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medik8

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Everything posted by medik8

  1. Dust... :love7: PLEASE be careful over there!!! I know you will do a bang-up job and that you will be much appreciated. In addition, I am very proud of you for what you have chosen to do. I'd be right along side of you if I had never given birth...LMAO...but... Stay safe, keep in touch and remember who luvs ya baby!!! Will be looking forward to your safe return. Besides, we still have that secret, wild meeting planned between the two of us that... OOPS.... :shock: Did I just say that out loud? :oops: LMFAO.... Seriously...be careful honey. Post long (yes, I said long) and often. It wouldn't be the same here without you. I'll be thinking of you... xoxoxo :wink: Luv, 8
  2. THAT...is a very good point, AZCEP. It's going to be interesting, at the very least... xoxo 8
  3. At one of the services I work for...we have LOTS of ATV accidents, so, unfortunately, my experience with these is very disturbing. One in particular about a year ago...I don't even want to talk about. In fact...I'm dreading summer because of the volume of these types of trauma calls (even though I love them...it's sad...) I believe that education would help, however, get people drinking, barbeque-ing, and the testosterone overrules any good common sense that may be upstairs. Education, in these situations, is not going to help. I'm not sure what the answer is, but I know in my neck of woods, I sure do keep the helicopters and trauma centers busy in the summer. :roll: xoxo 8
  4. It's SOOOO warm and fuzzy and comfortable, and it looks incredible with my newest pair of heels. The only problem is...I'm going to have to do a few more loads before I have enough to cover...ahem...certain key areas. :shock: But until then.... The person below me has a pair of marshmallow underwear.
  5. I've read several articles on this technology over the last few months in JEMS and EMS magazine. A lot of the bigger cities already have the technology...I believe I read...areas in New York, and California, as well as a few others. The idea is that a lot of information and pictures can be sent directly to the ER from the truck. For example, pictures can be taken of MVAs at intersections or whatever and transmitted back to the docs to show the mechanism of injury, give an idea of what kind of situation the patient has been involved in. If a woman is in labor and is having a complicated childbirth, an obstetric team and/or her perinatologist can view video from the back of the truck to assess the patient's appearance, as well as what's going, and can direct us regarding interventions that are more complicated in these situations. I know that a lot of people are looking at this like, "big brother is watching"...and that crossed my mind as well. However, these cameras are not an ongoing mandatory technology. They are meant to be used in certain situations, not in all...and on an as-needed basis, if you choose to need to do so, or if the doctor requests. It's virtual medicine...in a sense. I think once we get used to it, it will seem second nature. Personally, as long as they don't take it too far, and use it as a tool to help patients and not to take control of our jobs, I think it's an excellent idea. After all, I'm all for advancing the EMS business. If this is what is takes to allow MD's to see the kind of situations we are in, and possibly for us to have our level of practice expanded even further, under their direction, then let's go....I'm ready.... If it spins us in a more positive direction with more room to further our playing field, then I think it's great. It's what EMS needs. Not to mention...maybe it will help eliminate some of the rude, non-compassionate and unprofessional asshole caregivers who won't want to be discovered on camera. Hmmmmm.... It will be interesting, at the least, to see where this goes. I'm for trying it out....I think it's exciting...and a lot of docs are talking very positively about it. One even referred to it as "the cutting edge of the future of emergency medicine and technology"...going on to give Paramedics and EMTs actual credit "gasp" :shock: for what we do and the situations we are in...and realizing that we ARE on the "front lines" of emergency medicine and where it all begins... WHOOOOO HOOOOOOO!!! SAY CHEESE!!!!!!!!!!!!!! :mrgreen: xoxo Luv, 8
  6. Hmmm....yeah...I agree with everyone here. Hard to tell whether he was faking or not, at this point. From what you said, it sounds like he may have been having some problems. In either case...you did the correct thing and the outcome was good. Good job!! It's easy for us all to forget the "boy who cried wolf" story, but even hospitals need to learn that just because someone is a "frequent flyer" it doesn't mean that they can't eventually have a real problem, sickness, emergency, etc... Treat every call as if it is an emergency. You can ALWAYS back down from interventions, but it's kinda hard to "wish" you had done them later when it's too late. Besides, like someone already said, the bottom line is, faking or not, he needs help in either case. Funny story before I go....We had a big time faker one day. Now, I'm not a fan of this