celticcare

Pleased someone posted that fact too, just because they have Arab names, doesn't mean they aren't American born and raised even. Don't jump the gun Aaron

EXCUSE ME.... I AM THE HOUND OF EMTCITY!!!!! And Dust, it was evident it was a shit stir thread. Too bad that the Canadian medics have morals that they wont comprimise their patients, it was the same as us as RN's striking for equal pay, a street cleaner was on more than an RN here and we couldnt abandon our patients or their families to strike, it took years to get anywhere and now we finally have a level of pay that is satisfactory *not great but satisfactory* Keep the sob story out of the thread Dust, you've had that many jobs that its not actually proof of creditbility, its a sign of not sticking in, yes the general field has been medicine, but its been through many sometimes versitility is not better than secure grounding. There have been plenty of threads where you have bashed Canada and other nations. again another sign of the "Gi Joe the great american Hero" mentality possessed by ex military. I've not been in the military nor have any desire to be in it, I serve my country and my commonwealth through science and looking after my own people. Each day I wonder how much further you can slip with posts dust, and another -10 from me today. Scotty

Guilty, my sons. (Long story there about me and his mother) Have you ever wanted to change something so bad in this world it hurts?

Very good indeed, just wondering how long till something stupid gets done by another amateur that just doesnt work as well.

Guilty *in thought and action* Have you Streaked *Be it drunk or sober*?

Def CHB, and its a LBBB for the reason listed prior, negative in lead v1 and wide QRS complex. Looks like ST depression in Lead 2 also.

Guilty. Have you ever slept with anyone at work?

In terms of responsibility, if I have a student with me as an RN, I am responsible. The student has a couple goes at things, and then I take over and if I see something the student is doing that may risk the patient, I am to step in. The tech however, should not have injected the iodine into the IV if it wasnt patent, should have checked with a decent flush and if it infiltrated then, then it was not suitable. The line was inserted by an RN, but the person injecting the fluid in etc, needs to make sure it is patent, anything can happen in transfer/transport, clean, check, flush and use. On the side issue in this thread, I have to go with Doc in this, the OP talked about contrast, and I would have thought someone professing higher level knowledge and education would know contrast dye is often Iodine unless an allergy exists..... And let he who has never cited google or relied on it cast the first stone. Scotty

I'm sitting here with my blood boiling at the parents in this. I'm sorry but medications were made for a reason and what 13 year old knows about their condition and treatment after only one session of Chemo therapy. WHACK JOBS and cult brain washing. yes Chemo is yucky, yes radiation is not pleasant, but this kid has a huge HUGE chance of survival but no, some whack nuts brainwashed and their kid who can't read apparently, yet has a total understanding of the consequences can say nope? Give me a Fu**ing break! Interpretation and understanding of consequences are not going to be there with this kid, he is only 13 not 31. I actually commend the state, yes there is individual choice but to think some herbs and a song and a dance is going to give your kid a recoverable chance more than the medicine that has been scientifically proven to have a 90-95% success rate, then you need a psych eval and your kids taken away. To me, its like parents not wanting to immunize their children, whilst natural immunity is good etc, but Immunizations were developed for a reason, and the reason we are getting diseases left right and centre and Polio is coming back and a whole heap of others, is because whack job parents are saying "oh its unnatural" bring me these parents and I will happily slap them across the face. My brother is immunodeficient and cannot have live vaccines, the risk of them killing him is to great, parents in the community refused to vaccinate their kids and when the kids got sick with the bugs, it meant my brother had to miss time from school to be away from it, or ended up in hospital sick with acquiring their illnesses. Think your being kind and great to your kids, well think of the others that your hurting. I am not intending to offend anyone directly, but man, this is something that is personal for me, and like I said above, wanna do your herbals, thats fine, dont jepordise your kids though, and dont wanna immunize your kids, thats you own choice, but stay out of mainstream schools, because parents who do that, deny people like my little brother so much and place their own stupidity and brain washing, over others health and safety. Scotty

Sinus Brady/arrythmia, 1st degree AV block *just a shame that PJC going in the middle as it could be wenkebach with a perfectly time PJC*, some degree of axial deviation but again, brain isn't awake just yet.

