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MedicRN

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  1. Interesting......

    UPDATE: La Salle teen dies in I-39 crash

    01/19/2009, 11:22 pm

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    One person is dead following a crash on Interstate 39 Saturday evening.

    The driver, Michael J. Zeman, 19, of La Salle, died the car he was driving struck the trailer portion of a semi parked on the shoulder while he was southbound on I-39 south of Mendota. The driver appears to have lost control on the icy pavement. The accident happened near mile marker 69 1/2, which is in Troy Grove Township.

    The driver of the semi, Edin Grabovac, 26, of Florida, was not injured.

    Mendota fire and ambulance crews responded. The La Salle County Coroner's Office pronounced Zeman dead at the scene.

    The coroner's office issued a press release Monday morning identifying Zeman. An autopsy is scheduled for Monday afternoon.

  2. For something to be called premature, the underlying rhythm MUST BE regular. A-fib by definition is not regular (it's an irregular irregularity). I agree with crotchity..... there is no such thing as a "PVC" in A-Fib, only ventricular ectopy.

  3. Can you do that out step by step for me, MedicRN? I was trying to figure it out myself (even though I'm not a medic) but I'm not sure how to make the conversions all work right. A 60 gtt set is 60 gtts per mL per min, correct? Without being able to look up references, I'm having issues.

    Wendy

    CO EMT-B

    That would be correct.

    I'm still trying to work this one out. I get the same numbers as Doc but the decimal is in a different place............

  4. You have a 2kg premie infant that needs a dopamine drip. You have 1600mg of Dopamine in a 100cc bag of NACL (you dont want to overload the child with fluid). You want to administer 7mcgs with a 60gtt set.

    What is your drip rate ?

    Is that 7mcgs total or 7mcg/kg/min?

    Wouldn't want a medication error.

  5. I guess I'll have to fess up. I'm admin. I have the 'R'. :glasses7:

    :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5: :glasses5:

    Now I'll have to kill the lot of you.

    :violent3: :violent3: :violent3: :violent3: :violent3: :violent3: :violent3: :violent3:

  6. ...I have to say, though, I felt worse for treating then making a med error or not having done a treatment....By the way, the DNR was specific - no hospitalization, no IV's, no nothing basically....

    Let me get this right.... You feel bad about TREATING a DNR patient (DNR wording aside)? What would you have done if you knew this patient was a 'run-of-the-mill' DNR?

  7. I don't really know what to do, or why I'm so scared. I guess that's part of being human... I don't necessarily want everyone to tell me that everything's ok... I just want to know that I'm not crazy for being scared.

    Like everyone else has said.... keep in contact with your doctor. And, no you aren't crazy for being scared. It's natural and it's human.

    Let us know how things are going. You are in my prayers.

  8. What do I find? Sex, approx age, size, weight, position, breathing, skin signs, level of consciousness, what does it seem he is doing or was doing last, anything else that stands out as I walk in?

    What Anthony said.

    I'll add when did they first light their furnace or use their fireplace?

  9. http://www.dodgeglobe.com/stories/082407/l...070824001.shtml

    Two of the three helicopter crew members injured in a "hard landing" Wednesday afternoon in Mullinville were released from medical care Thursday.

    Teresa Pearson and Jeff Luck were examined, treated and released from the Via Christi-St. Francis hospital in Wichita, said Mike Johnson, medical operations director for Midwest LifeTeam.

    Pilot Richard Schneider was undergoing surgery on his back late Thursday afternoon to correct damage he sustained in the crash.

    Johnson said Schneider wasn't likely to be paralyzed and was expected to make a full recovery.

    Johnson, Pearson and Schneider were all injured when their helicopter unexpectedly crashed Wednesday just south of Mullinville while they were attempting to respond to a two-vehicle wreck.

    Despite the crash, Johnson said the crew members and families were counting themselves lucky the injuries weren't worse.

    "Everybody on the crew is in great spirits," he said. "We really do appreciate the outpouring of support that everyone has shown for our crew."

    What caused the rough landing, however, remains a mystery.

    Johnson said investigators have bandied speculation back and forth, but no solid answers have emerged. That the wreck even occurred was strange, he said.

    "It was essentially a brand-new helicopter," he said. "So, there's definitely some mystery as to what caused it."

    Johnson said investigators are leaning toward mechanical failure as the cause. He said he was also confident the cause would be discovered because of the plethora of eyewitnesses and testimony from the crew.

    Early speculation suggested that hard gusts of wind may have pushed the helicopter into power lines after it landed. Johnson said a subsequent investigation has shown that weather probably wasn't the problem.

    The National Transportation Safety Board has been called in to manage the investigation.

    Aaron Sauer, the investigator in charge of the crash, said the NTSB is working with the Federal Aviation Administration out of Wichita and the Kansas Highway Patrol to collect as much information as possible on the wreck.

    Sauer, who is based in the agency's regional office in Denver, said it wasn't his job to determine the cause, but rather to present a dossier to his bosses in Washington, D.C., who would then release an official cause.

    No one from the board has made a trip to Kansas yet, Sauer said. But within the next several weeks, he and a crew will travel to Hutchinson, where the helicopter was taken for examination.

    From there, he said he would interview the injured crew members once they have fully recovered. He and his crew will then sift through eyewitness interviews collected by the FAA and the Highway Patrol.

    "There's a lot of information we have to go through," he said.

    Sauer said an average aviation accident investigation can take anywhere from three to six months, so he urged caution for those itching for quick answers.

    "You can never anticipate how long these things will take," he said.

    Phone calls to the Wichita branch of the FAA weren't returned as of press time Thursday.

    The other crew members of the Dodge City LifeTeam said their company told them not to speak publicly about the accident.

  10. http://www.kbsd6.com/Global/story.asp?S=6968236

    Four people are hurt after a hard landing by a LifeTeam helicopter in Mullinville this afternoon. A leiutenant at the scene says the victims are the three people on board and the crash victim on the ground they were trying to help. Crew members were taken to various hospitals. The crash victim was transported to a local trauma center.

    An eyewitness tells our crew at the scene the air ambulance was landing when it started to rock. It hit some powerlines and came down.

    Highway 54 in Mullinville is now open to westbound traffic. Traffic is being re routed to 400 while crews work the scene.

    The LifeTeam chopper is based out of Dodge City.

    http://kfdi.com/Article.asp?id=461606&spid=9846

    Four people were on board the LifeTeam medical helicopter that crashed this afternoon in Kiowa County.

    Officials at the Western Plains Medical Complex in Dodge City confirm it was a chopper that operated out of Dodge City. It crashed near Mullenville in Kiowa County. We've now heard reports of injuries but we do not know how serious those injuries are. At least one of the injured has been taken to an emergency room in Dodge City and possibly a LifeTeam helicopter is on its way to Wesley Medical Center here in Wichita with another one of the injured.

    Highway 54 in Mullenville is closed...traffic is being re-routed to Highway 400.

    Last I knew, the crew and patient are in Via Christi RMC in Wichita, KS. All are in fair condition. If anyone has anymore information, please let us know.

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