scott33
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Posts posted by scott33
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Looks like MAT
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This fat pig should have lost his license at the very least, not just have been suspended.
More here, as well as his Fitness to Practice hearing from his governing body.
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When are they going to learn? Never use anything you can lose up there, and FFS not glass!
Likely he had a partial colectomy with colostomy placed (we have had similar cases here). No point in fishing out all that glass.So he was torn a new arse hole...twice.
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I know that if the infarct is inferior, I should perform a V4R. I even learned how to check posterior not too long ago.
More importantly though, be careful with those nitrates.
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I was always led to believe that Cocaine use was one of the causes of Prinzmetal's Angina.
http://en.wikipedia.org/wiki/Prinzmetal's_angina
Still right to treat as MI
Edit: More here...
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1. Do you routinely determine the mean QRS Axis and can you apply that information practically? Yes, I usually determine it, as I use the easy-peasy Bob Page way, but don't always document the info it as it can mean many different things, including nothing at all.
2. Are you aware of the Sgarbossa Criteria and have you used it before? I know what it is, but haven't learned how to apply it from memory. LBBBs will still get fast tracked to STEMI centers as a R/O MI in many places
3. Do you routinely check for Cor (or P) Pulmonale? Yes, I find the right side of the heart far more interesting
4. Do you look for LVH, BER, and BBB on every STEMI? No
5. Do you systematically interpret every 12 lead you read in the same order every time? No, poor practice on my part.
6. How familiar are you with syndromes like Brugada, Pericarditis, Wellen's, WPW, hyper/hypo K, and long QT? Familiar enough to spot it on a good 12-lead trace as they have pretty unique morphologies. That is, with the exception of Wellens. Never heard of it.
Others....?
I always look at right side with inferior wall involvement by moving V4 to V4R.
Usually like to see what part of heart was affected, with those who state they have had an MI in the past. Just for the hell of it.
Always tell myself to look out for S1, Q3, T3 with any sudden onset of SOB... and always forget.
Have been guilty of looking at the cool stuff before the underlying rhythm
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Actually, if you think about it, it IS working smarter- the European model makes living off the dole an even more lucrative endeavor than American welfare. Assuming you had a choice, it'd be no contest where to be a leach!
The UK has always had the issue of the working class subsidising those above (HRH and her buddies) and those below (the dole merchants). I am guilty as charged of chosing unemployment over dead-end job in my teens, as it was very accessable when I was in my youth. Free money!
These days, there are limits and conditions, and one has to be actively looking for work to claim unemployment benefit, but it is not impossible to live your entire life, never having either worked, or broken the law. The problem is with those who abuse the system.
More recently, some of the more heated issues are more related to the freedom to live anywhere in the United States of Europe, and the British invasion of non-English speaking, non-skilled aliens who (and I will put this in quotes) "are given free houses, free food, and our jobs" is causing malcontent similar to that in the US. Those less wealthy and more recent countries to join the EU (Bulgaria, Romania, Estonia...) have the same rights of passage in any European Union country, as someone in Nebraska would have, if they wished to move to Maine. It's just a case of packing up and moving.
From the UK perspective, I can see the argument, but I have noticed the loudest voices occasionally come from those who have been milking the system for years.
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ahhhh you gotta go longer than 3 seconds! haha it gets worse!
Yeah, I know what happens, I heave heard it discussed at work, and there are many "reaction" videos on YT. Just can't watch it. Didn't think it was that video you were referring to.
I see these poor souls present to the ED a few times, but usually their "weapon of choice", is still intact. Usually the middle-aged professional males with a wife and kids. Some people need a new hobby.
Wonder if he died.
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Okay before you click on this URL, I want to express that the video contained inside really and truly cannot be un-watched. It is most definitely not safe for work (NSFW!), children, or the squeamish. If you feel you can handle it, though, please do go ahead:
www.glassass.com
No no no no!!!!!
3 seconds. That's all folks
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In both the UK and the US, workers do whatever they need to do to get by. Because you are required to do less to get by in the UK doesn't make your work any smarter, or your ethic any greater. It simply is what it is.
You know, I really can't argue that point.
I have a friend in the UK who took serverance pay from his old job (in fact we both took it at the same time about 10 years ago). Difference being, he has opted out of the whole "working" thing, and he pretty much gets by on government benefits.
That's not working smart either, that's just bloody lazyness.
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Edited: off topic
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Show me how an I.V. has ever saved a life?
