Imagine89

Is that rhythm SVT? I was assuming so, b/c someone mentioned it was. Is there then a narrow complex tachycardia within that rhythm or are they the same thing?

LA is working on getting cardioversion (we'rer way behind in the times)...but for now I've seen adenosine correct SVT everytime it's been used...immediately.

Adenosine will probably correct the problem if it is SVT. I have seen it work multiple times, and that is often the script if this is a recurring problem, however it is a very dangerous drug. You run a huge risk administering this medication. I thought that it should be administered as well, but since I don't know how to read the ECG, I was apparently missing something.

"In individuals suspected of suffering from a supraventricular tachycardia (SVT), adenosine is used to help identify the rhythm. Certain SVTs can be successfully terminated with adenosine. This includes any re-entrant arrhythmias that require the AV node for the re-entry (e.g., AV reentrant tachycardia (AVRT), AV nodal reentrant tachycardia (AVNRT). In addition, atrial tachycardia can sometimes be terminated with adenosine.

Adenosine has an indirect effect on atrial tissue causing a shortening of the refractory period. When administered via a central lumen catheter, adenosine has been shown to initiate atrial fibrillation because of its effect on atrial tissue. In individuals with accessory pathways, the onset of atrial fibrillation can lead to a life threatening ventricular fibrillation."

Yeah sometimes.

If it is SVT, am I correct in assuming that this patient is getting adenosine ASAP? I'm just a lowly highschool basic, so I could be wrong.

DIB is in fact "Difficulty in Breathing" sorry for any confusion....

You immediately take the paper bag off the girl's face, to which the "nurse" replies, "Why did you do that? It was making her better!" In fact, in the time since you have arrived the child breathing seemed to be slowing down and the girl seemed to be relaxing, becoming almost drowsy. Your EMT partner places the pt on 15 LPM NRB and takes some vitals as you instruct the nurse to gather any medical information about the girl. VS are: R: 30, BP: 90/60, and pulse is "too fast to feel" maybe 200 or 250 "I can't tell".

The girl is still awake, and the slightest bit drowsy, and still breathing fast with the NRB. No signs of cyanosis or retractions, though the girls is obviously working hard to breath. A little sweat is starting to form on the girls forehead, other than that skin is unremarkable.

Your EMT has a look at the pupils as you put on the pulse oximeter. Pupils are PPEARL and pulse ox reads 88%.

The nurse returns with a few copied papers and hands them to you. One is a consent to treat for emergencies, signed by the pt's parents, another is a history sheet that reads, "NKDA" and states no prior medical history. The "nurse" asks, "why don't you just take her to the hospital already? Teach her a lesson." The principal asks why you aren't listening to his "nurse".

Your squad has recently ungraded their LP 12's to the capnography function. Your partner asks if you'd like him to apply the detector under the NRB?

You ask the girl if she is allergic to anything to which she replies, "no". You ask if she has been stung by a bee or been outside, she says, "no". You ask if she has asthma, she says, "yes"........... "only"........... "when"............... "I play"................. "sports"............... After working so hard to speak, she concentrates solely on breathing, almost having to gulp for air. You ask about an inhaler and she says after a minute or so, " at home". You ask if she is on other medications and after another minute of breathing she states, "yes".................... "birth".......................... "control". You ask, "Do you smoke?" She says, "no".

The nurse says the girls was complaining of her "heart beating fast" after she heard of her failing grade. You look at the young woman and she nods her head in agreement. You ask about chest pain and she also nods "yes". And after instruction holds up 1 finger to quantify.

Physical exam reveals no DCAP-BTLS.

What next?

My guess is that she is in a state of Supra-Ventricular Tachycardia. The symptoms fit. The age fits. The criteria fits.

Has this ever happened before? Are her hands clenched?

I so totally agree! They won’t let people who are willing and more than capable to learn how to give basic analgesia but there more than happy to staff a MX event with 400 riders or a major speedway meetting with level 2 first aid officers and a fishing tackle box.

Do you have any idea how hard it is to get a license to administer basic analgesia if you’re not a health care professional? Australia has things so very wrong lol

Uh yeah, that's because narcotics can be dangerous. Of course you have to be a healthcare professional, it only makes sense. As a basic I know I wouldn't feel comfortable administering MS etc.

