tniuqs

Span(s) = cheaper + no glass bottles + longer shelf life + less chances of reactions + 52 degrees C = a no brainer.

You must be from Ontario?...jusy plain silly mate, hypernatremia is a very real concern, frankly I can see no rational for hypertonic saline in trauma, correct me if I am missing the point here, but the newer Volume expanders are the way to go.

AGREED!

WHAT?

No bandaids!

Firstly a correction....and Ladies:

You if you ask me personally I believe the OSS is superior, YES, just a matter of folks modifying the previous technology and using common sense to improve the initial idea. Oh and I forgot, the old chin strap is modified as well, splitting the strap (or slitting) it so that one applies it over the nose (bridge and maxilla) therefore improved stability. trimming the extra bits makes it a bit easier to get into those really tight spots.

Now answer me this riddle? why are all those "portly gents" stuffed into those expensive sport-cars and feel its important to crash test them?

On to true terrifying work, that being a high school teacher....do you carry mace, an electric cattle prod, or use excessive medication....lmao.

cheers

squint

Gents;

I read these comments in passing, personally a bit aghast at the negative comments er The KED is not useless?? must disagree it is a very important part of kit on any rig anywhere.

I reflect back to our friend bandaidpatrol and his comments on the genesis of spinal immobilization from the short back board made in the shop from a piece of 3/4 inch plywood, I don't have a study to quote but I know that the KED really made a difference in many that I have transported to be certain.

But I have always wondered how we stabilized with an "Z" shaped piece of open cell foam, and despite all our training we felt compelled to strap a (chin) strap, to assure that a patient (while on their backs) would have great difficulty puking/ hurl/ toss lunch? Besides the fact that the mandible is a movable joint? huh?

Fortunately a NEW WAY... a lighter, a firm pad and a better way to secure the head... the OSS Oregon Spinal Splint from Skedco. I was so impressed I bought one, have used it in confined spaces, back-country when the chopper is way too small to "stokes basket" and in SAR cause its way lighter packing the SKED system about in the bush, all in all a better way.

just my 2 pesos, er drachmas, or Krugerrands.

Can anyone tell me the process or why increased PaCO2 causes pulmonary vasoconstriction? This would be in the instance of COPD causing cor pulmonale and right sided heart failure...

Thanks :?

Agreed with all of the above comentary, be aware that in these cases of Pulmonary HTN that the use of Nitric Oxide is becoming more common in practice for home use, so just a caution here the nasal cannula may be providing a different "flavour" than just the norm of Oxygen. A side bar interestingly is that Nitric Oxide is found in cigerette smoke as well.

Not advocating this methodolgy in field practice thought.....!

In brain injuries increased PaCO2 causes vasodilation correct?

True enough, the Circle of Willis is affected by decreases of C02, this was "in Past" a method to decrease ICP?

This practice of Hyperventilation has fallen my the wayside, as the simple Math looks like this......ICP-MAP= CPP......so to decrease the MAP in this manner one misses the rather essential part, that being perfusion to the Brain.. Can you say Veggies! The past practice of Hyperventilation is also transient and in most cases has serious "rebound" as well. Contact pm if you would like links to research data, it is extensive "I caution".

The newer improved practice is using inotropes (personally witnessed) the Patients GCS goes from 8 to 15 rapidly in some cases.....Just like winding up a play toy. A previso here would be that Sub Arachnoid, and Sub Durals respond more favorably than Intercranial Hemmorhage, so get your portable CT scanner, and ICP probes loaded in the truck....before your shift...lol.

cheers

squint

The Great "Toxic" Latrine Fire......te he he! :twisted:

What pictures?

on a cowpie

three full turns

Kool Fire Works.

Dust: Could you put a toonie on that fast Camel spider in the fifth?