Let's see – route of choice for administration of life-saving ACLS meds, route of choice for administration of blood and blood products, route for of choice for induction of pre-surgical anesthesia for life-threatening conditions, route of choice for administration of fluids / pressors to sustain viable MAP, route of choice for administration of certain antitoxic agents, route of choice for administration of antibiotics for meningococcal septicemia, or bacterial PNA / sepsis, route of choice for the timely adminstration of thrombolytic agents for CVA / MI, etc, etc.
You could use your argument for any other single intervention out there, including O2 administration. Point being, IVs are used in conjunction with continued care, and have been integral in saving many lives. Lives which may have been lost if access was unobtainable or delayed.
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EMS...You call, we haul, thats all.
progressive thinking
An IV has never saved a life...Admin, can we have a weekly "silliest thing stated on an internet forum" section please?
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Everything you just described was basically benefits being given to the workers in UK
I think you will find it was intentionally evenly balanced, or at least the best I could do without bending the truth.
How exactly does that translate into working smarter?The term is subjective, and in reference to the general work "ethic". As I said, I was speaking from personal experience of working and living in both countries for many years, and under many different employers. I wonder if anyone else can share the same experience, or if they are merely chipping in conjecture, based on not knowing what they don’t know.
For the growing Army of doubting Thomas’s, you may want to look (closely) into the fundamental differences in healthcare manual handling regulations between both countries. Then you may see where I am coming from.
Ambulance hydraulic ramps and stretchers, a much greater emphasis on encouraging the patient to ambulate if no contras (apparently some places in the US will "carry" the patient to the ambulance for a cut finger - as recently revealed in a thread on EMT life), not to mention the "no lift policy" in effect for UK healthcare workers. The use of slide sheets, inflatable lateral assist devices, and hoists are the norm, not the exception. I would be lying if I said it had eradicated stress injuries though, and I know machinery can break, but a step in the right direction.
Working smarter, not harder.
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care to explain
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The work ethic is one of the biggest differences between cultures I have seen.
You are not going to get someone in the UK bragging about having 3 jobs, when they can easily get by with one.
As a generalization, just with what I have experienced working in both countries, and by no means typical of every job or profession...
US - spend less time off sick
UK - spend more time on vacation
US - has more jobs
UK - has more job benefits
US - has higher wages for the same job, even factoring in the exchange rate (paramedic pay is less though)
UK - pay more tax
US - need to consider healthcare insurance
UK - has more people to fight your corner if you lose your job
US - everyone is expendable and replaceable
UK - doesn't nurture, subsidize, and encourage professional development
US - does
UK - meal breaks are a right
US - meal breaks are a privilege
US - the constant fear of litigation drives working practice
UK - not nearly to the same degree
ergo...
US - work harder
UK - work smarter
Both places have their good points and bad points as far as employment goes.
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Yes dogs, cats, skunks, fox and many other animals spread rabies.
Look at the link. The reference was to the UK and fox hunting. Foxes are pests, no doubt, but rabies are pretty much non-existent in the UK. Maybe it's all the rain.
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Whats wrong with killing foxes? They spread rabies and also the pelts make nice decorations.
Hardly...
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I agree the Paramedic was unprofessional, he agrees he was unprofessional, his trust (employer) agrees he was unprofessional, his governing body agrees he was unprofessional. The issue was dealt with by his trust at the time of the event (over 2 years ago), which resulted in him receiving a "final written warning" to run for 1 year.
This recent hearing concluded that there was nothing further to gain by punishing him twice for the same crime, having reviewed the evidence.
Or maybe, juuuuuust maybe, they collectively feel there is an element of Karma involved with Hoity-Toity, Hoo-ray Henry, Fox Hunters who injure themselves
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To many in this field are afraid of the almighty law suit. You can not live your life or work this job, if you are afraid of being sued over everything.
Back up your decisions and you will be fine!
Well said.
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I couldn't agree more on that statement. Admittedly this was not a clever thing to do, but everyone here should first take the time to research the politics of meal breaks in the UK before shouting their mouths off.
Yup. Amazing the amount of people who think that US law applies to countries outside the US, before any other law.
The mealbreak thing is a hot potato in the UK, and whereas this paramedic arguably may have had some moral obligations he chose not to fulfill, he certainly did not commit gross negligence.
Once more for those who missed it - He has already had his disciplinary hearing, and he was found not to have done anything worthy of any official action.
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Thanks for sharing again. Tragic loss
Clinical starting and I'm freaking out
in Education and Training
Posted
Do you not have a rotation in a phlebotomy lab first?