It's the right of people in this country to carry firearms. The vast majority of crimes are committed by those who do not have a legal weapon, but obtained one on the black market, or by some other questionable means. I'm a big believer in the constitution, and I'm sorry if I can't condone the fact that everytime something bad happens we, the law abiding citizens, seem to have to give up another of our diminishing number of rights. (See the patriot act) Whether it is legal or not, psychopaths will always get their hands on guns. You can find a study to prove anything, but the truth is, different societies function differently. Just because Candada has been very successful with anti-gun laws does not mean the US will benefit from the same laws.

Ugh. So much hypersensitivity. How long will it be before humor is completely eliminated from our "free" society?

NONO NONONO NONONON NONONONONO NONONONONONONO NONONONONO NONONONONONO.

We, as EMTs, and I am a basic, already do too much based sheerly on protocol, and not enough on education. Performing a complex procedure with only a few hours of education is a fantastic way to ensure more law suits against the companies that allow this.

Your NOs were broken up because long strings of words distort screen size. AK

Yeah, I know, but you have to admit it's a pretty funny headline!

Dwayne

Admitted.

Does this help at all?

Skinny girls to blame for train delays

Instead of cursing the transportation gods for subway delays, we should direct our anger at skinny girls who put their vanity before everyone else's commute, according to amNewYork. Crash-dieting women who pass out for lack of food are one of the top causes of New York subway delays, according to Asim Nelson, a Metropolitan Transportation Authority emergency medical technician. "You have women trying to get their bodies tight for the summer and they won't eat," he said. "Not eating for three or four days, you are going to go down. If you don't eat for 12 hours you are going to get weak." amNewYork spells out the moral of the story: "Subway late? Blame the lady wearing a size 0."

For lack of actual statistics -- the MTA doesn't keep track of the nature of "sick customer" incidents, and amNew York concedes that flu symptoms and hangover complaints can also delay trains -- this wholly unscientific report attempts to bolster its claims by marching out 17-year-old Talisa McGraw, who "sheepishly" admits to having skipped breakfast and dinner prior to her fainting spell on a train last month. "I felt dizzy and light and dropped down. Luckily someone got me a seat and called the conductor," she said. That morning, Nelson treated McGraw, as well as four other women who had passed out or felt weak.

I suppose if there's one good thing to be said about this article it's that it doesn't go so far as to blame transportation delays on, say, "the vapors." (Though we'd love to see the Onion's take on that.) Twisty of I Blame The Patriarchy isn't so kind; she calls it an example of "woman-blaming-as-national-bloodsport."

Have a great day all!

Dwayne

That doesn't disprove anything. They need to be accountable too.

The wheels on the bus go round and round...lol

Keep talking, you're contributing a lot. If the way you act online is any representation of your character, I hope I never meet you.

I think you contradict yourself when you say something like this:

But then in your next breath you say this:

You catch my drift?

In one sentence, you can't say "Well, you wouldn't be fat if you'd taken responsibility for your actions. If you'd done that earlier, you wouldn't have a weight problem".......and then say "Well, you're fat, you tried to lose weight, and you've failed, so now I have sympathy for you"....

It just doesn't make any sense. Either you're sympathetic from the beginning or you're not. You can't change your story mid-stream!!

Okay I guess you're right. I wasn't thorough enough. The second thing you quoted me on is based upon genetics/upbringing, etc, because I think childhood obesity is devestating, and unfair, because these people never really get a shot at being healthy.

Just as I am free to state my opinions of you, wether you like it or not.

We'll have to agree to disagree. But judging from what others have posted on here, I think the majority feel as I do.

Most people think the way you do because they're letting emotions get in the way of their logic. Let me break down my points, in list form, because people for some reason think I hate obesity, and I don't, I just don't sympathize with the condition under most circumstances.

- I think that people, obese or thin need to take accountability for their physical condition, because it is influenced soley by their choices.

- I do not sympathize with the MINORITY of obese people who do nothing but find scape goats for their condition, all the while stuffing their faces

- I DO sympathize with the obese population that is obese due to medical conditions, no depression doesn't count. I've been depressed before, it runs in my family.

- I do not believe that food is an addiction, or that that is an excuse for the condition

- I DO sympathize with the individuals who give weight loss through diet and exercise a shot, and fail, because in that situation, there's not much they can do.

Are you really saying that I'm a terrible person and that you hate me for these opinions?

