tniuqs

Agreed...... Systemic Fungal Infections are usually end stage infections, (blood bourn candidia albacans being the most common one that I know) As ERDOC stated these systemic infections are more typical found in ICU settings, and immunocompromised, the patients are usually in Septic shock (pre/post capillary type of distributive shock) generally "pretty sick" would be bit of an understatement. But others do exsist.... ie Cryptococcus Neoformans is "one" a fungal pulmonary infection, this requires CXRAY and CBC complete blood counts for definitave Dx. S/S can be mucoid sputum, hemoptysis, dyspnea, and fever and typically asymtomatic, associated with soil enriched with pigeon droppings........ in CXRAY multiple nodules, diffuse infiltrates, bronchopulmonary pnemonias, and occasional cavitation and caseating granulomas. I seriously doubt that just physical examination could be definitive, moreover restricting ones diet is not the prefered treatment....huh wtf? Besides the fact that bread yeastee weastee(s) are very different species than those that "do" affect the human body. Frankly I believe this diagnosis is a load of bunk, that said, I am not an expert in this area, especially in the areas of tropical diseases.......sooo. I too strongly suggest that you take your loved one to a Western based Medical Practitioner, I believe that ISOS has a Clinic in Bangkok? check out there website, look around or contact a consulate as they may assist you. cheers

Ok thats it I am throwing down the gauntlet.....Drunken Snowball Throwing @ 30 paces. ps The only rule is you have to bring your own ammo! lmao.

Wow, I will have to do some research on that technical question. Hey are you picking on ME again......sniff sniff.

Thank you for clarification (and my retrospective inclusion) with the Regulations, I submit that should be called "the turnip clause" for future referance, but I do have a concern though as Elk season is only in the Fall. :shock:

Can one play kricket in the snow? I expect not, as if it could then Canadians would dominate that sport too...lol. ta ta

Nope...I disagree! The worse by far is brain dead, trached, feeding tubes +++ and with loved ones visting the institutions for years. Cheers...hey thats mine @#&^%$! Chad, tomorrow is new day.

Well well well.....I return from the Wilds of the Canadian Outback to find that "my helper" needs some help? NOT! Yes it's true Dust, that AK IS afraid of the dark, mostly because his teeth are too sensitive to chew the dark ale in the early morning hours....... appears that an in-service maybe required in the spring? A darn good thing the rule "what happens in Jasper stays in Jasper" has not been breached here cause THAT would encourage me to moult in some dics oatmeal. Now seeing as AK is the brunt of this thread, I have to comment on the initial post re: the baking thang....I think I am missing a some very important ingredients? Can I substitute Elk somewhere and get the same results? cheers to Quote medicnorth...AMEN!

:shock:

Agreed with most of the dialog here..... but anyone carry Etomidate? TWTG. Nasals for Head Trauma.... bah humbug just asking for troubles and agree with Rid, OG is way less risky too. Vs eh: agreed RRT's are limited with the Nasal Tube as its gosh darn hard to bronch them and trying to do a BAL the Bronchial Alveolar Wash becomes a pain, when the do get infected and they usually do, typically the ETT are smaller OD/ID. Hey in passing, just found a new Cricky device: check it out...... but only in Canada EH? :twisted: http://www.smiths-medical.com/catalog/cric...dotomy-kit.html

Late Entry: For Time and 1/2 I change tires too. Dust when you hit the border go West (Young man?) Go west....quoting somebody... :twisted:

Firstly great post very consise explanation, thanks for doing the leg work. So extrapulating from your post and I suspect cut, copy, paste..... from Kaplan. Preload and adequate circulating volume would be of key significance a fluid challenge may be the "best first" and conservative choice for a tachycardia. Pmhx may be a very serious impact (ie What was the patient doing prior to arrival? ) Could an analgisia or a benzo be a better option? I have "anecdotally" observed an SVT suddenly convert to NSR with the use of fentynyl and just prior to elective cardioversion in an ICU setting (applause was heard from the crouwd) the explanation being a reduction in the circulating catacholamines. It is logical Mr Spock. So quick off the mark beta blockers "could crater the patient" (due to the delayed response of the transplanted heart?) dunno? So direct adrenergics are the best choice with the medication route (I haven't seen Isuprel on the Cars for quite some time) but treating hypotension 'a much more likely senario" I suspect. Yes it does. Disagree, you know how to do "cut to the chase" research to be certian.....go for it!

