BushyFromOz

Wow, still the same issues? Humanity sucks

Not all injuries with high mortality are incompaitble with life. In this case exsanguination, PEA, cardiac tamponade or any other aetilogy you can come up with that involves penetrating thoracic trauma is not unmanagable, and not all penetrating trauma is going to skewer your ticker, or obliterate your left ventricle Your making a lot of assumptions about underlying tissue/organ damage that you most likely can't see. The example of your MCA and brain matter everywhere is not a real apples to apples comparison just sayin

could probably help too

True that.. you know when you think about things that you should have done and then realise soe istakes made sense at the time, others make no sense and soe of your decision you realise were just retarded. Not doing the double degree nursing/paramedic and taking the paramedic only one was on of those retarded decisions Do the nursing bro

How is it any different now??

modified version of NEXUS

Its the job type that we get around here, non time critical medical calls that dont benefit yourself or the patient by busting your ass to meet a deadline that doesn't need to be there. We generally work as a crew of 2 without assistance so you probably spend 7-10 full minutes asking questions and then another 5-10 on management but the time is lost in moving patients from the house to the truck. Patients with pain i will happily sit aorund for half an hour getting enough effect from narcotics before i attempt to move them. Then there are those patients you cant physically move so you wait 20mins for another crew to assist Time critical patients (STEMIs accepted) i can get out in around 10-15, but theres a few variables in that, and i always have an IV in those before i move them in case they drop their bundle - unless they are particularly difficult, but thats not very often. Complicated trauma patients 20 minutes is about normal if your on your own. 2 Guys providing all the care and extrication from vehicle/house naturally takes a few more minutes than having 4 guys there. So, my answer is i make the decison on a case by case basis, ill scoop and run when i need to and ill stay and play when i decide its appropriate and all my decision making is based on safety for me and the best care for the patient. As an aside note, i often find the ability to have a short scene time is not so much a reflection on the guy running the job but the organizational skill of your partner. Theres a lot of good ambos out there who are not good partners and being a good partner is often more dificult than being a good clinician

Do you really believe that?

Crazy little things that roger ramjet sticks thorugh a pill press and eats... better than borocca

my life is a circus

Ill see if i can find it.... the one i read was in hard copy, just floating around the station so ill have to see if its there when i get back to work thanks for clearing things up, im not sure how i came up with that blinding question in the first place thanks for clearing things up, im not sure how i came up with that blinding question in the first place

And yet despite all that, i still get askedevery so often if i have ever had to shoot someone... perhaps i liike a little sketchy, like bryant or knight?

Yeah, i heard that they stole it and put it in that sherlock holmes movie with Robert Downey Jr in it

It aint workin, send me something stronger

God, you know what, it sounded good in my head at 1 am but after some a sleep and a coffee or two i realise the question is just retarded. How embarrassing. I just read some article about C02 binding to heamoglobin writen by some chemist, basically saying the current model was wrong and that C02 dissolves in the cytosol RBC's and doesn't attach to the proteins on the HB molecule as is the current model. But it doesn't change the fact that C02 won't change the IR frequency of the SPO2 sensor.

Greetings earthlings. Quick one, C02 binds to heamoglobin but not to the Fe molecule like 02 does. Even so, does this provide false postives when the IR light passes through for SPO2 sensors? I know the vast majority of C02 is tied up in carbonic acid, with a bit dissolved in plasma and a bit tied to heamoglobin, but could / would it cause false readings in acidotic respiratory compromised patients where PC02 increases from buffering? random 1 am thought

I saw that too, i havn't looked into weather it stabilises MAST cells, will have to look into that tonight

It shouldn't, im trying to adopt your values.

Better than working for your lot, and they were much better in their HR management - at least im not stuck out at ardlethan or lake cargellico or cobar or some other god forsaken town trying to get back east And your right, i normally wouldn't repeat whatever your dribbling anyway IM flat out getting to wanaka for the airshow let alone anything else

I should have been a bit more descript, not all of her circulating gvolume was third spaced, some went down the toilet too

Working on it chief...

The retarded thing is that the trial was done by both MICA and regular Paramedics so even though i oushed heaps of it under the trial i wont get it when it comes online permenantly.

No heroes here, but apparently they trust us more than other other profession so ill take that instead Besides, a hero is is some type of weird sandwich ***EDIT*** Ok ok, i know, i should have read page two, craig has already posted this stuff.....