Arctickat

Sounds about right Kiwi, but given the normal urine production levels of 1 - 2 litres per day, and even the ability to produce up to 1 litre per hour; even this attempt to normalise the imbalance would prove difficult given the vast volume of water involved. Especially given the other medical conditions involved.

Cross Country running and rifle.

Sorry Doc, you are of course and always, correct. My concern wasn't with the amount of dextrose my patient was given. It was with the vast quantities of water he'd received. About 3 litres in I probably would have switched to a D10NS or a D10/0.45%S

So, here's the scenario....

Client is brought to local hospital with Hypoglycemia, 2 amps of D50, 50 grams total bring his sugars up, but he had taken his insulin the night before a cultural fasting (religion). For the next 12 hours our hospital tries to manage the hypoglycemia with a couple of amps of D50, 6 litres of D10W and 3 litres of D5W.

Then they do some lab work and freak out because the client also has hyponatremia.

They then decide to send the client to a larger centre because they cannot manage the care for the client here.

My first question to them was

"What were the Na levels prior to all the dextrose you gave him?"

"We don't know, we didn't check it."

"Hmm, d'ya think it might have something to do with his hyponatremia now?"

Sigh. The concept of D5S hasn't filtered down this far yet.

http://www.collegeofparamedics.sk.ca/conduct/Discipline/Greg%20Sim%20final%20decision%202010-03-25_Redacted.pdf

http://www.collegeofparamedics.sk.ca/conduct/Discipline/2011_C007ED%20Signed%20CCRA_Redacted.pdf

http://www.collegeofparamedics.sk.ca/conduct/Discipline/2011_C015%20CCRA%20Signed_Redacted.pdf

I know that at least one of these individuals has overcome the addiction and has returned to work for the previous employer.

We've got several medics who have undergone rehab and returned to the system. I honestly believe that a permanent ban from practise is a heavy handed and unreasonable response.

Yeah, all kidding aside, I've learned long ago that the best way to de-escalate a situation is to let the crazy one think he has all the control and take the dominant role. Once the Alpha Dog has his bone he's much more docile.

1) Not that belly dancing is something to be ashamed of, but I'd keep a wall between the job and the hobby, as it might create problems on the job,

I actually received an application from her, first thing I do when I am considering application seriously is google the name and that's what I found. I'll never mention my findings to her...unless she reads this forum she'll never know, and it's not relevant to her potential employment one way or the other. however, i know I wouldn't want videos of me belly dancing out in the interwebs.

errr, Tami?

Uber Cool

I

I is the first person singular subject pronoun, which means that
it refers to the person performing the action of a verb.

• I want to go.
• This is the one I like.
• You and I need to get ready.
• Tom and I are going to the movies.

Me

Me is an object pronoun, which means that it refers to the person
that the action of a verb is being done to, or to which a preposition
refers.

• David told me to leave.
• He gave me ten dollars.
• Between you and me, this is a bad idea.
• She needs to talk to Joe or me.

Since it was you who performed the action of posting the comment, the proper word would be "I".

http://www.elearnenglishlanguage.com/difficulties/ime.html

How about Belly Dancing?

I did that at our hospital a few weeks back. We hadn't moved in almost a week and as I was sitting in the nursing station they asked how things were. I told them it was quiet. Quiet, oh so quiet, QUIIIIEEEEEEEEETTTTTT, and just kept saying it over and over on my way out the door. 20 minutes later they called me to take a cardiac to the city.

Hmm,,,what is the student doing? Shouldn't he have been sent in there first to evaluate scene safety?

Reading this scenario makes me think that maybe I should get our emerg buttons reconnected. I had them d/c because they're right beside the volume knob and kept getting hit. They're the Keylock button now.

Scary thoughts Ruff, but an excellent and thought provoking scenario. One I could easily see myself getting into.

Oh, come on. Of all the people here you had to have known it would be I who posted something like this.

Yes, it's true. March 4th is National Grammar Day.

For your enjoyment, I'll include this link to the National Grammar Day website.

Please browse responsibly.

Fixed that for ya.

My guess is that the first time Momma B was admitted to said health facility she had your sister as the contact person and that has just never been updated in the past 40 years.

Partner goes high, I go low, 50% odds of survival.

Thanks Tami, as you just saw on Facebook, we came close to losing another one today.

Sob...snurffle

He's home now, just rung his bell pretty good. I gave him a few days off...(with pay) I'll take a closer look at it with the mechanical types, but the insurance company will likely write it off since it's only worth about 5k. However, I may purchase it back and restore it to former glory out of my pocket, maybe, just maybe if it passes safety inspection it might return to service. Although I drove it the 2 miles back to base and it seemed fine, I suspect it has a bent frame.

I am glad my employee is okay too. I wouldn't be making a tongue in cheek obit for my ambulance like this if he'd been badly hurt, or if anyone else had been involved. I will miss my baby tho.

It is with deep sorrow that I am announcing the passing of our beloved ambulance Unit 1410. This ambulance was a 1999 Demers Type II conversion with 517,000kms on it. It was the oldest operational ambulance in our fleet and was used primarily as a mechanical spare and event standby unit. It was also the first ambulance i had ever purchased and I had intended to be buried in it. On Saturday March 2 it was enroute to a standby event when the driver, (lone occupant) encountered a patch of ice and lost control, entered the ditch and rolled. The driver was admitted to hospital overnight for observation of a potential closed head injury.

http://www.emtcity.com/gallery/album/126-1410/

That's awesome!!! I'm sure you'll have a great time and I have faith that you'll impress your preceptors.

I'd be interested in discovering how much trauma resulted from the airway insertion.

I know of a decent 4 bedroom house in that price range.

Get registered in Sask and come work for me. Kiwi keeps teasing.