crotchitymedic1986

Yes I am aware of past terrorists, but today it is pretty much a muslim activity statistically speaking. Obviously the recent island attack and the high school attack that was thwarted was not muslim, but if you take the number of deaths over the past 10 years, most have occurred at the hands of Muslims (and the US Military).

Well since the court decided discrimination occurred, I doubt there would be any difference if the racist are allowed to choose again. I know you white people hate to hear when you have been caught again, but justice might actually be served here.

I agree rock, you have to think about what is best for the patient long term, and not what is most convenient for you. I also agree that foot and leg veins are way underused, when I worked for a pediatric facility we started IVs in the foot all the time. There is a myth about increased infection, sort of like taking a B/P on the same side of a mastectomy will certainly lead to death. Some rumors dont like to die.

ff ? dont get it ! Oh, "F Off", hope you dont kiss your kids with that mouth. I hate to see anyone die, but we all have to do it, all I am saying is that accidents happen, and we should not overreact everytime some dies from a freak occurrence. If you felt compelled to send money, light a candle, say a prayer, or write a song, there is nothing wrong with that.

Of course I want your opinion, that is how we learn from each other

I apologize, you did ask 2 questions, but I am not sure I understand them. #1. I am not advocating not using your technology, but I submit that your generation is too reliant on technology and often lack some basic assessment skills, much like we no longer use as much of our memory, as there is no need to, since you can quickly look up anything on the internet. I did not have a pulse oximeter, so I had to know breath sounds and severity of event without looking at a digital readout. This leads to undertreatment in my opinion, as I often encountered patients in the ER that EMS did not treat appropriately, because the pulse ox was good in a sitting position, if they had made the patient walk 10 steps (or lay them flat)they would have seen that the patient was in far more distress than they recognized. #2 In cardioversion, I hope you are not just treating the machine. Just because a patient has a rhythm that is too wide, too narrow, or too fast does not necessarily mean cardioversion is necessary.

And the choice to not treat the patient in my scenario would have lead to that patients death. I have had four patients in my career who were severely hypoglycemic with a normal glucometer reading. Yes you should try to rule out all the conditions you listed, but how could you in the field ? The better answer is to look at the patient. The patient is normotensive (I stated all v/s were normal which was intended to include every test you have at your disposal). So you are left with diaphoretic and unconscious, with a known diabetic history. Seizures, head injury, and ETOH rarely produce diaphoresis (yes possible). A cardiac event could produce diaphoresis, but usually does not produce unconsciousness with normal vital signs. CVA or an aneurysm could produce unconsciousness and diaphoresis, but again you would probably see a shift in V/S. So hypoglycemia is the most likely cause. So you push half an amp of D50, and see if the patient responds, if they do, you push the other half (draw blood first if you can so you will know if your machine was faulty). Worst case scenario, you have raised that blood glucose reading from 120 to something in the 200's, which is nothing for a diabetic. If the D50 fails to work, then you can pretty much rule that out and move on to your other possibilities that you can not rule out in the field.

Point well taken tnuigs, new is not always bad. But let me give you this presentation: Known diabetic, unconscious and diaphoretic, all V/S normal, including your glucometer reading which states 120 (you are in a public setting, not near the patient's family, so all you have to go on is the med-alert bracelet that says IDDM. So what do you do ?

I am starting an IV and pushing 1/2 amp of D50, and saving the patient's life (old school style), how many of you would not because your machine told you not to ?

