Jess

My condolences and prayers to all who loved and knew him. So sorry for the loss of your beloved husband, Mrs. Sparks.

Im aliiiiiiiiiiive! So original!

Oh No I didn't take it that way at all! I just wanted to post what info I did have because this could take me many hours to find the rest of the info that I'm looking for. I have nothing better to do today since I'm sitting here with gobs of lotion on my feet, feet wrapped in saran wrap with socks on!! lol! Mind you, it works absolutely FANTASTIC if you are prone to over dried out cracked feet Okay back to my research!

I'm still doing some more in depth research, Dust. I will post my findings here, if there are any findings.

Dwayne you brought up an excellent point! While there is a valve on the combitube that I lovingly call the "Puke valve" I understand what your saying about the pressure of the vomit meeting the airway device and how it can cause damage. So I researched it because I'm just as curious as you are. This might provide some insight. It might answer your question or it may not but I took a shot at this. Its a study some doctors did to compare seals in supraglottic airway devices. A Comparison of Seal in Seven Supraglottic Airway Devices Using a Cadaver Model of Elevated Esophageal Pressure Sven Bercker, MD*, Willi Schmidbauer, MD{dagger}, Thomas Volk, MD{ddagger}, Gottfried Bogusch, PhD§, Hans Peter Bubser, MD{dagger}, Mario Hensel, MD{ddagger}, and Thoralf Kerner, MD{ddagger} From the *Department of Anesthesiology and Intensive Care Medicine, Leipzig University Hospital, Germany; {dagger}Department of Anesthesiology and Intensive Care Medicine, Bundeswehrkrankenhaus, Berlin, Germany; {ddagger}Department of Anesthesiology and Intensive Care Medicine, Campus Virchow-Klinikum and Campus Charité Mitte, and §Center for Anatomy, Charité-Universitaetsmedizin, Berlin, Germany. Address correspondence and reprint requests to Dr. Sven Bercker, Klinik für Anästhesiologie und Intensivtherapie Universitätsklinikum Leipzig, Liebigstr.20, 04103 Leipzig Germany. Address e-mail to sven.bercker@medizin.uni-leipzig.de. Abstract BACKGROUND: Supraglottic airway devices are increasingly important in clinical anesthesia and prehospital emergency medicine, but there are only few data to assess the risk for aspiration. We designed this study to compare the seal of seven supraglottic airway devices in a cadaver model of elevated esophageal pressure. METHODS: The classic laryngeal mask airway, laryngeal mask airway ProSealTM, intubating laryngeal mask airway FastrachTM, laryngeal tubeTM, laryngeal tube LTS IITM, CombitubeTM, and EasytubeTM were inserted into unfixed human cadavers with an exposed esophagus that had been connected to a water column of 130 cm height. Slow and fast increases of esophageal pressure were performed and the water pressure at which leakage appeared was registered. RESULTS: The Combitube, Easytube, and intubating laryngeal mask Fastrach withstood the water pressure up to more than 120 cm H2O. The laryngeal mask airway ProSeal, laryngeal tube, and laryngeal tube LTS II were able to block the esophagus until 72–82 cm H2O. The classic laryngeal mask airway showed leakage at 48 cm H2O, but only minor leakage was found in the trachea. Devices with an additional esophageal drain tube drained fluid sufficiently without pulmonary aspiration. CONCLUSIONS: Concerning the risk of aspiration, the use of devices with an additional esophageal drainage lumen might be superior for use in patients with an increased risk of aspiration. The Combitube, Easytube, and intubating laryngeal mask Fastrach showed the best capacity to withstand an increase of esophageal pressure. http://www.anesthesia-analgesia.org/cgi/co...tract/106/2/445

Glad you all liked it Its the first time I've ever seen it and thought it was hilarious. So of course I had to share it with you all lol! Ya'll take care and stay safe out there!

A Minneapolis couple decided to go to Florida to thaw out during a particularly icy winter. They planned to stay at the same hotel where they spent their honeymoon 20 years earlier. Because of hectic schedules, it was difficult to coordinate their travel schedules. So, the husband left Minnesota and flew to Florida on Thursday, with his wife flying down the following day. The husband checked into the hotel. There was a computer in his room, so he decided to send an email to his wife. However, he accidentally left out one letter in her email address, and without realizing his error, sent the email. Meanwhile, somewhere in Houston, a widow had just returned home from her husband's funeral. He was a minister who was called home to glory following a heart attack. The widow decided to check her email expecting messages from relatives and friends. After reading the first message, she screamed and fainted. The widow's son rushed into the room, found his mother on the floor, and saw the computer screen which read: To: My Loving Wife Subject: I've Arrived Date: October 16, 2007 I know you're surprised to hear from me. They have computers here now and you are allowed to send emails to your loved ones. I've just arrived and have been checked in. I see that everything has been prepared for your arrival tomorrow. Looking forward to seeing you then! Hope your journey is as uneventful as mine was. P.S. Sure is hot down here!

Is that a foley bag we see there?!

Lisa, I'd love to help you in any way possible as well I Just got my EMT-B cert 3 weeks ago and have been wanting to get together with someone and review or whatnot. So feel free to PM me and I'll see what we can work out! Take care!

