociological disturbances...actually accepts it with open arms! The road was painfull and the tattoo's worth it! ...although my liver might regret the choice somewhere along the line.

As far as I know students would rate just below pond scum...but I could be mistaken.

As for emt-B's dipping their hands into ALS teritory....

For a moment I thought the BLS wont bring me my coffee anymore! sigh of relief!

Glad no revolution got started and my room service will still be on time!

I have a major issue with melena stool...find it to be a personal insult upon my delicate senses.... Copious amounts of vanilla essence (not ingested) can mask the odor of vomit... Why do such delicate upstanding members of society like ourselves have the burden of sensitive noses...i should've been a fox hound!