steph1030

yacht

yacht

considering he is healthy nd complaining of pain theres no way hes gonna let you touch anyway so why piss him off more?i dont palpate a guarded area or try not to becuz even touchin the other side should reproduce the pain in the right side therefore he will be b itchy enough i agree o2 as needed ,position of comfort proceed to er

ugh oui :roll:

we have a woman like that we just refer to her by her address when she calls we groan ...here comes reebers lane :roll:

moron

this is true we have a hospital around here that is in a shitty area and the people use it just for that so i know where ur coming from pathetic thing is the er docs know it

only 20second ? hehe like i said weve been lucky most of em take a nasty enough combo tht theyve puked already by the timw weve gottn there so we just hve to keep the airwy open til we get em to the er

woohoo:D

yippie

we have gps in our ambulances nd they definitely make huge difference for our drivers much easier to find where we are going saves precious minutes for patients esp during "the golden hour"etc we cn get em and do what we gotta do no matter wether its a load n go or not they definitely help but then if they arent updated properly or they fail to find an address(we hve alot of new developments ...new roads,etc )it can be just another piece of useless equipment so it is only a good tool if updated if not forget it it int worth crap .....

i know tonya googled this previously but i found the wilkipedia definition and i think it needs posted it is very informative ...albeit long

Ludwig's angina, otherwise known as angina ludovici, is a serious, potentially life-threatening infection of the tissues of the floor of the mouth, usually occurring in adults with concomitant dental infections. It is named after the German physician, Wilhelm Frederick von Ludwig who first described this condition in 1836.

Ludwig's angina should not be confused with angina pectoris, which is also otherwise commonly known as "angina". The word "angina" comes from the Greek word ankhon, meaning "strangling", so in this case, Ludwig's angina refers to the feeling of strangling, not the feeling of chest pain, though there may be chest pain in Ludwig's angina if the infection spreads into the retrosternal space.

[edit] Causes

The cause is usually a bacterial infection, most often streptococci or staphylococci, although other bacteria can also cause this(occurring mainly in the submandibular space which is followed by infection entering into the submaxillary space and further). Since the advent of antibiotics, Ludwig's angina has become a rare disease.

The route of infection in most cases is from infected lower third molars or from pericoronitis, which is an infection of the gums surrounding the partially erupted lower third molars. Although the wide-spread involvement seen in Ludwig's is usually seen to develop in persons with a state of lowered immunity, it can develop in otherwise healthy individuals also. Thus, it is very important to obtain dental consultation for lower third molars at the first sign of any pain, bleeding from the gums, sensitivity to heat/cold or swelling at the angle of the jaw.

[edit] Symptoms

The symptoms include swelling, pain and raising of the tongue, swelling of the neck and the tissues of the submandibular and sublingual spaces, malaise, fever, dysphagia (difficulty swallowing) and, in severe cases, stridor or difficulty breathing. Swelling of the submandibular and/or sublingual spaces are distinctive in that they are hard and classically 'boardlike'. Important signs include the patient not being able to swallow his/her own saliva and the presence of audible stridor as these strongly suggest that airway compromise is imminent.

[edit] Treatment

Treatment involves appropriate antibiotic medications, monitoring and protection of the airway in severe cases, and, where appropriate, urgent maxillo-facial surgery and/or dental consultation to incise and drain the collections. A nasotracheal tube is sometimes warranted for ventilation if the tissues of the mouth make insertion of an oral airway difficult or impossible. In cases where the patency of the airway is compromised

skilled airway management is mandatory. This entails management of the airway according to the American Society of Anesthesiologists' "Difficult Airway Algorithm" and necessitates fiberoptic intubation.

i have heard this as well it does the same job as the charcoal thankfully ive never had to use charcol the few ods i had took so much that the ody forced them to vomit kinda a self charcoal affect the mix just didnt go well for the gut so for their sake the vomited enroute to the er made a mess but they didnt aspirate which didint compromise the airway

great tips spenac ...thanks for sharing them

ugh another y word :roll:

yin yang

it amazes me when this kind of crap happens the family knows of his wishes hes in nursing home obviously because they cannot care for him and come on now rent dnrs supposed to accessible at a moments notice ?my grandmother had one and her dor a copy on fille to prove it she died at home but when ems got there they asked to see a copy of it maybe each state is different but to me it would make sense for this to happen and this would be produced on request i know the family wanted to say goodbye n all but wow isnt his comfort the most important concern ...this is the crap that makes our job all the more harder .............

