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TDP

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Posts posted by TDP

  1. Quote:

    As we walk past the nursing station a staff member, who doesn’t make eye contact and continues shuffling papers, says, “We couldn’t get a blood pressure.” That doesn’t surprise me, because most staff are incompetent and even if they provided me with a pressure, I wouldn’t trust it

    I enjoy reading war stories from the frontlines of emergency medicine. EMS providers around the world, publishing their stories,their calls what their life is like in stressful enviroments,the challenges the face on a day to day basis. Cheers Morgan Phillips, I look forward to hearing your stories and look forward to reading your books in the future.

  2. When you go sky diving you take the risk of death that might come with. When you play sports,there might be injuries,concussions. When you live your daily life,accidents happen. All in all,it is sad,no doubt about it,but shit happens. Great thing the medics need cups thrown at them,they should have been paying attention right.

  3. Agree or disagree with whether it was deserved here's the one thing I don't get. The protests over his arrest in Iraq.

    If I assault someone in protest, I expect to be legally prosecuted and to pay the consequences of my protest. You can't do these things and not be accountable for your actions.

    See I agree,but I don't. I think people should be able to speak,and show how they feel about situations,especially those in which that they as individuals or as a community will be affected. Sure,throwing a shoe at the "president" is disrespectful,but you have to understand both sides of the story. I don't think a shoe,would hurt anyone considering the hurt "Bush" has put on the world. It sounds negative,but thats my opinion. Sorry if i've offended anyone.

  4. I do agree with 'zilla in that these magnets probably are used very infrequently in EMS. However, there has been a small increase in the incidence of lead fracture in these devices with a recent recall and discontinuation of the Medtronic Sprint Fidelis lead (the most common ICD lead used).

    Pretty sure a patient would really appreciate someone carrying a magnet vs. them having to 'hurry up and get to the hospital' while they're being zapped! :shock:

    Everyone does programming and setting somewhat different. The device I have is set to pace asynchronously at 85bpm while magnet is in place and then goes back to active V monitor mode once the magnet is removed. I also happen to have one of these recalled leads, which most patients have overinterpreted and been pretty pissed about when in fact the incidence is only about 2% higher of lead fracture and they were pulled preventatively to prevent an upward trend in these stats.

    This also works to inhibit a runaway pacemaker or to determine if a tachy may be pacemaker mediated, though this is probably not really of much use pre-hospital.

    A donut magnet is not required as any magnet of medium strength (i.e. bigger than a fridge magnet) will usually trigger the pacing and inhibit the V sensing. Most devices also emit a continuous beep while the magnet is in place.

    Also, many centers will not readily have a pacer rep in close proximity so while larger centers can call the company and have someone come right away, the poor sucker living in the boonies is SOL.

    Just my 0.02....and really, how much room does a magnet take up?

    stay away from mp3 players, I won't give you any problems.... :lol::lol:

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