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kevkei last won the day on February 22 2011

kevkei had the most liked content!

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  1. I think people tend to use terminology a little loosely. This is a battle between 'obligation' - something that you must do' vs 'discretion' - the ability to make a judgement or decision. By saying you are obligated (morally, ethically, legally, spiritually, etc) you shall stop and render aid at all times and at all costs. It is black and white and never ceases. You stop at every and all MVC (I'd never get to work on time), every unwell looking individual you see (have fun in the inner city with that one.) Sounds completely impractical. Don't worry about life safety or hazards, go and ren
  2. Bad situation you found yourself in. The attitude and behaviour is unacceptable, as it the appearance and professionalism. To be honest, I care a little less about a person’s appearance compared to what comes out of their mouth and how they articulate. Meaning, you can have polished boots, pressed pants and shirt, etc and sound like an idiot... or, you can be a professional (not just look it) and act like one. If you can do both, all the better. That aside, did you take the time to apologize for a colleagues misgivings and try to make it a teachable moment? The point being you can diffuse
  3. Hey all, it is also with great sadness that I return. I must admit, the finality of this disease process has hit me hard even though it has been a long road. I remember when Rob shared the diagnosis with me, how do you respond to news like that? Knowing what lay ahead for him, all I could say was that I was sorry. Not out of pitty, but rather out of respect for ALS and the ravages we knew it would play on his body. He has been in my thoughts a lot since the announcement and will say it has been hard. I didn't know Rob on a deeply personal level but I have many highlights. I first '
  4. Well, for starters, maybe trust the higher level of care and the experience he brings to the table and perhaps it isn't simply a case of withholding the O2. Based on what is presented here, I'd say it sounds like a chronic COPD pt and lower O2 sats may be normal. What is more of the history - meds, past medical history, etc. How about physical findings such as lung sounds? Underlying rhythm on the ECG? Remember, not all patients need 'VOMIT' = Vitals, O2, IV, Monitor, Transport. Also remember the saying of treat the patient and not the monitor. Based on the O2 sats, was it clinically sig
  5. I agree with what's been said so far. The day I become fearless is the day I need to find a new career. I think the challenge and the skill is learning how to control that fear, how to manage it, and how to apply it in a positive sense. I try to be pragmatic wherever possible. In theory, I know I can RSI this inhalation injury but the pucker factor is huge because I am aware of the risks, complications and outcomes. The stark reality is it needs to be done to do my part to minimize morbidity and mortality. If I am fearless, I take too many risks (short cuts, no back-up plan, etc) and have a
  6. I prefer LUCAS from Physio Control I found it to be superior in the quality and predictability of compressions and even worked well on an 85 y/o female all of 5'2'' and 90 lbs. You can run it off of compressed air or battery depending on your version.
  7. You have to love people that are motivated by litigation and CYA. If you follow a simple process of customer service, best possible patient care given the circumstances, and informed consent for all things, you won't go wrong. Due dilligence goes two ways: were you dilligent in meeting the standard of care and were you dilligent in respecting laws, human rights and civil liberties? What's the harm if a family asks you to remove your dirty footwear so as to not damage their flooring? Look at the situation and if there is no threat, why not? We are there as servants not the ultimate author
  8. Hey Mobey, Thanks for the response, that takes character and integrity and demonstrates positive professionalism. I have no issues with people calling these things into question as it is better to air perceived 'dirty laundry' to clear the air. There is no one perfect place of employment, they all have issues in one form or another so I appreciate people having the opportunity to investigate things on their own. It works better for people to come to their own conclusions based on facts, not heresy or word of mouth. The fact that you changed your opinion after looking into it is very
  9. Hey Mobey, No worries, I don't take the actions of others personally! I can't speak to the individual horror stories as I don't know what the issues were but I'd love to hear about it, maybe send me a PM with an outline. I don't use the term 'rookie' and don't condone rookie treatment. Usually it depends on multiple factors like age, experience, life history, back-bone. I'd like to say all are treated with respect by all others, but that would be an utopian idea. Generally, the new guy stuff is taking initiative and being motivated to do station duties, etc. It can vary from station to s
  10. Hey everyone, it's been a while since I've been around but here is a selfish post. I have added some emphasis to the posting below to highlight some points. Emergency Services Personnel - Permanent Full-Time Emergency Services Personnel - Fire Services - Permanent Full-Time St. Albert has been called "Alberta's Finest City" and for good reason! St. Albert is an amazing, family-oriented City that is well known for the quality of services it provides to citizens. With over 100 years of service to its credit, St. Albert Fire Services plays an integral role in shaping and serv
  11. That's what my thoughts were. One step further, is it undiagnosed or is it perhaps known to the patient?
  12. Actually, this isn't accurate Differential DX? I thought he walked away with a hot blonde?
  13. Sorry to you, can't stir the pot with me I've said repeatedly you need to treat both, with respect. ACLS Principles and Practice - "When a LBBB is present, the delayed LV repolarization of LBBB distorts interpretation of the ST segment, preventing accurate identification of ST elevation." 2003, pp 407.
  14. How can you say anterior STEMI in the presence of LBBB?
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