MedicRN

fun

Genious

Nerds

What is his drug dosing schedule? Is he drinking grapefruit juice? Is he taking his Parkinson's med(s) with food?

What was the 12-lead reading (sorry if I missed a previous answer)?

Do you put pulse ox on the extremity with a poss fx or on the unaffected extremity for long term monitoring?

Before we go telling you the answer, why don't you tell us what you think the answer is and why.

Is it contraindicated to start an IV on a burn site? If you can still see and palpate the vein? Does it matter if its a 1st, 2nd or 3rd degree burn?

Before we go telling you the answer, why don't you tell us what you think the answer is and why.

In short, the heat injuried patient's internal thermoregulation is shot.

What are her VS? Any neuro deficits? How do her eyes appear to the EMS provider?

More questions later when I wake up.

BGL-21

Is this ml/dl? If so, 12.5-25gm D50 and see what that does.

Wait, does she have a DNR?

What does DNR have to do with it? She's not in cardiac arrest.......... yet.

EMT-B, 1987 = $175

EMT-I/D, 1991 = no cost

EMT-P, 1993 = $2500, does not include pre-reqs (A&P, Psych 101, Eng Comp 101, Speech, Chemistry) taken during the previous 6 years.

RN, 2003 = $13,000

To sum it all up, treat/transport/AMA according to YOUR LOCAL policies/procedures/regulations. What is policy for me is probably not policy for you.

Hypoglycemia (most probable) vs Absence Seizure

or

Absence Seizure as a result of the hypoglycemia

Either way, he needs dextrose. D50 or D25 as per local protocol. Transport and let ERDoc make sure nothing else is amiss. Oh, and make sure the parents are aware and what they want to do.

I didn't shoot the puppy!!!!!!!!!!

I will stop posting and you should too.

I'll be the bigger man here. I'll stop.

Thought you were the bigger person here, but you just can't resist, can you.... :banghead: :banghead: You just have to keep responding.

:director: Both of you need to grow up and LET IT DROP!!

Remember, the search function is your friend. This topic has already been discussed.

Thank you, thank you, thank you!!!! This 17th anniversary of my 21st birthday was a good one. :occasion5:

My best present was seeing my DH for the first time in a week :love4: :love3: :love7: :love10: (unfortunately, it will another week before I get to see him again! :sad10: :sad2: :love9: )!! He and I went out to a movie :happy1: and Carrabbas :thumbright: . The girls took me out to Outback this eventing. Other than that, not much else.

Terri...... Thanks for the eye candy. Didn't know you had a pic of my DH!!

Always makes me feel like laughing when they finally show up more than an hour after we call and they check for a pulse.

EMS folks have been known to be wrong before. :shock: :shock: He's just covering his ass.

For those who don't know, a warning is worse than a watch. It means conditions are favorable and likely to produce tornados.

This isn't exactly true. This definiation sounds like a watch with strong possibilities (something which catches a strorm chasers eye and starts them breathing heavy).

A tornado watch defines an area shaped like a parallelogram, where tornadoes and other kinds of severe weather are possible in the next several hours. It does not mean tornadoes are imminent.

(Emphasis mine)

A tornado warning means that a tornado has been spotted, or that Doppler radar indicates a thunderstorm circulation which can spawn a tornado. (Emphasis mine)

Source: Storm Prediction Center, National Oceanic & Atmospheric Administration

I don't intend to be picky (well, yes, I do), but as a storm chaser, I know the critical importance of the correct terminology.

Now, back to our regularly scheduled government bashing.

It changes with which spelling of my name I enter

The way I spell is = Village Idiot :shock:

The common spelling = Airline Stewardess :?

$385

Does anyone have a listing of states which require an Associates Degree to obtain their EMT-P? I'm in a debate on another list about how many (and which) states do and don't require it.

Thanks

She said EMT SKILLS save paramedics. She said nothing about the person to whom they belong.

Rule 41. The best paramedic remembers that three-quarters of their job (and title) is EMT.

Please forgive my ignorance, but what is HIPPA?

Health Insurance Portability and Accountability Act

Yeah... heavy on the kitsch, light on the humor. They teach you how to fly AV-8B's back there on the ranch too?

If you've never lived a farming or ranching life (or at least have an idea of what the life is all about) as well as one in the military, you probably won't get the humor. :dontknow: I think it's absolutely hilarious!!! :laughing5:

That can be a tricky situation. If there is mechanism or signs of injuries, I would definitely treat the patient, you have to do what is best for the patient. As far as the uncle being a "guardian", my understanding would be no, the legal guardian would have to be a parent. In the situation where there is no mechanism or signs of injuries, i would contact a parent by phone to get consent, and have a police officer witness. At minimum if the parents cannot be contact and theres not enough to justify transport, have the uncle sign and someone else witness, preferably a police officer. That's my personal opinions and my understanding of the term guardian.

If the 'guardian' is someone other than the parent and is refusing for the minor, the 'guardian' signs as well as an LEO witness and everything is thoroughly documented. If we can get ahold of the parents, all the better - signed off as 'parents contacted, refusal by phone.' I have yet to have to use the 'protective custody "clause"' on a severely injured (or potential for) minor. The 'guardian' is usually more then willing to have the minor transported if they are complaining of pain/injury.

Also, here, only 18yoa (emancipated, military, pregnant (but only with regards to the pregnancy and related issues)) and older can 'legally' refuse of their own accord. However, I have 'refused' older minors (usually 16 or 17yoa) if the incident was relatively minor and they understand the gravity of the situation and potentials. As for in the hospitals, parents/guardians must sign all consents for minors.

He is correct in the technicality of the rescue. However, your scenerio is not practical as I doubt any playground would meet code if it were to allow a child to reach a height of 30 feet. If you want fictional reality, keep it practical and within the realm of possibility.