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Posts posted by scott33
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Central chest pain
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Look at the difference in size of the QRS (depolarization of the ventricles) compared to the T-wave (repolarization of the ventricles) in the normal EKG. Now apply that same priciple to the atria. The depolarization of the atria show a small insignificant looking P-wave, so following the same logic, the waveform from the repolarization of the atria, would be something you may not even see on the EKG.
I take the "buried behind the QRS" just to mean the event of repolarization.
I have absolutely nothing to back my argument up. :-({|=
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uuummmmm, because its your job.
Maybe in your Day Grandad
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..and where the hell do people get the idea that we're supposed to carry them - literally- to the ambulance? This isn't 1950's Hollywood ambulance services..
Funny you should mention that. I was tearing my hair out at this:
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I was taught that V1 & V2 remain in the same place and all the other vector leads as changed over to the right side.
Now you got me wondering if I misheard my lesson in 1989 and am off to confirm what I thought I know but obviously don't.
cheers
Mike
Mike, you are correct. The electrodes stay in place, but the leads (views) are switched. V1 becomes V2R, and V2 becomes V1R.
Confusing I know, but as you say, V1 and V2 are not "physically" moved - unlike the other V-leads.
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Grade A wanker.
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If you are going to do the "full" right-sided leads (as opposed to just flipping V4) remember to switch leads V1 and V2.
Another JEMS piece here
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i have been taught that we should start doing right sided 12 leads (time allowing) if we see ST elevation in the inferior wall leads (I / II / avf).
Typo???
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Not really a reference, but an interesting article all the same
http://www.jems.com/news_and_articles/colu...ight_Signs.html
And no doubt Bob Page's website has something on right-sided 12-leads.
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if you dont mind my asking what is a "Category B" call though? Ill take a wild stab at Category A being lights and siren emergencies?
http://en.wikipedia.org/wiki/Advanced_Medi...Dispatch_System
AMPDS - the system used for prioritizing calls based upon caller information.
It has widespread use in both the US and the UK, the main difference being the letters are flipped between countries (someone always has to change something around :roll:) with category A calls being the most life threatening in the UK, vs Delta or Echo calls being the most serious in the US.
Not a fool-proof system, as the public know too well.
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We use a vac mattress on long transports and flights over here. What an incredible tool IMHO.
Take care,
chbare.
Yup.
Nothing comes close to it.
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I wear the navy-colored Aviator scrubs at work in the ED. Without doubt, the most comfortable, durable, and smart-looking scrubs I have ever worn (although I am not loving the two-tone thing they have on their website).
Well worth paying that little bit extra for.
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for the love of God tuck your shirt in. Nothing raises my BP faster than seeing firefighters or EMS crews wearing untucked polo or uniform shirts. Looks like sh!t.
Completely agree with you.
The young-uns are famous for it.
"Tuck them in young-uns", and "pull your pants up fatties".
Now we are getting somewhere...
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Have used Vacume Spinal Imobilizers ... but they are NOT inexpensive and cant even remember who makes them, I think like 10 G a piece ????
Not even close, as used in the UK...
http://www.spservices.co.uk/product_info.p...products_id/445
350GBP which is $507 US, or $613 Canadian
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Definitely the Vacmat!
More secure than a backboard, covers the entire body, conforms to the voids, able to tilt the patient on their side it they need to puke - without them sliding about all over the place, and doesn't lead to a stage II on the sacrum.
http://www.neann.com/vacmat6.htm
Backboards were never designed for transporting purposes. Unfortunately, something, somewhere has gone very wrong and most providers in the US can't see beyond these horrible devices.
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Perhaps the reason I feel a lot more "professional" in my nursing scrubs, than I do in my paramedic BDUs (and nice white shirt with the patches to match) is more to do with licensing and remuneration, than how good I am with an iron.
EMS has more things to worry about if it wants the professional recognition it deserves. I have seen many a 350lb provider make the smartest of uniform look like dross, and boy can they make those nylon shirts reek!
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Would you call scrubs a professional uniform?
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Holy S.
If any of you haven't read that yet, do it.
That website seems like quite the menagerie of great minds.
Ahem...(sarcasm)
Yes, painful reading.
I post there occasionally and I do find their opinion of "ambulance drivers" somewhat amusing. However, they do lack the wannabee (or Walt) contingent which is unfortunately prevalent in many EMS forums.
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Little person, They prefer to be called a little person
Is that just for Dwarf, or do I have to apply it to midget too? What about pixie? Goblin? Elf? Leprechaun?
Political correctness can be so confusing at times. :?
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Was the patient a dwarf?
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Any posts not related to the posters main subject will be deleted. This IS NOT going to turn into a bash volly thread.
OK, here is a different spin...
As well as other things, I am a volly and I get the following: A break on housing tax (about $1,500 a year), LOSAP, a shit load of expensive uniforms and non uniform clothing, as many free CME courses as you can sign up for such as ACLS, PHTLS, PALS, PEPP, AMLS etc, full reimbursement for a paramedic course, gift vouchers at Christmas, All-expense paid parties, the use of Chief cars for the likes of shopping trips (well we are in a recession), the use of the free gymnasium in the firehouse (some also have saunas, bars, and games rooms) and as much free food you can eat from the never-ending refrigerator.
I am sure we all agree that I am worth every penny of the tax payers money :roll:
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Any one who thinks this should be put out there for eveyone to see should be shot in my opinion.
You are obviously not cut out for EMS.
Three Albums or CDs that defined your life................
in Funny Stuff
Posted
Damn, all three would definitely be in my top 10
Can't narrow it down to 3 here though, as my choice would continually change depending on my mood, but I will throw a few out.
Queen: A night at the Opera, Oasis: What's The Story, Genesis: And Then There Were Three, Dire Straits: Love Over Gold, Alanis Morisette: Jagged Little Pill, The Beatles:The White Album Eminem: The Marshall mathers LP...
The list is endless.