If admin sees it fit to lock this thread, then so be it.

But in the meantime, I'm going to post as to why all of Imagine89's posts in this thread have pissed me off.

Anyone who's been a member of EMT City for any length of time knows I'm a big girl, and I have been all my life. One of those "land whales" as someone posted earlier. No, I don't have a medical problem for my weight, so, according to Imagine89, I have no reason to be fat.

Ever think about genetics, buddy? Everyone one both sides of my family are at LEAST 250 lbs., and 6 feet tall. Well sorry, I didn't inherit the height, but I certainly inherited the weight....you actually think I have a snowball's chance in hell of being skinny when everyone in my family is fat? Heh, think again!!! No, I'm not using that as an excuse to stay fat, as a matter of fact, I've lost 56 lbs. in the last year since being diagnosed with Type 2 diabetes, so I know I can lose the weight. And I'm having gastric bypass surgery in the next few months in order to lose the rest of the weight. But I'm doing this for my health, not because of shallow people like Imagine89, who base everything on looks, which is so blatently obvious.

So far, in all of Imagine89's posts, I've still yet to see a REASON WHY he hates fat people. He says he has sympathy for obese people "if they have a medical condition", but if you don't have a medical reason for being fat, then, in essence, he's saying "the hell with you, you're not worth anything".

I take offense to that, because Imagine89 has NO GOOD REASON for hating fat people. None whatsoever. And if he has a reason for hating obese people, he hasn't posted it yet.

I lift heavy people everyday on the job, just like you do, Imagine89. I don't have a problem with it. If my partner and I know that we can't do the lift ourselves, then we call for additional help. But I certainly don't look down upon any obese people. Doesn't matter to me if their weight is caused by a medical condition, or if they can't keep their mouths shut, they called 911 because they need our help, and we help them. End of story.

I don't recall ever stating that I hated anyone, and you are losing weight, congratulations. You're trying, I said, and I quote "if they try and fail, more power to them, however this is where normality ends and a medical condition may begin"

I'm not at all shallow, I judge people based on character, upon meeting them, however, there is no good excuse for not attempting to lose weight if you're unhappy with the way you look, feel or if you think you're unhealthy. These are all things the individual in question decides on. If the person is one hundred percent content being obese, good for them, but that means that they don't require sympathy. Plus, I never said skinny, I said healthy, there is a such thing as heavy and healthy, which is something entirely different than obesity.

I'll tell you why i'm angry with people like you Connie, you read parts of my posts, have an emotional reaction, and ignore anything redeeming i say. But whatever, get as angry as you want, because I DON'T CARE. I am free to state my opinions.

Imagine wrote:

I had the right to comment on my own personality

I usually check with my other personalities before I comment on one. I don't want to offend anyone of my many.

Hahahahaha.

Fair enough...enough said.

Wow. Someone who reads the things I say, in context. Incredible. Thank you.

Then stop making remarks like this:

and this:

if you want people to stop analyzing YOUR personal character.

If you would please notice that those remarks are made in response to shots at my morality and class. Plus, last time I checked, I had the right to comment on my own personality, after all, I do know myself...But yeah that did a lot to move your point along. And a class in recognition of sarcasm wouldn't kill you.

That's probably the only thing i agree with you on is that yes people do need to be accountable for their own health care and decisions that they make there in. However you have been making it sound as if most obese people in general want to whine and complain and blame their problem on someone or something else. Which in some very few cases may be true i.e like jackasses like the guy who tried to sue Mc Donalds for his problem. But I think for the most part people with that problem feel embarrassed and or ashamed that they let themselves get that way in the first place and are not trying to draw even more attention to themselves by claiming its someone/something elses fault. Sadly, people that big usually do have some sort of medical/mental problem the later that usually goes undiagnosed because they just hide behind the shame of people like you projecting your mindset of everyone should be/ or know better...when that just doesn't fit for everyone. And that does not mean that they are making excuses for themselves.

You need to quit making grand generalizations because it makes you look like an A$$. Just because you may know of one person in your life that may be obese who is lazy and who feeds off the system and who whines and complains about how its not their fault does not make it so for everyone.