Six Reasons Why You Should Think Before You Speak

Here are six reasons why you should think before you speak -

the last one is great!

Have you ever spoken and wished that you could

immediately take the words back...

or that you could crawl into a hole?

Here are the Testimonials of a few people who did....

FIRST TESTIMONY:

I walked into a hair salon with my husband and three kids in tow

and asked loudly,

"How much do you charge for a shampoo and a blow job?"

I turned around and walked back out and never went back

My husband didn't say a word...

he knew better.

SECOND TESTIMONY:

I was at the golf store comparing different kinds of golf balls.

I was unhappy with the women's type I had been using.

After browsing for several minutes,

I was approached by one of the good-looking gentlemen who works at the store.

He asked if he could help me.

Without thinking, I looked at him and said, "I think I like playing with men's balls"

THIRD TESTIMONY:

My sister and I were at the mall and

passed by a store that sold a

variety of candy and nuts.

As we were looking at the display case,

the boy behind the counter asked if we needed any help.

I replied, "No, I'm just looking at your nuts."

My sister started to laugh hysterically.

The boy grinned, and I turned beet-red and walked away. To this day,

my sister has never let me forget.

FOURTH TESTIMONY:

While in line at the bank one afternoon,

my toddler decided to release

some pent-up energy and ran amok.

I was finally able to grab hold of

her after receiving looks of disgust

and annoyance from other patrons.

I told her that if she did not start behaving

"right now" she would be punished.

To my horror, she looked me in the eye and said in a voice just as threatening,

"If you don't let me go right now,

I will tell Grandma that I saw you

kissing Daddy's pee-pee last night!"

The silence was deafening after this enlightening exchange.

Even the tellers stopped what they were doing.

I mustered up the last of my dignity and

walked out of the bank with my daughter in tow.

The last thing I heard when the door closed behind me, were screams of laughter.

FIFTH TESTIMONY:

Have you ever asked your child a question too many times?

My three-year-old son had a lot of problems with potty training and I was on him constantly.

One day we stopped at Taco Bell for a quick lunch in between errands

It was very busy, with a full dining room.

While enjoying my taco,

I smelled something funny,

so of course I checked

my seven-month- old daughter, she was clean. Then realized that Danny

had not asked to go potty in a while.

I asked him if he needed to go,

and he said "No".

I kept thinking

"Oh Lord, that child has had an accident, and I don't have any clothes with me."

Then I said,

"Danny, are you SURE you didn't have an accident?"

"No," he replied.

I just KNEW that he must have had an accident, because the smell was getting worse.

Soooooo, I asked one more time, "Danny did you have an accident ? This time he jumped up, yanked down his pants,

bent over, spread his cheeks

and yelled

"SEE MOM, IT'S JUST FARTS!!"

While 30 people nearly choked to death on their tacos laughing,

he calmly pulled up his pants and sat down.

An old couple made me feel better,

thanking me for the best laugh they'd ever had!

LAST BUT NOT LEAST TESTIMONY:

This had most of the state of Michigan laughing for 2 days

and a very embarrassed female news anchor who will,

in the future, likely think before she speaks.

What happens when you predict snow but don't get any ?

We had a female news anchor that,

the day after it was supposed to have snowed and didn't,

turned to the weatherman and asked:

"So Bob, where's that 8 inches you promised me last night?"

Not only did HE have to leave the set,

but half the crew did too they were laughing so hard!

Now, didn't that feel good?

Pass it on to someone you know who needs a laugh! and remember

we all say things we don't really mean,

so think before you speak

razors

thats a very informative post thanks i am sure noone would know this info unless they were /are a neuroologist or neurosurgeon so this was actually worht the time to read thanks

is there a link or a website for these it would be nice to know what you are talking about so that we can evaluate them and have an actual disscussion for it instead of a one person bash session?

wow mjor pucker factor there she definitely had an angel on her shoulder or damn luck.......she aint gonna be drivin anything anytime soon cuz i dont know of any assinine insurance carrier thaat would carry her now ......wow

keytoacidosis

incontinent

ugh nother y word SPENAC :twisted: ugh

yelp

sorry people im runnin out of words here for y sheesh

thats cute laura definitely a good laugh

thnx