What say you ?

http://www.cato.org/...ny/ct-wc67.html

I hope the CATO institute qualifies:

Welfare contributes to crime in several ways. First, children from single-parent families are more likely to become involved in criminal activity. According to one study, children raised in single-parent families are one-third more likely to exhibit anti-social behavior.(3) Moreover, O'Neill found that, holding other variables constant, black children from single- parent households are twice as likely to commit crimes as black children from a family where the father is present. Nearly 70 percent of juveniles in state reform institutions come from fatherless homes, as do 43 percent of prison inmates.(4) Research indicates a direct correlation between crime rates and the number of single-parent families in a neighborhood.(5)

http://boysraisedbys...nsible-for.html

http://www.fatherhoo...ence-statistics

And yes I am aware that not all single moms are bad, and yes, there are kids raised in 2 parent homes that turn out bad as well, but the statistics do not lie on this one. Its kind of like saying not all Muslims are terrorist, but 98% of terrorists are muslims.

I am sorry, I just realized that we have hijacked this thread by carrying on about ADD, we should move that subject elsewhere, and leave PTSD to itself. I apologize.

You also need to be suspect of any blood glucose reading in the field, for a variety of reasons in any patient:

1. The glucometers are slung around, dropped, and are exposed to heat/cold extremes that the manufacturer does not approve of.

2. Read number one above but exchange glucometer with glucometer strips.

3. Many EMS agencies do not run "controls" as often as recommended. Most hospital glucometers have controls ran at least once per 24 hours.

4. You are measuring surface capillary blood, there are a variety of illnesses and conditions that can cause an inaccurate reading. Some simple examples, an obese patient, or a patient who knew their sugar was dropping so they put some sugary food in their mouth with the same finger you tested, and you failed to clean it properly.

Hopefully, your teacher will tell you on day one to "TREAT THE PATIENT, NOT THE EQUIPMENT", but if not, you have just received your first EMS lesson. Study hard grasshopper !

P.S. In the old days an amp of D50 and 1-2 amps of bicarb was standard treatment for all out of hospital arrests (including trauma). Not saying that was good or bad, just throwing in some history for perspective.

I would expect as much. I have a relative who works in a large family practice. Funny thing, they never have to worry about lunch, it is catered every day. She has a drawer full of pens and pads and all kind of other gifts she has collected over the years. The Doctors don't have to pay for their vacations, briefcases, laptops, as they were all gifts too. Was it their generous and thankful patients who provided the gifts ? No they were all provided by the Pharmacy Reps who come in every day (except saturdays when they are open half a day).

Of course this practice in no way influences the Doctors as to which prescription they give to the patient. And of course the fact that Pharmacy Rep's commission is based on the number of prescriptions written in their assigned zip codes has nothing to do with the prescriptions offered to the patients, IT IS JUST A BIG COINCIDENCE.

http://www.mymultipl...-aboutalib.html

here is another one,

http://bodyodd.msnbc.msn.com/_news/2009/03/04/4380061-the-curious-case-of-the-stone-baby

more details:

http://en.wikipedia.org/wiki/Lithopedion

It really doesn't matter what you were "told", the only thing that matters is what is in writing. I am betting some eager salespeople told you whatever you needed to hear to sell you the system.

Good point Richard, and the hand-held scanner has been produced, it is featured in a commercial on TV where the Doctor from various eras look at a sick child's abdomen, and then says "Lets take a look".

It was most likely a hernia, if the mass is not pulsating, and the femoral artery pulse is not significantly weakened, it is probably not a AAA.

I can not believe you guys do not get the simple truth, let me make it easy for you. With all of our science and technology we have not cured a single disease since the 1950's when we cured polio. Now how can that be ? Think about all the millions poured into muscular distrophy, cancer, cerebral palsy, cystic fibrosis, blood disorders, spinal injuries, diabetes, and every other disease process. All we do is create the drug that helps you live with it, we never create the cure. Now who funds most of the research that is done, I believe it's pharmaceutical companies. There is way more money in the monthly maintenance drug than there is in a single-dose cure, so you will never see another disease cured. And if you do not believe that autism, lupus, and AIDS was created by our government, then I don't know what I can say to get you to take the blinders off.

We have not CURED a single disease in 60 years, but we created millions of pharmaceuticals to help you live with it. Most elderly are on atleast 10 different prescriptions that cost Medicare (you and me) over $1000.00/month. Call grandma and ask her how much her pharmacy bill is every month ?