It's not one person. There is an organization, the NAAFA (National Association to Advance Fat Acceptance) , for the morbidly obese that attempts to dispel their accountability for their weight, stating that food is an addiction, and that it is society's problem and not their own. This organization holds the philosophy that it is easier to change society than to change their eating habits. It is ideas like this that make my blood boil. Now I'm not saying whether or not the majority of fat people want to be fat, or not, I'm merely saying that if they are, and they're lazy about it, it's their fault, and no one else's. I don't understand how any of you can deny that. Sure, depression can lead to weight gain due to comfort eating, however there are also better ways to deal with problems like this.

I respect many of the obese people I know because they do NOT blame their condition on society, addiction, or any of that other bull shit. I do not have sympathy for their obesity, because even THEY admit that they brought it on with poor habits. In general, you all seem to think that no one should be accountable for their choices.

Stop analyzing MY personal character, and start analyzing the issue at hand. Taking personal shots at me does not move your argument along one iota, because honestly, I'm unaffected by peoples opinions of me.

These are words spoken from someone who obviously has NEVER had a weight problem.

So, what's your addiction, if it's not to food??? Everyone has an addiction....since you love to pick on and de-mean fat people, what can we pick on and de-mean you for???

Do you smoke? Pump all your money into VLT's? Get a hooker every night of the week so she can satisfy your sexual urges? Or do you hit the bottle too hard?? Surely you must be addicted to SOMETHING! You're not perfect, I'm sure!!!

Just like obese people aren't perfect either.

I'm not perfect, but I don't blame my pitfalls on science, medicine, or emotional problems. No i've never had a weight problem because i eat right and exercise. Oops, i guess that makes me a bad person. If diet and exercise aren't enough for these people, and they give it an honest shot, then they have my sympathy, otherwise, they have about as much as the alcoholics in my family.

I'm not picking on anyone per se, I'm saying that people need to be accountable for their health, and their decisions, and I'm saying that I don't have sympathy for those who are not. End of.

I do find it sad how some people do make fun of the heavier pts we do encounter as for a few of the replys on this post about how they are just a down fall in ems. I guess for some really i have to disagree their just like any other pt just alittle bigger NO BIG DEAL.

I treat these people with the same respect as I would others, I respect the fact that they're still human, I do not respect the excuses they present society with. I empathize with them if they are having a medical emergency, however I have no sympathy for their obesity.

Imagine89, When I first posted, some ppl had a hard time to differentiate with my post, they didnt understand what it was I was trying to say, so your moot is uncomprehensable to say the least, it shows want, yet wanes because you make yourself look stupid, if you feel justifiable.

1. Explain, you lacked there of, means you show less character, considering the fact I now know what to expect from you and If it were my post, in the first begining I would of said: WITHOUT PREJUDICE, because it lets the persons know where I stand!

2. Understanding, you lacked there of, it is only what you want to see, yet you say we failed to understand your post, read #1 again.

3. Disoriented, you lacked there of, we are all human beings, I'm sure you do care, but again, must you be like the world, cruel and unjustifiable.

Well of course your going to get attacked, what did you expect a pat on the back, someone telling you well done son?

You are like a lemon, pretty on the outside, but very bitter on the inside. wtm

Oh poor you. Poor everyone. People can't be accountable for anything these days, because every down fall of human beings is a condition or disorder that should make society weep. And yeah, I'm bitter. It's my own fault, I'm not blaming it on anyone or anything, I could be more compassionate, but I CHOOSE not to be. In my opinion sugar coating everything is just as bad as ignoring the problem to begin with. Everything's a choice.

In your previous, disjointed, post you compared eating to smoking. WRONG. Smoking involves nicotine addiction, which is a chemical condition, unlike so-called "food addiction". Even so, I hold these people accountable for their habit, because they chose to buy the god damn pack of butts in the first place. And yeah, with will power they can quit.

As for my post being "uncomprehensible" and "making me look stupid" did you even read what you wrote? I have a three year old cousin capable of better syntax than that. If you're going to argue with me, do it like an adult. I'm not bashing anyone, I'm jus t stating my opinion.

Keep letting people make excuses, I'm sure you'll LOVE the kind of society you live in.

Alright. First of all, I stated that if a medical condition existed, they had my sympathy; this would also include anorexia and other eating disorders. If you're going to disect parts of my post, do yourself the favor of reading the entire thing before you miss a detail that makes your entire argument moot.