Yes it may appear to serve no purpose to you personally dust, but it may to the OP's station or his area, not all of us are hot headed like yourself and rebel. It was a simple question asking had anyone seen these types of isignia, had anyone come across where to purchase them. We don't have them here in New Zealand because we are not refered to as EMT's but ambulance officers or paramedics, so the EMT symbol and even the Star of life are not used in mainstream ambulance services here. Try Galls or even jewellery makers. They may help. Scotty

Why the hell are these people out there, the arguements for advancement of care and skills, and we get idiots doing this????!!!! What sort of idiot takes a picture to start with, and then posts it on facebook of all places. I'm boggled and baffled. Just what EMS needs coming up to EMS week, now that area has a further tainted picture of EMS and what many of us do because of one stupid idiot! EMT Fired over Murder Victims photos

Agree with you JP, but I still want one

Sorry Katie, lack of sleep from night shift makes my typing and brain not work lol, I meant anterior Posterior. *Paddle on front and paddle on back*

It's not common, but we learnt to defib infants, just with the peadiatric attachments on the paddles and put them on their side and antero lateral postion for the paddles. God I pray I never have that situation.

Thank you Dwayne, I was just about to post to that fact, did he have a cardiac episode and then drift over on his bike or vice versa. We would make a judgement call in the field here as we can pronounce. Personally, I would have worked him, go through the checks, the eyes to the side, does he naturally have strabismus? Is an eye a glass one, yes these may seem a little silly to think of during a code, but if you are going to call him on these issues presented, then they need to be checked. The head lacerations, again would not be a stopping factor to me to stop or not attempt resus efforts. The H's and T's are in my mind here and also as croaker pointed out and reiterated, asystole and PEA are completely different, there is still something happening in the body as the wiring of the heart still has some life in it, yes I know it can still fire now and then for a bit after death, but still, its something. Go for the drugs, tube him, try anything you have in your skill set, that is why you do training to have the skills to perform them with the knowledge of what is happening in the body. Think outside the square. So yes, I would personally have started the resus/continued the resus efforts. Alot of our resus efforts take place in the field, if we have no ROSC in the field after a certain amount of time, we call it, now yes every situation is different. An interesting case I must admit Scotty

But it is not fast AF, his bp is still holding, a fuild challenge calmed him down, it would be more fear of Oh my god is this another heart attack? You seriously want to knock this guy out, bring the black shiny paddles in front of him first though, and then zap him when he doesnt need it???? Maybe perhaps it is in your protocols to which then I will accept it, but the general idea would be chemical before electrical. Electrical only if heamodynamically unstable.

I'm actually going to be pleased to take a break from ecgs for a while with finishing my current job..... though would be nice for a hardcore resistant VF arrest either tomorrow night or on mylast night that will be awesome especially as the patient will come back after my 5th shock muwahahahahahaha

*Looks with a fresh set of eyes and more coffee on board* Thanks FL

Were the cabinets veneered or marble top

Chaser, we just learn not to piss Dust off, he is the duke, therefore is always right, nothing rifles dust up better than talk about Jews, Nazis, Firefighters, cookbook medics and anything that is outside his little bubble of thinking. No subtle undertones of sarcasm here, plain and outright with me

Its down to if he is symptomatic, I would have held fire on the DCCV route and gone with pharmaco first if he was unstable then yes the lunchbox of life would be great though. Good thinking on the whole though Mobey

Sounds like an LAD stenting, wouldnt be surprised with some pain later on afterwards or even a stent moving. But it seems like new onset af which is causing the issues for him personally.

Notice our coloured friend hasn't posted yet? Oh wait, because now there is something to prove that black people arent as dumb as he says they all are. Do I need to dangle a race card for him, I have a hook and line somewhere and a stick. Here Crotchity, here boy.

New onset AF yes, icomplete left bundle branch. curious as to which vessels got plastied and with what sort of stent, BMS or DES. It was plastied right not just angiograph? Scotty