stupid arm test either. (I have to admit, I tried it a couple times in my career...just cuz... :dontknow: Thankfully, most all were fakers so I had no other injuries to worry with.) Anyway...back to my story...I knew this guy was faking like nobody's business, and I wasn't going to do anything like that to him. So, I proceeded to think of a clever way I could catch him off guard. About that time, my partner (driving) decides to take matters into his own hands. He bellows from the front of the truck in his most believable voice, "OH MY GAAAAAADDDDDDD.....A WHOLE truckload of naked women...LOOK at this!!!!!! HOLY CRAP.....Are you LOOKING at this? WHOOO HOOOOOOOOOOOOOOOOOOOOOOOO!!!!!!" Before I fully knew what was going on, I noticed my patient's eyes were like this... :shock: and suddenly...I had his FULL attention. This was one of those "had to be there" moments, but I've never seen anyone recover so quickly in my entire life. Even the usually professional me could not stop laughing in the back of that truck... Good times.... :D/ xoxoxo Luv, 8
  7. It seems like I've posted my thoughts on this before somewhere....maybe on the one that discussed a restraint system....don't remember.... anyway... Are you kidding me? I ALWAYS wear my seatbelt. I put it on when I get in the truck before we leave. I definitely wear it home from the hospital, ALWAYS. And in between, for patient care, I buckle every chance I get. I agree, it is a pain and it is difficult to do sometimes, but I still do it. This may mean putting it on and taking it off a million times...but I see no other way. Now, obviously, if my patient is really bad and I'm moving around a lot, then of course, I can't. However, any other situation, I wear it when I can. I would certainly hate for my family and friends to think that I COULD have survived the all-too-often ambulance crashes if I had only worn my seatbelt. In addition, anything bulky laying around on the floor gets stowed before we go en-route to the hospital. If the jump bag just got thrown in the back of the truck and is on the floor, I direct my partner to properly stow it in the cabinet, etc...before we move. I don't want 50 lb torpedos full of drugs, airway and IV equipment to smack anyone in the head should we have an accident. Not to mention, even a small bang up can cause this stuff to fly and cause injuries that wouldn't have possibly occurred otherwise in a minor collision. Safety is #1 to me. I'm not just saying that. I love my family and friends...and I'm not even close to ready to check out... Please be careful, everyone...just talking about this stuff gives me the heebeejeebees... :shock: xoxoxo :wink: Love, 8
  8. Doesn't count, Jake...you're a male.... 8)
  9. LMFAO @ moose knuckle. :shock: OMG...the projectile throwing up.....reminds me of my patient recently. Ugh... I'm not feeling so well... :sad4: 8
  10. Awww...ca'mon AK....I'd like to see you in a crotch-o-tard.... :shock: *Raise your hand if you would like to see AK in a crotch-o-tard?* xoxo 8
  11. Ok...anatomy chick and Jake...when's the wedding....you're so compatible.... :lovestory: LMAO.... (Jake..I'm hurt...I thought I was the only one.... :crybaby: ) xoxo Luv, 8
  12. I know...it's not very mind stimulating..guys...but I've had a rough weekend and I need a little fun... Here's mine...what's yours? Your 2005 Song Is "Don't Cha...by the Pussycat Dolls" "Dont cha wish your girlfriend was hot like me Dont cha wish your girlfriend was a freak like me" What happens in 2005, stays in 2005! YEOW! WHOO HOOOO!!!! :pottytrain2: xoxo :wink: 8 What Hit Song of 2005 Are You? http://www.blogthings.com/whathitsongof2005areyouquiz/
  13. I'm the Kickin Hipchecker.... :shock: :naka: WHOOOHOOOOO!!!! xoxoxo 8
  14. :oops: Sorry...but I feel so COMFORTABLE with you.....*LMFAO* I get what you are saying now....ok....I think AZCEP is on the right track, maybe. I'll think and then give you an educated response...so as not to embarrass myself again. xoxo 8 P.S. I still feel better though.... :female:
  15. Wow...where do I begin....there's not enough room, Dust... 1. Please don't yell at me, call me a mother &*#$&*, try to bite me, kick me, or spit on me. I didn't just decide to jump in the middle of your domestic situation or your street fight...you are the one who called ME. You want help...stop being an asshole, and stop abusing me...or you are going to be hurting in a whole new way. 2. Please understand that we can't read your mind. Don't call me to your house for an emergency and then play the mind games when i get there. "No...I didn't take that....well...maybe....I don't know how many....it doesn't matter anyway...blah blah" or "I feel fine...." If you didn't want help, you wouldn't have called...so work with me here... 3. Please, when you see us coming, pull to the right. That's where expect you to go, although it almost never happens. Don't jam on your brakes...we can't stop that fast. Don't fly through the intersection anyway, to "beat" us...don't slow and almost stop, and then gun it after you've changed your mind. And...by all means, when you are all stopped at a red light and we come up behind you, don't freak out and blow your red light into the middle of an intersection. The last thing we need is another emergency while trying to deal with the one we already have. 4. Please don't ask me 20 questions about my job while I'm trying to take care of your loved one or neighbor. Not only is it rude, but it's distracting to me. I'd be more than happy to share the details of my job with you...visit me at the station. 