Healthy, thin people have emotional problems too. Does that mean we just empathize with them if they eat themselves into oblivion as a result? Emotional instability doesn't mean they should throw their health away, and if they do, it's their choice. There are better ways of dealing with emotional stress than comfort foods. Unless they have a pre-existing medical condition that predisposes them to obesity, then yes, if they're obese, I can infer that they are too lazy to do anything about it. If they try, and fail, more power to them, but that's where normality ends, and a medical condition may begin.

Don't imply that I've been brainwashed, because I know full well that not everyone can be britney spears, and I woudl also like to state for the record, since you called me on it, that most of the celebrities displayed in our media are underweight, and unhealthy in another sense entirely.

As far as my free will comment goes, and I'm going to say this multiple times, and perhaps use caps to emphasize my point, IF A PRE-EXISTING MEDICAL PROBLEM DOES NOT EXIST, people have the option to eat healthy and exercise daily, fi they choose to go to mcdonalds instead, that's their problem, but so is their weight.

And yeah, I judge people. I guess I'm heartless. Get over it, because you just judged me. Maybe I'm not morbidly obese, but I have feelings too damn it! "Be a human being"?! You make me laugh. :roll:

there are more and more study show that paramedic do not reduce mortality or length of stay in intensive care.

more and more statistics agree that fewer paramedics means more lives saved

WAHT Is YOUR OPINION? do u agree?

is that mean paramedic no need to treat the pt anymore and just provide BLS and rapid transport is enough?

Everyone who replied, replied appropriately, so I'll be the one to break it to you:

Go back to school and learn some grammar, and stop with the internet abbrieviations...they make you look unprofessional, and I sure as hell wasn't going to take this post seriously as it was written.

Welcome though.

And the fact is there are more and more land whales out there each year. Its a testament to American laziness and to the Fast food industry that supersizes, upsizes, value sizes, biggiesizes, and gives the customer a triple serving of nutritionally bad crap.

I have no sympathy for land whales. They are a burden to EMS.

I have very little sympathy for many of them. THere is very little that differentiates them from the rest of the population, the fact that they don't want to do anything about their weight is one thing, but it's not going to get them much empathy.

I don't see food as an addiction. i'm sorry. You'll never ever sell me on that. The one time I feel bad for these people is when a medical condition leads to their weight. That's it. Otherwise it involves a series of choices that the people themselves make. When you take away our free will as humans, we become nothing more than the animals we feel superior to.

I pose a question to you all:

Is rank in a volunteer organization necessary??

My volley service is a first aid (BLS) military based, we have sergeants, corporals, officers, superintendents, commissioners, acting officers, discipline officers, officer of fleet, officer of training, team leaders, officer of operations, staff officers, regional officers you name it, there’s a rank.

Most of these people who hold a ‘rank’ are complete tossers, I agree someone should be the ‘boss’ but it’s completely unnecessary to have all theses ranks. I have not heard of any other volley service that have ‘ranks’. Once theses members do there little NCO and Officer Courses, they get stripes and pips on their epaulettes and this seems to go to their head! Nice level headed people turn into complete moronic ***holes!

When we go out on duty (standbys) these particular individuals feel the need to wear ‘COMMANDER’ or ‘TEAM LEADER’ or ‘LIAISON’ written in nice big fluorescent yellow words on there reflective vests just so you know who they are.

These people who wear COMMANDER on there vest have no more qualifications than the next person, apart from the little bit of leadership and event management they may have picked up on these waste of time NCO courses. But yet they walk around with the ‘look at me, get out of my way attitude’. It is quiet embarrassing being on duty with these people as it does looks stupid to the public eye and doesn’t do anything for our image as a first aid provider. To make the situation a whole lot ‘sadder’ there are groups of members (privates, NCOs) who ‘get off’ over theses people, they flow them like a pack of little girls, can’t make a decision for them selves, you know the type?

They also run around acting like their ‘paramedics’ some first aid officers even run around telling people their ‘paramedics’ and that our service is a ‘paramedical’, which couldn’t be further from the truth!

They also insist on ordering around Doctors and unfortunately if the doctor isn’t the same rank or lower then they must do what they say… When I say this I mean a doctor still over ranks the officer treatment wise but anything else.

What do you think of this and how do you suggest my service put its act together?

Was I supposed to laugh? Why is in funny stuff?

J.P. was killed by Masonic cardinals and/or to cover up a gigantic Vatican banking scandal.