P.S. Your deodorant is filled with aluminum, check it out.

Yet again you fail to provide an original scientific article providing the link. You cite a website that gives someone's opinion based on some studies that were never published because they were so poorly done. Do you understand the difference between fact and opinion? I'll help you out a little so you stop looking so stupid. Go to pubmed and see what you can come up with.

Edit: Do you ever research the crap you spew? Based on the current vaccination schedule, an infant will receive 4mg of aluminum in the first 6 months of life. During that same time period, they will receive 10mg from breast milk, 40mg from infant formula or 120mg from soy based formula. Yup, must be those vaccines. http://www.chop.edu/...er/aluminum.pdf

It's not the one shot they get in the first 6 months, it is all of them combined:

http://www.cdc.gov/v...schedule-pr.pdf

http://www.cdc.gov/v...schedule-pr.pdf

And I wonder why Buddhists don't have all of our disease problems, maybe it's because it is against their religion to be vaccinated. Nah, that would be too easy, I guess it's just freaky luck.

http://www.rense.com/general87/stupid.htm

funny that we know too much aluminum cause alzheimers, but it cant possibly cause autism. Take off the rose colored glasses folks

ADD is nothing more than kids that need their ass spanked. You can make up all the psychiatric diagnosis that you want to explain the behavior of single moms raising kids without a daddy, but at the end of the day you can not prove any medical coorelation for kids being bad. Just doctors coping out instead of telling moms that you can't raise a kid alone.

http://www.rense.com/general87/stupid.htm

scroll down to the autism part, funny that too much aluminum is known to cause alzheimers, but we know it has nothing to do with autism. Take the rose colored glasses off folks

more people die in bathtub drownings and lightning strikes, put it in perspective people + in the last 20 years we have had 10-15 people killed in stage collapses ? Yes lets change everything about the concert business because of it.

really, really ? Cert level matters ?

Surely, but every study has been debunked by the government to protect what they did, but here are a few:

http://www.trackingvaccinations.com/

http://www.disabled-world.com/health/neurology/autism/vaccinations-autism.php

http://www.naturalnews.com/027178_autism_vaccines.html

Just like weapons of mass destruction, we now poo-poo all the studies that show the proof that vaccines cause autism. Wonder why there has been a 1000% increase since we started mandatory vaccines, but obviously that can not be the reason, must be a random cause

nah man, its the same as sunglasses, I have had the same pair for over 10 years, nobody steals the cheap crap

Try spellcheck doc, it is your friend

I guess you all believed in weapons of mass destruction and that Lee Harvey killed JFK. And please give some Thalidomide to your children, because the government said it was OK.

Autism did not exist until forced vaccinations were implemented.

Not trying to inflame at all, just pointing out we are not near as smart as we think we are, and that "scientific proof" is limited to what our minds know today. Imagine if in 1980 I told you that the computer that takes up a whole room and can only do simple calculator functions would, in less than 10 years, fit in your hand and be solar powered; you would have told me I was crazy. Did any of us envision the smart phone you hold in your hand today when the cell phone came out years ago (holding a mini computer/camera/gps/text messaging system) ? What we know about autism, cancer, aids, or any other disease is limited to the brain of scientist today, which is often forced to certain conclusions to support a political belief or profit model. If you watched Al Gore's "Inconvenient Truth" years ago, you would have been convinced that we would all be on fire by now or drowning; but once again we found out the science is little more perfect than weather prediction.

And when you make fun of witchcraft and home remedies, are you convinced that Asian medicine, which is full of both, is stupid compared to the American Scientific Model ? Last time I checked, they still have a longer life span than we do. There is nothing more arrogant than poo=pooing something that has been around for 1000s of years, because it does not fit your belief system. I would take medicine from a voo-doo doctor any day versus the cook-book crap (pharmaceutical driven) dribble that our medicine pushes.