5. Yes...I do see a lot of blood and guts and gore. No, I do not wish to share my stories with you. It's bad enough that I remember them all too vividly. 6. Yes...I have seen dead children. END OF DISCUSSION. (I can't even believe you have asked) 7. Please respect us and understand that we sacrifice our own lives, our family, our children, birthdays, special occasions, holidays, family time, special moments, and higher pay. We have a high stress job/life, all to take care of strangers who most of the time never even say thank you. Yes, I love my job, and no one made me do this for a living. I do it because I love to help people and because I have a big, caring heart, (and I love emergency medicine). I don't want all the glory and the hype...but it sure would be nice for the general public to recognize that we do all this and sacrifice all that for people we don't know...only to usually get shit on in the end. Yet we keep coming back.... 8. Please...please...don't call me to your house for your loved one's emergency, and then tell me how to do my job. I don't care what Dr. so and so did 20 years ago in the ER, or what your Osteopathic doctor or Jane the nurse who is your neighbor said last Tuesday....this is MY call, MY responsibility and I will do my job as I see fit for the best interest of your spouse or family member. If you don't need or want my help...don't call me. wow...I have many more...but I need to go for a walk now....*LMAO* Thanks Dust...It feels go to vent.... xoxoxo 8
  16. Trauma codes...(even though I love working them...) It would be nice if they always worked. *EASY*.....oh...and my usual...Peds calls...(because I very much dislike them...) *EASY*. I think I'm gonna buy one. Not very supersititious, but hey...it can't hurt to try... xoxoxo :wink: 8
  17. Nice posts, Dust. =D> I agree!!! WHOOO HOOOOOOOOOOO!! They were long, but you hit a lot of good points. I feel a little guilty that you did all that typing and I'm just going..."Uh huh....I agree". LMAO!! But...thanks! xoxo :wink: 8
  18. You're very welcome, nsmedic....glad I could be of some help! :wink: xoxo 8
  19. See if this helps at all..... http://www.pneupac.co.uk/Literature/paraPAC.pdf xoxo 8
  20. :shock: ...and he's still breathing?! LMAO. You gotta love that.... :roll: xoxo 8
  21. ACK! #-o You did it to me again!....I have now been researching this drug for the last two days to see what I could find. The overall consensus of all the studies done thus far (that I have read) seem to point to the same thing. It, obviously, DOES help seizures. However, there have been many cases where it has appeared to cause them. The idea of whether it helps/hurts appears to be simply situational. Although I'm sure the benefits outweigh the risks.... You're right, Spock. One report from 1994 does not prove anything. However, I'm finding repetitive reports that basically say that during induction with propofol, spontaneous movements can occur without associated epileptiform abnormalities. The movements can/do include dystonia, chorea, athetosis, twitches, opisthotonus, and abonormal movements that may mimic tonic and clonic movements during seizures, (especially during the postoperative period.)... The case studies also stated that cortical epilepsy was activated during electrocorticography, with epileptiform activity beginning 20–30 seconds after a bolus of intravenous propofol. Seizures generally were recurring for about 7 to 23 days after propofol anesthesia.... suggesting a proconvulsant metabolite. This was basically already posted before by someone else. Probably the same study.... However, the studies also stated that Propofol had anticonvulsant effects in animals and humans (duh, we already knew this :roll: )....and that continuous propofol infusion terminated status epilepticus. I'm not sure I really have an opinion either way. Especially after everything I have read so far. It sounds like it's still up in the air, although...it's obvious it can cause seizures in some cases/situations...and not at all in others. ?? I'm still looking...and will report back if I find anything really interesting... (since all I do is work and in between...I have lots of time on my hands. LMAO.) I have a few other links where I found some of the same information supporting what I had written above...I will post them as well... At this point, I'm looking for some actual percentage numbers. I would be interested to see those... Thanks, Nate....for starting this discussion. I have a great interest in drugs/medications.... PS...LTAC is a Long Term Acute Care hospital.... xoxoxo :wink: Luv, 8
  22. Hmmm....no knowledge of it myself...but according to this....it can..... http://www.ncbi.nlm.nih.gov/entrez/query.f...p;dopt=Abstract Convulsive/seizure phoenomena? :-k xoxo 8
  23. OOOooohhh....yeah....I remember the scavenger hunts TOO! THOSE were FUN!! :D/ xoxoxo 8
  24. :roll: Hmmmm....I'm not saying anything..... xoxo 8
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