itxtme

I was going to query metabolic acidosis but the breathing didnt fit the picture. One would expect rapid Kussmaul's breathing in response to it, and a resp rate of 20 doesnt sit in there.

I would have guessed Chest Infection based on 1) Bloody Sputum 2) Decreased Saturation 3) Rhonci bi-lat on auscultation 4) Tachycardia - infection BSL is getting up there - pmhx type 2? How you describe the core boy indicates compensation... Extremities constrict, core dilates.. Working diagnoses would be Chest Infection Epiglottitis (could account for facial droop + drooling) Could be TIA, CVA Pt questioning Chest pain on palpation? Grip strength tests.. WHy cant she speak - Pain? Abdo?

Many thanks guys! Much appreciate it!

I am just starting IV's and our class has kindly been given a workbook to go through before we start class time on them! For the most part I have been able to find answers in my text book and online. However there are a few bits that have me completely stumped! Anybody with the wisdom, please share!! 1) I know the GTT rating is a measure of drips per milliliter however i do not know how this relates into the GTT rating. Ie 20GTT = what!? 2) Our service uses pediatric giving sets. I cannot for the life of me figure out how to calculate a dosage without the GTT rating for this set. And yet I cant find anywhere the average or "normal" gtt rating of a peds giving set! 3) Are there any fundamental differences of a peds giving set vs an adults giving set, or is it simply size of needle??? As you can see there is a central theme around the peds and this is causing me to struggle with quite a few questions! I know that the answers will be given to us in due course at school however I would love to finish the workbook completly with a decent undserstanding before we go over IV's in class. Many thanks for any help Cheers -itxt

I use these http://www.etravelergear.com/noqmotdiswri.html They are fantastic, have never not worked for me! (they prob 95% placebo)

[video width=400 height=350:f236eafee9]http://www.nothingtoxic.com/uploads/d239867959b866ef9f1c473e926a540e.wmv[/video:f236eafee9] Try that dust??

This has always been my fav recource when I was learning the basic arrythmias http://www.skillstat.com/Flash/ECGSim531.swf

OPQRST V of pain O nset P rovoking Q uality (sharp/dull etc.) R adiating S everity (out of 10) T iming V iagra (for all those pretty lil chest pains

Heres one with a bit of a story, Dispatched P1 to respiratory arrest. The call was about 5 minutes down the road, so off we go L&S, arrive at the address and someone starts honking. Hop out the back of the ambo and follow the car down the address of the call out. O/A the pt hops out of the drivers side and tell us he will be one minute. He is not in respiratory distress in any way shape or form. So we ask the wife who was passenger what the deal is. She tell us he is finding it really hard to breath and so they went to the doctors. The doctor unsure diagnosed the pt with “respiratory distress” said he would get an ambulance to come pick them up and take them to the hospital. The pt told the doctor he needed to get an overnight bag so the doctor said he would get the ambulance to meet them at home, then called 911 and got us out P1!?!?!? On the way to hospital the pt said that he had saw us blaring down the main road and knew we were for him so followed us P1 at 70kph in a 50kph area.. When asked why he didn’t drive himself to hospital he said he didn’t want to leave his car in the car park. NOTE: The pt was not admitted and told to go home..

I am quite happy to admit I am nowhere as experienced as anyone here so this is purely a question for knowledge.. Is their contra-indications for the thump? and Are there any significant co-morbidity's caused by smacking the absolute shiza out of someones chest? Like does it cause problems with say CPR if required after the thump?

And if it doesn't work!? One could argue that's another 30 seconds you have taken to correctly give the thump. So they now have a 15% less chance of survival. I have not got time tonight to look at stats on successful reverts from the thump so would be interesting to see the survival statistics. I personally feel that defibrillation, having a higher success rate the earlier it is done, is always going to be the better option, however if you have to stand around waiting for it to be handed to you and there is time for a chest thump why not? Surely guidelines aren't written without clinical facts taken into consideration!?

Current guidelines down here suggest it purely as a measure only if a defibrillator is not immediately available. Considering all responders have at least an AED on board the only time I can ever see it being used is when the defib breaks and will not function, however I am yet to here of a situation where this has been the case!!

I have heard it can be quire effective during inhilation injurys. It is a life saving tool for use in carbonmonoxide posionings or CO2 inhalation..

Wow, first post, yay for me!! I am currently studying as paramedic at uni. While I'm studying I am also a part time lifeguard. About two weeks ago we had a cardiac arrest at my work place and I succesfully reverted the pt via the AED. They are absolutley invaluable in use there are no arguments there. At that time we were the first of our local pools to get an AED in fact it was only 2 weeks old (yes 4 weeks old now!!) I agree that it would be great to have AED's in vehicles but when they are so very basic and easy for layman to use, would they no be better off at strategic locations. One idea is to have a website (for your county..) that states the locations of all AED's and to publicly let people know about these. Planning on where the nearest one is for each workplace. Ideas like this are likely to see more use of the AED's my 2 cents anyway