Good Samaritan

A person whose sole purpose in life is to seek out people to argue with on the internet over extremely trivial issues. Such arguments can happen on blogs, Facebook, Myspace and a host of others.

The best thing you can do to fight an internet troll is to not answer..or report them.

Have I started any "arguments"? Do you see me arguing with anyone?

Regardless, you don't seem to be following the link's advice if you really think I am a troll.

A person who feeds off the anger of others as he enrages them over the internet.

If my goal was to enrage you, I never imagined asking first aid questions would be it! Wouldn't that make me the "worst troll ever"?

Seriously, please, I'd like to get on with the topic and see what others has to say?

Big rep points for that excellent answer! That should be in the textbook!

I believe so too. There should be like a "paramedic perspective in every textbook". Someone with experience actually talking, instead of only a linear text.

The search engine on EMT City is your best friend:

Actually, they all seem like things that might be touched on but not covered in a first aid field guild for the novice.

Exactly. Like I said only if my google search is unsuccessful do I post. I'd hate to waste people's time with something I can wiki. Besides, when starting a topic sometimes conversations roll and more knowledge, stories, etc are being added to the pile, so I wouldn't consider it a great sin even if, though people should definitely look it up first.

And I'm not sure by what definition of a troll this poster would fit? Polite, respectful, responds directly to every statement directed at them without being an ass.....what about any of that is trollish?

Thank you!

you see, you only want to stem the flow of blood, not stop it.

I'm not sure exactly what you mean by "stem", one of the dictionaries even gave me as a result that it could also mean "stop". But I guess you mean to make the blood flow really tiny/insignificant for the fear of not twisting it too tightly and causing damage?

Also, dressings protect the wound margins (The edges of the wounds that the smart people at the hospital may be able to use to close/repair the wound if we haven't damaged them in some way.) and keep them moist.

I didn't know that, but it makes perfect sense.

So, if you have a big wound, dressing and HARD pressure, if it bleeds through, more dressings WITHOUT EVER lifting the first, and then more. If you see someone with their arm cut clean off...dressings or tourniquets? Dressings if possible...we want the blood to continue to feed the wound ends without causing a significant continued loss of blood.

How about two legs and one arm amputated with blood spurting everywhere? (Reference 2c4s post above) Tourniquet, tourniquet, tourniquet. See what I mean? This dude is hosed anyway, but you just can't manage him with dressings on that many severe wounds.

I truly understand the logic of it now, that really clears it for me. Thank you!

" If you're not sure if you should use a tourniquet or not? Don't......It's a good rule of thumb."

Duly noted

" Me, not had the chance yet. Biggest bleed I've had so far was on the head, and I just couldn't figure out the best place to put it. "

Oh yes, I guess tourniquets are not for the head or the torso. That would also make sense.

Thank you so much everyone!

@ tniuqs - I do always try to google before I ask. Google does answer the large volume of my questions. I guess I sometimes miss stuff, and this topic was to see your PoV in this forum with respect to the topic at hand.

As far as your views about me, I'm quite offended that you'd see someone seeking information as a "troll" in an experts forum. I'm not sure what's the purpose of a troll, to waste everybody's time? I'm certainly not feeling as though I'm wasting my time, but I guess if you feel as though I'm wasting yours you don't have to reply. I didn't mean to incur your wrath.

In my field of programming I enjoy giving free advice and sharing my knowledge with others whenever I can. I didn't ask you to teach me first aid, just like the people seeking advice don't ask me to teach them programming, but I do answer their specific problem with the knowledge in my field. I figured that's part of the greatness of the internet. Why is it so different in a paramedics forum?

@ paramedicmike - I could consider it in the future if circumstance allows it. Thanks for the advice regardless.

@ 2c4 - Terrific reply. I loved the initial description, very funny!

And thanks for letting me into your perspective and telling this story. You seem to know what you're doing!

@ paramedicmike - Though I have extreme curiosity about the field, I have a great job and life and I'm not looking for a change. I just like to feed my brain in stuff that it finds interesting and very important. Thank you though.

@ FireMedicChick - You mean they won't let paramedics do transfusions anymore? Interesting.. well, I imagine that it's hard to figure out the blood type and give the correct one while on emergency.... and if you get the wrong type the patient could die. Have they decided it's best not to take risks?

@ chbare - I don't have a role in healthcare, I'm just a "good Samaritan" if you will, I really appreciate what paramedics do and I think rudimentary knowledge of health (esp. first aid) biology (esp human physiology) is valuable in this life regardless of having a role in healthcare in terms of job. I'm currently I'm reading a "first aid providing" manual so all sorts of questions pop into my head.

Anyway, now I understand-- to increase fluid volume and therefor pressure. Makes perfect sense. Thanks for the replies

(Am not a paramedic)

Resources I read say t's the "last resort" the control bleeding, after you tried all the usual wound dressing/bandages and even tying it with a good deal of pressure. But, did you ever have a case where you had to use the tourniquet? When the bandages clearly weren't doing their job?

And how obvious is it that you have to use it?

When a person loses blood I understand it takes about 24-48 hours to have his blood level return to normal. Does Hartmann's Solution or any other IV solution (such as saline) helps restore blood faster by its chemical properties?

Because I saw that's one of the treatments for blood loss. But when a person loses a lot of blood, I imagine he needs more BLOOD, not more fluids. If you say he needs "liquid", then couldn't he just drink water?

Thanks for the great feedbacks, I'm not afraid to wash my wounds or anyone else's in water anymore

When they say to wash a cut with water to clean it well, I get worried because I know that in tap water there's a lot of bacteria and other microscopic junk (that's why I never drink tap water). Is it really a good idea to wash a wound with water instead of just using an antiseptic all over it?

Sorry, I meant advatnages of intubation, and yes -- I meant acronym not slang. You're alright

Thanks! In all all very informative.

-GS

Thanks or the feedback, chbare, tniuqs! I didn't expect so much excellent details, but am happy to have that. I am already getting the feeling this is an incredible forum to learn a lot from emergency medical professionals. What a gem!

You've used plenty of slang and a lot of scientific explanation that I sat through reading trying to decipher. I used this:

http://www.suslik.org/Humour/FirstAid/acronyms.html

But I couldn't understand what WOB means so I was beginning to lose parts of the string.

But I'm glad to know my logic proved true, and that is certainly an interesting fact about Poiseuille's Law. But I guess the advances in Intubation override the little harm it does, or you wouldn't use it.

Thank you!

-GS

Hi everyone,

I'm not a medical student, I just read about intubation and saw this picture on wiki

I got curious.

The intubation is partially meant to clear the airway from all sorts of fluids/goo/junk, but in the process it blocks some of the air itself due to the width of the pipe walls, right?