Asy Dood! Let me tell you a little story K? Did that ONCE......"nothing will happen".....So a multiple stabbing victum , 30 min transport time, no ALS available (busy) No intubation gear, no big bores to decompress chest, (or caths long enough) limited IV fluids (at the time BLS was not permitted to start lines) no meds to deal with arrythmias and the eventual the arrest, that is positivley a T-shirt I will NOT wear...... period. Here in Mooseville we have legislation that one MUST perform to ones ability and training otherwise you could be looking at a Criminal negligence suit. Frankly the time and 1/2 is not worth the paperwork, QA investigation, Court Time and the very real possibility of a "fatalities inquiry" (I guess I forgot to mention this occured in a federal penitentary?) So when asked 4 years later to do a standby @ a Forest Fire "OC" ....Out of Control, 40 miles from the closest ER and with the normal 2 bags of N/S on board the truck. Please fill in the blanks: _ _ _ _ ...... _ _ _ ! But for time and 1/2 I will Mop floors, and I will even do windows.. cheers

Short answer for me...NOT A HOPE IN HELL I would work this way.

Hey just trying to help a V.I. get a hoof up.

Following this thread, frankly a bit confused....why exactly would one need to use Beta Blockers or Calcium channel blockers for a transplant patient in the first place? A run-away Tachycardia or Hypertension is a rarity I would think in this situation, personally I would look to other causes like the "root" cause of this senario..... using either drug "could" really comprimise this complex type of patient. cheers

First thread: TRAVOIS [travois] , device used by Native North Americans of the Great Plains for transporting their tepees and household goods. It consisted of two poles, lashed one on either side of a dog or, later, a horse, with one end of each pole dragging on the ground. It had straps or wooden crosspieces between the poles near the open end that served as a carrier. Like the sledge, the travois was used by Native Americans before any use of wheels was known to them. Just an idea here, with the use of wheel's one could invent something that may work out, some SAR teams here in the Canadian "Outback" have used these critters for that porpoise, when weather craps out and the choppers can't fly. Second thread: OMG do you think ak has done it with a deep sea elk? :oops:

Just an idea here but why not do your own experiment? When you get to a facility (that has one) use an large thigh cuff and compare. Just a side bar try an NIBP in both applications, large arm and forearm. cheers

Don't you work close to a any Parmedic's..... maybe you should ask them to give you a hand.

Could it be he is seriously long way away from your "tourist attractions" ....just guessing? cheers

Thank god its you today, and you wear it well... just try living with handle "turnip" tis hard life all around man. ps You sure looked "Hot" tonight, but I think I am getting a HA..........LMAO!

It wasnt specified in arrest or not...whateve bothe good posts. It sure is foamy crap and hard to get all the bubbles out. Just a suggestion, use a large bore cath instead of a hypo, and don't put too much suction when drawing up.. Another point is that used over a period of time pumlonary concerns should be followed up with DLCO testing. Diffusion Limited Carbon Monoxide testing has indicated "in some studies" that pulmonary fibrosis could be a future concern. Mortality morbidity is less than the standard Lidocaine, to door discharge. cheers

Good thinking...but where have you been? Lets transport 30 degree head up, and run quiet. I think we should talk after.

oops.....its been awhile....sorry. Ok have we got a line in? Perhaps a touch of benzo for aniety, s/l, i/m or iv? We should do the transport thing soon we have been on scene since 08:00 hrs.... :roll: Well thats....if we can get becksdad out of the closet. late entry...is she menstrating?

Edit At this point, becksdad sneaks off to the bedroom while his partner does the work. He is later found by PD snooping through her lingerie collection edit but does look very attractive in the blue teddie, and the those high heals...whoo hoo.