scubanurse

ew.

I have no clue. I do know that EDS tends to get atrophic scars that get really wide and tissue thin.

Even two 15 year old girls shouldn't be alone in the wrong side of town...

I was diagnosed with EDS at 19... PM me if you want. And FYI... They aren't 100% on the genetic marker, they only have the test to r/I the vascular type. Please go to the eds alliance website and do some research before you psych yourself up about eds. Most forms are very manageable and more people have it than you would think. Most of my family has it. It sucks and I remember that feeling of oh crap, and I have a pretty severe case of classical/hypermobile, but I can do nursing and ems just fine with some adaptations.

Having been both a medic and an RN, I encourage you to look at a BSN program. Like Mike said there are accelerated programs out there for those who already have a BS. There are even BSN programs designed for those already working in health care. EMS and nursing are two very different fields, they have some similarities, but in the end they are really different.

Ughz valium... I feel like kiwi at the moment. At least my neck is feeling a little beter.

He's alive!

Best post ever.

The nurse pulled the resident into one of the charting nooks and proceeded to ask where they went to medical school and if they were even qualified to be a doctor. It was pretty embarrassing for everyone, the only saving grace was that it was pretty private and no family members could witness it. She wasn't a bad nurse, she was pretty young and was in an MSN program, so I'm guessing she thought she knew more than the doctor. I've seen it happen on all of my rotations, the nurse thinks because they have been a nurse for x many years, they can tell the doctors what to do. My opinion is that we're called a care team for a reason and communication should be a two way street between MD, RN, PT, OT, ST and the whole care team. I've had doctors ask what my opinion is of the patient and I respect them for that since I'm with that patient for much longer than the doctors can be and we'll sometimes see more of the picture than the doc. I would never consider chewing out a doctor, resident or otherwise, unless they were actively trying to kill a patient but I don't foresee that happening with the group I work with.

Congrats!

Interesting. We weren't allowed to do much with the newborns if the NICU team was called in, only the healthy ones. NICU is something that used to interest me but now have little interest in it or L&D, but think it's a pretty cool specialty.

Which explains why I was confused by it Thanks doc!

The NICU nurse... I'm going to read up on it even though it's pretty irrelevant where I'm working now. It happened during my L&D rotation last year. I knew too much oxygen wasn't good but not that much about the link between oxygen and ROP, just to not over oxygenate a baby, but if they're blue and whatnot then yeah they need oxygen.

I thought we were supposed to avoid oxygen in the eyes as well...saw a resident get chewed out for that on my L&D rotation a while back?

blow by with just the tubing across the nose and not aimed at the eyes is how I've seen it done.... or attached to a neonatal BVP and placed on the face with the mouth/nose mask attachment to avoid O2 in the eyes.

Lemonade would be good...anything with a high sugar content and then load some carbs and protein in there to maintain the BGL.

There are several ways maturity are measured at the time of birth and where I've been they've done it on all babies. They're based on skin, ear folds, fingers, and various other characteristics. I've seen term babies at 6lbs end up in the NICU and I've seen pre-term (34 weeks) end up going home on schedule. I think the key to remember, especially in EMS, is that no baby is going to have a 100% guarantee to come out perfect and regardless of age there should be O2 and suctioning available at the time of delivery to support the baby.

So generally the first line of treatment (besides the really gross glucose paste) is OJ and you can add sugar to it. That's if they can swallow and maintain their airway though. Then we'll usually try and get them to eat PB&J, bread, yogurt, or fruit. There's medical interventions, but if the patient can do this without having to give icky glucagon or D50 then that is preferred. Even when we would give glucagon or D50 once they came to, we would make them eat a sandwich to prevent the drop off Capt talked about.

Actually a PB&J is a pretty standard meal because not only will it get the sugars up it will help sustain the levels because of the carbohydrates. Milk and chocolate will act quickly and the PB&J sandwich will prevent the levels from dropping right back off.

Got a papercut at work the other night... put alcohol hand scrub on it and a paper towel... bandaid once it stopped gushing blood. Used to sneeze and dislocate my shoulders so I learned quickly how to put them back in place, also reduce my knee caps daily.

I can find out some stats from Montg County if you want. I'll ask a few of my friends back there what they think their numbers are.

As I said in the PM, I'm curious to compare these numbers to the other high volume ER's in the state.

Interesting article, thanks for sharing!

75% of trauma patients or all patients in general? I believe I know what ER you're talking about and they get a good amount of critically sick patients so it doesn't really surprise me I guess. Not surprising with the medical director really either.

Wish I could make it again but don't have enough PTO for that and for Hawaii...