Well then thats pretty serious! Suppose it could mean your SOL...Better just call the morgue for reservations

IT'S NOT?! :shock:

I'm feeling a bit froggy and would like to take a pot shot at this. So here lies the question....Can anyone list ways of learning new things WITHOUT asking questions? I can see how this thread could easily go to hell in a hand basket which is why I'm trying to analyze and understand EXACTLY what the original poster is asking. The only way I know to do this, is off my own personal experience. Going through EMT-B I never questioned a medics judgment. Instead, after the pt was released to the care of the ED staff, I would ask the paramedic to explain why he did what he did so that I could get a better understanding. I wasn't an "In your face" student that had her book open to page 160 telling the medic that what he did was wrong "Cuz the book said to do it this way" I just simply asked what the difference was between one technique versus the other. I never doubted anyone I did my ride time with. In fact, I gained a lot of respect due to my eagerness to learn. I made an effort that every patient I came across, I learned something from as it goes that every paramedic I rode with, taught me at least one thing I didn't learn in class. suzeg487 says: "Is it an EMT's place to question a medic's judgment that seems askew?" Jess says: If it seems askew, don't bring it up right then and there in front of the pt. That will just make the patient uneasy about the care they are receiving. I would wait until the pt has been released into the care of the ED, then just explain the concern to the medic. Your not questioning his judgment by explaining something that was going through your head, your just trying to get a better understanding of the situation at hand and perhaps learning something you probably were not taught in basic. How else will you learn if you sit quiet and NEVER ask questions? So no need to babysit anyone You never ever stop learning and with the amount of years you've been in this, I hope that each patient and partner may teach you something new! I hope I made some sense here. So far I've not had any negative results from my "Learning technique" listed above. I'm open for more ideas and opinions!

Splinting, basic wound care, Heimlich maneuver, rescue breathing, and CPR? :roll: I guess thats about as basic as you can get..OH and teach them how to identify poisonous critters

[web:93af67e3e2]http://www.news9.com/Global/story.asp?S=7833938[/web:93af67e3e2] I thought this was pretty neat! I hope you folks enjoy it as much as I did.

hmmmm I need one of these

My song I'm addicted to for today is Hotel California...not sure why

Yes I need that concept explained to me as well. :roll:

November Rain-Guns N'Roses

Congratulations to you and your partner!! I know its hard at the age you are to realize that your parents mean well. It feels like they're out to get you even though they really are not. I used to feel that way when I was younger. Sometimes it feels like they're trying to live out their own childhood dream through you. That can often be true, but in your case I don't think it is. Your father just wants to see you successful and happy is what it boils down to. I don't think he's really all about the winning aspect of it but rather at the other end of the spectrum of just wanting what is best for you! Like the other folks here have advised, sit down and chat with him to tell him how you are feeling. Chances are, he isn't aware of how you feel. But sit down and have an adult conversation and explain every bit of what you are feeling. Best of luck to you and I hope this helped you some!

Excellent topic! I've learned so much here that I don't even know where to start! I just enthralled by the fact I found this site through a random google search and here it ends up being one of my tools to carry with me through my EMS career! No tool on a whacker pack tops this one :wink: When I was younger, I used to be the quiet girl. I know thats a tough image to fathom but its true The only way I knew how to express myself was through art. I painted, I sketched, I made things out of clay. I didn't have friends so I kept to myself as a kid. I didn't really have any coping skills or communications skills. But i excelled in Reading, writing, and Comprehension. So knowing all that brings me back to the person I am now. When I first joined EMT City I was still kind of the quiet girl but was a bit of spit fire. Being on here for the almost 2 years I've been a member has taught me the things I didn't have before. I see how others express themselves here and seeing that brings out my expressions as well. I finally know what kind of person I am! I feel more confident at my ability to think things through, find a solution and follow through with that. Sure I could do that before but some of the people that have had the most impact on me through words on a screen are Dwayne, Dustdevil, Ak, Asys, Rid, paramedicmike, Lonestar, NREMT, Jake, Itku2er, and michael. There are many others to list that I have learned from but these are the people from the top of my head right now. There is just so much logic behind each and every thing these people say. The quality of post and the fact that in every post it always makes me sit back and think simply because there is always a lesson to be learned. I will never stop being a student. I just got my EMT-basic 2 weeks ago. Physically I'm not in school, but I still consider myself a student. If I could pass anything along to ANYONE its exactly that. There is just so much to learn! I never knew how much more I could learn until I came here! I've noticed a huge difference in my character, my judgment of many different things, including clinical judgment. I feel like now I'm rambling simply because I'm not fully awake. But I saw this post and absolutely could not pass it off. Brent, I want to pass on to you how impressed I am with your posts. You have sparked some amazing discussion and have improved so much since the first day you've been here. You've brought out the discussion in me as much as other folks here. Keep it up! With all that being said, I thank you all from the bottom of my heart for giving me the tools to sit back and analyze myself as a person, an EMT, daughter, future wife, and future mother. I look forward to posting more through the years and hope that one day I can be an impact on someone the way that you folks have been a impact on me. **Edited 1 time to fix a couple spelling errors.